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Home My WebLink AboutChessor, JeffE-ss a/ '126AMA / El DREDGE & FILL .'��`- i.. a;: J.c, A B (C� D . GENERAL PERMIT Previous permit# J ,l NeW ❑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 I SA NCAC �^ ( O Rules attached. Applicant Name" Project Location: County Address 4'l r Street Address/ State Road/ Lot #(s) Clty l j { State ZIPS / (b �1 {, ; c. �.• �F;r, l .*✓ Phone # (' ) ` r' �) E-Mail Subdivision Authorized Agent "e=r- i City/4 l „' a `t", ' ZIP ❑ CW pEW PTA ❑ ES ❑ PTS Phone # ( ) River Basin Affected ❑ OEA ❑ HHF ❑ lH ❑ USA ❑ N/A i AEC(s): Adj. Wtr. Body } `� ` ' ✓c +-, , (Inaat:;/man /unkn) ❑ PWS: ! Closest Maj. Wtr. Bccl, ORW: yes / n? PNA yes /(ono Type of Project/ Activity (:,A) re � �� r �' � �� 4 � Pier Fixe Float Fing Groi Bulkh Basil Boat Boat Beac Othi Shor SAV Mor Phoi Wail (Scale: E 1 ) ) r pier(s)i IMMIN mom ENEMONEMONNNEENIPPOOMMI , length MEMMIMIMEMENEENE ONEMEN 40MEM M NONE number mom EME OWMENNIMENNEROAMEWEEMENION max distance offshore MWENINNOM INEEMENEIN ,channel NEINIONNINNEENNo cubic yards ramp n NNNENNN NONE xMWOMMONO rema fiL mom IMMON WONNVW MUD ■adine ,ISO Leny-th not sure yes fs: yes WEEMINEENNE MEN A building permit may be required by: t ''r ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions !,✓' j � f�, ! f e r• r F �'� �" ' ' 1' Iv �, ie t f7 A''J (g.r Agent or Applicant Printed Name PermitOffiu Signature * Please read compliance statementon back of permitSignature AppficationFee(s)+�r'{ , Check# Issuingaat 1 f Name = + / lb s Expi f ation Date$ 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 andvoid. 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, certifythat this project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules, . _ , ❑ Other: 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-8884RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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 - South of New River Inlet - and Pender Counties) http://www.nccoastalmanagement.net/ Revised 08/27/14 IFPWWI ' I MENNEN ■■■■■■■■■■■�®■rJ��►�r(�L!!9as■■■■�.'R!w 3�i1�■■■■■■■ - ■■■■■■■■■■■■■■■■■■■■■■��a■■ors■■■■■s■■■■■ ■■■■■■■■■■■■tr`J■■! ► mMlM■■M■M■■■LIu==ilu!��■,■ ■■■■■■■■■iri�i��0�t�lil�■■r`■■■■■■ �Yaf7�t�,7��A��1� RTM .■■■■■ ■EMIR■■■■e■■■.�.��.�.r..■■r■.�a■■ AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Nam of Property Owner Applying for Permit: Sit- G CSSaI� Mailing address: i a` b 3 w WS" ST w Ksa R nl e A Telephone Number: 9-V60 I I certify that I have author' ed _�0 5 . G�.j`C fs5 gent/contractor), i to actIon my behalf, forthe p rpose of applying and obtaining all C A permits necessary for the proposed development of _ t at my property located at st,61 0 VJ20-. Prr-cA -i mc. -�R c44 This Jertification is valid through 5 c. (date). I (Property Owner Information) i RECEIVED Si ture NO V 1 2 2015 Print or Type ame DCM- MHD @RqEIVED NOV 2 4 2015 Title, co. owner or trustee for property DCM- N ,-{ . 'y CEIVED Date NO 10 2015 Telephone Number DCM- MH CITY Email Address RECEI i NOV 2 3 2015 DCM- MHD CITY, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I her by ertify that I own property adjacent to G'tCs'� 's (Name of Property�wner) property ocated at —_l eZ �( �. ��6 Oy �y� DyD `Address, Lot, Block, Road, etc. on , in LTG IC. 15CRCliT , N.C. (Wate.rbody) -(City/Town a d/or County TheThe applicant s described to me, as shown below, the development proposed at the above locati n. I have no objection to this proposal. 1 have objections to this proposal. j DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lndividuial proposing development must fill:in description below or attach a site drawing) RECEIVED NOV 12 2015 WAIVER SECTION DCM- MHD.CITY I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be let back a minimum distance of 15' from my area of riparian access unless waived by meAlf you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prop rt Owner Information) Signature Print or Ty a Name Mailing, Adress City/St r to I ip Telephone Number/email address Date *V�lid for one calendar year after signature* ECEIVED (Adjacent Prop y >S'r Information) NOV 2 4 2015 .1" -- gna e* G ®CM- MHD CITY PrioFor lypLl Name Mailing Address City/State/Zip Telephone Number/email address a Date RECEIVED NOV 2 3 2015 Q CM- MHD CITY (Revised Aug. 20 4) c t d QED 2015 D CITY 2015 D CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Cy tx 's (Name of Prope 1y�ner) property located at J 1 � - � I p� %000 (Address, Lot Block, Road, etc.) on MAP c(MAtl* GAtaf1 L. , iZ t C:p ttrJC TC44 C ST N.C. (Wate.rbody) (City/Town and/or County) The applican as described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) Slec b7P41'tZ11-) C RECEIVED NOV 12 2015 DC'M- MHD CITY CEIVED WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groinNO 0 2015 must be set back a minimum distance of 15' from my area of riparian access unless waiv d,-1b�� mA me. (If you wish to waive the setback, you must initial the appropriate blank below.) LjcfA- MHD I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. MECEIVED (Property Owner Information) (Adjacent Property Owner Information) S NOV 2 4 2015 Signature Signature * C M _ MHD CITY Print or Type Name Mailing Address City/State/Zip Telephone Number/email address Date *Valid for one calendar year after signature* Print or Type Name Mailing Address Citt&LTjp \ -k" — A �? 4 TNphone Number/email address DCM- MHD CITY RECEIVED Date* (Revised Aug. 2014) NOV 2 3 2015 DCM- MHD CITY ;EIVED 12 2015 MHD C' RECEIVE® NOV 2 3 201T DCM- MHD CITY 1d/21/ZO'15 ConnectGIS Feature Report Carte CONNECIGIS Printed November 21, 2 WEB HOSn-r See Below for Disclai Address Points • Parcels - Updated 11-5-2015 0 Centerlines i. NC Railroad Right of Way 9209 O County Boundary Other County <all othervalues> Cart r� PIN Acreage Parcel Dimensions Lot Number ��N n RECEIVED NOV 2 4 2015 9107 DCM- MHD CITY r RECEIVE NOV 2 3 2015 DCM- MHD C S 30 Feet information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, :r public records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted ication of the information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does antee that the data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services http://carteret2.conrectgis.comlDavNoadFile.aslan=_ags_nap300f421d52bc4e69acd9ed0efSacd72dx.htm&t=print 1/1