HomeMy WebLinkAboutBarrow, TonyKCi AMA / ODREDGE & FILL i _ ''PTO 6 3 3 4 9 c-
GENERAL PERMIT '
"� Pr ous permit #
filew ❑Modification ❑Complete Reissue ❑Partial Reissue ate previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources j ,r
and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC71�/ _ ;Ooo f / C.) o
.8'R les attached.
Applicant Name j f h� C rd Project Location: County 6aY 1�/,4
Address Sc� / J'/f cp' p n,� StreeftCAddress/ State P
oad/ Lot #(s)
City_ n o E.' l i l State'" C ZIP`;6FSOC% I J- O'tcl
Phone Fax #
(_) Subdivision
Authorized Agent I City Cep, 02 r X
Affected O CN cW:W ii TA 2n O PTS
AEC(s): ' O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: OFQ
ORW: yes rno PNA yes / no ' Crit.Hab. yes / no
Type of Project/
Activity
� � Yd j`
Pier (dock) length =.�—
Platform(s) )
Finger pier(s)
Groin length
number
ulkhead prap lengthCL�
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other �—
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes o
Moratorium: n/a yes.
Photos: ye;: �:0
Waiver Attached: Yes no ,
L.
Phone # ( ) River Basin C/L/' le
Adj. Wtr. Body tz GLjAC, L./f nat man unkn
Closest Maj. Wtr. Body L Jt> t it ��
(Scale: A/ f )
mom
N
NE
0
N
No
MEN
NE
NENNEEN
No
MEN
0
ONE
No
MEN
0
MEN
ME
EN
N
0
ON
MEN
NN
EN
A building permit may be required by:
Notes/ Special Conditions /�LC,
.
Agent or APE
ZSig re '��' Please read compliance statement on back of permit*
60 d CM W19" og (o79� `71,
Application Fee(s) Check #
1Y
❑ See note on back regarding River Basin rules.
11,
Local Planning Jurisdiction Rover File Name
❑CAMA / ❑ DREDGE & FILL
AGENERAL PERMIT Previous permit #
DNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
ress
State ZIP
ne # ( ) Fax # (_)
iorized Agent
Affected O CW DEW O PTA ❑ ES ❑ PTS
AEC(s): O OEA O HHF O IH O UBA ❑ N/A
❑ PWS: OFC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
MENEM
EMMEMEMM
No
MEN
EMEMEMEMOMMEMEM
house/ Boatlift
.;ch Bulldozing
i
v
■
went or Applicant Printed Name Permit Officer's Signature 4
i
i
Signature ** Please read compliance statement on back of permit* Issuing Date Expiration Date
i
ApplicationFee(s) Check# Local Planningjurisdiction Rover File Name
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters.
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
i --,_rn--... _ .. .___�___ ____..�______ �_.T ❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
i
City State ZIP
Phone # O Fax # (_) Subdivision
Authorized Agent City ZIP
Affected
❑ GIN ❑ EW ❑ PTA
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Phone # ( ) River Basin
Adj. Wtr. Body (nat.,/man /unkn)
Closest Maj. Wtr. Body
MENEM
IMMMI
MMMM
E
MEN
.ch Bulldozing
-MMMMMMMMMMMMMMMMMMMMMMMMMMMMMM
mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmillimmm
ME
i
Agent or Applicant Printed Name Permit Officer s Signature
Signature "Please read compliance statement on back of permit Issuing Date Expiration Date
r
i
ApplicationFee(s) Check# Local Planningjurisdiction Rover File Name
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules ❑ Other:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on howto comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Morehead City Headquarters.
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Own
Address of Property:
Agent's Name #:
Agent's phone #:
i
(Lot or Street #, Street.or Road, City &.County)
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter
I have no objections to this proposal'. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within .10 days of receipt of this notice, Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808. No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
�� I do wish to waive the 15' setback requirement. RECEIVED
OCT 2 d VIA
I do not wish to waive the 15' setback requirement. DCM-MHD CIT-Y
vn 6ts
- - --Pr t-or-Tpe-Name- - - - ---- -- - -- -
9�taAl&
Mailing Address
City/StatelZip.
Telephone Number
Date
(Adjacent Property Owner Information)
� � J &Wu�_
Signature
��r�✓,�.� !� • (oP✓-;rc, k i✓.r �N �• G��✓sE�
__F at or Type Name
Mailing Address
�,e�FiLv� u E oy- 891)7
City/State/Zip
Telephone Number
9fZvls�
Date
Revised 6/18/2012
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM
Name of Property Owner. C) �- SU-0— 60—cro( Q
Address of Property:
Agent's Name #:
Agent's phone #:
(Lot or Street #, Street or Road, City & County)
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions must be provided with this letter
00 1 have no objections to this proposal'. I have objections to this proposal.
1 p p
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days -of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808. No response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, youmust initialthe appropriate blank below.)
DWI do wish to waive. the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Prop
14oryp—eName��a w
Prin
----
Mailing Address
��n6�o -�A�A
q / l x314
Date
nt Property Owner I
yDrflA Ef
RECEIVED
OCT 2 4 ?n'4
on) * DCM-WI) CITY
W
Print or Type Nam
Zl c r
Mailing Address
t &X, 2-"s
City/State/Zip
Telephone Number
q_ 9-/6'
Date
Revised 611IY2012
� U
O c Q
LLJ
LU oz
j Lv U U RECEIVED
c
OCT 2 41014
�OL) QC DCM-MHD Cff
7
e,K
ffQW JIIA�� .
-04
t-, ",,
lty,54,11, ffe(u r;ll;os
fgrsiiMa f.
T3Qat�,��f
0
wc
�
L
X o yy 738RRow- �to��
e.- to it c?g vl�B.
�plaee. fxcsti�
Y� �
..� !•1
f: �..`
'iF:'ri�.1:.ua.'•r'G�:I:Y:i..,�.'.if4L.A.Cu ti4, .'+
U
;•,0;:
,.�
w,S�1.f+r�u�...P1y.
cm
RECEIVED
I
`
OCT 24 2n?4
DCM-MHD CITY
iG
1.
e..a.eu,,a�xavu•�a,.,,•1n•v,4y�earog5'0•H
Mprga....p.p.y,p.; iyY4bx.!:,ir,..11rrry�
�r
{00OIVPW
(
•
1'I