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HomeMy WebLinkAboutCivils, Francis,�] CAMA /'DREDGE & FILL ! y 4t cad A B t�C .% D 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)