HomeMy WebLinkAboutCivils, Francis,�] CAMA /'DREDGE & FILL
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GENERAL PERMIT Previous permit#
BNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ^�� j l )
and the Coastal Resources Commission in an are of envir nmental concern pursuant to I SA NCAC ,%
f / . ❑ Rules attached.
Applicant Name e- e. �- i/ , !r Project Location: County
Address -A / / ! t ; -f / l t.• L �' Street Address/ State Road/ Lot #(s)
City < J I State AJ C ZIP th3-b 4 ° 1 t �/ r '. /t, i-�s r 1 i t- .i
Phone # ajf�)302 , fOI L. E-Mail Subdivision
Authorized Agent City r°" `�' f ` "A ZIP 1 f
d ❑ cw PEW -g.PXA ❑ ES, ❑ PTS
Affected
❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes� no PNA ye - [ no,/
' t
Phone # ( ) 9 River Basin
j s
Adj. Wtr. Body G C La /i° ~' '`'" h t man unkn
Closest Maj. Wtr. Body
1 Y� �
Type of Project/ Activity
(Scale: `7" f )
Pier
Fine
Float
Fing
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV
Mor.
Phot
Wan
MENEM
cubic yards
ramp
IN
MEMO
MEN
so
NEE
MEMNIM
:1 Bulldozing
...
.per
�.■
pe..0
not sure yes
Is: yes ihd
A building permit may be required by: ram" ❑ See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) 1 /` j f
Notes/ Special Conditions ''�'� C.-
Agent or Applicant Printed Name
Sign e* Please read compliance statement on back of permit
r,
plication.Fee(s) . Check #
Permit Officer s
f;
Signature/
Issuing•Date
Name l
tion 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 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 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 howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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.nccoastaimanagement.net/
Revised 08/27/ 14
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
(_Temple) T(,rnrr, Clv, O
hereby certify that I own property adjacent to / n &Q of al 's
(Name of Property Owner)
property located of J Qtfdar Pa,. nt Blyd , ,
(Address, Lot, Block, Road, etc.)
on ,ter( _,in efAar %O nN.C.
(Waterbody) (City/Town and/or County)6��
I S Pbs t, �� t;
Agent's Name #: Mailing Address: a SSy
Agent's phone #: q%t ✓ 3 (517-M ab
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
C r4wti
RECEIVED
1 J1JN 1 t1 204
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. Contact information for DCM offices is
available at ht o.-Ilwww.nccoastalmanapement.net(web/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been not "ed y C ified Mail.
(Property Owner Information)
J,4aw(J10 - kx A 6", F J6—,)
Signature
Fane eC J Pr a lie 0-iV! �f
Print or Type Name T-
5Aoi brX--wood LQhe
Mailing Address
ftre"d C& MC gSs�
City/State&ip
'c�lx
Tel phone Number/Email ddress
J Ckn-e- 6r�
Date
(Riparian Prope(wr�ro rmation)
Signature I
"57I Y'Igm
Print or Type Name
Mailing Address
S5r:tt6o V rb
City/State/Zip
910- 3,Sq-19aD
Telephone Number/Email Address
- qtNt- ( 4 , AD (5"'
Date
(Revised: Aug. 2014)
RECEIVED
JUL 2112015
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
?erne/ Turrn,er, 0V'.is) .
hereby certify that I own property adjacent to df-11r!j / mlal - ef. 0 " 's
(Name of Property Owner)
property located at _ -8' Cedar P i of .flyd ,
(Address, Lot, Block, Road, etc.)
on , in cedar- PotnN.C. Cv�l
SL O lIA
aterbody)f, e�( ity/Town and/or County)
n ,e
Agent's Name #:'� Mailing Address: orehe�(l,�y
Agent's phone #:
He/She has described to me as shown below the 4bVe�nt e s I r Wg t that location,
and I have no objections to the proposal. g4c�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
RECEIVED
IUN 18 2015
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. Contact information for DCM offices is
available athttp://www.nccoastalmanac ment.net/web/cm/staff-listin_g orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
(Property Owner Information) ( pa n Property wner I rmat' n)
'J, OAM—f
Signature Signature
Franej- l emale- V is
Print or Type Name
i
Mailing Addressf
City/StatelZip
Cx.fl 919-3a�-801� hOh�G �1SD-7aG-LSI�
Telephone Numberl Email Address
Date
Print or Type Name
l % �QOC� ►�,� ��
Mailing Address
CitylState)Zip
RECEIVED
Telephone Numberl Email Address
JUL 21 2o'i
Date
(Revised: Aug. 2014)