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HomeMy WebLinkAboutCortina, Edward A.LXCAMA / XDREDGE & FILL °�'� PERMIT Previous permit# 7G�,ENERAL L_iNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources �-r� .� the Coastal Resources Commission in I-r _ c:;Jl �' ti✓'. and an area of environmental concern pursuant to I SA NCAC / _ t _ _ Applicant Name � � � `� t r ; , , ti � i } # � >� � -�-•�- ' ❑Rules attached. Project Location: County n An AddressJill Street Address/ State Road/ Lot #(s) � z ` 'City ice', t,.i�t E 1 t.I Stat ZIP�� r(� �' `, �"' i Phone # { - Fax " ��� l '` � � Subdivision � � a r A l 4 �, Authorized Agent ; r ` `� 112 V City 1 ZIP �� .............,..-..... - ❑ CW �EW bYTA �i'j S ❑ PTS Affected F Phone # ) �t ~" 7�� River Basin ❑ OEA ]WHIP ❑ IH ❑ UBA ❑ N/AE— AEC(s): f Adj. Wtr. Body_?6>C�.-�k: t . ( t 4 k . (nat1/man /unkn) + ❑ PWSS: ❑FC; ORW: yes / no,\ PNA yes /( noCrit.Hab. yes / no s. t Closest Maj. Wtr. Body—,.-'-"- `} Type of Project/ Activity V;l V-f'�A, MENEM ME mom ME MW ON MEN oil ME I ENNIMMMMEMMIMMINEM MEMEMMM ME ME 9MUMMUMN MUR ME MENNOMMOOMMEEMMMO NO so MEEMENEWIRMUREEM �"ENO mom IIYIY MMMMMM ONE NONE Oe M MEMENNEMENE ■ nted Kme PermitOffi ers Si ignatur i e Signature Pleaserearcompliancestatement onbackofpermit" IssuingDite (/ ! /,�Y Expiration Date 'ApplicationFee(s) Check# Local, Planningjunsdiction Rover Fite 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 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 ❑ 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/ 1-8884RCOAST 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 GP Habitat Sheet Name: Edward A. Cortina Permit #: 65277C Date: 10/28/14 Address: 112 Salem St Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Open water 269 269 n/a n/a Shoreline 106 106 RECEIVED NOV 2 0 2014 MMM errf tr � N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date D6l I Name of Property Owner Applying for Permit: Mailing_ Address: )12-- S0 I certify that I have authorized (agent) 1 m v ' to act on my behalf, for the purpose of applying for and obtaining all Permits necess to install or construct (activity) at (my property located at) This certification is valid thru (date) A - 4� Property Owner Signature RECEIVED NnV 2 01014 DCM-MHD CITY RECEIVED OCT 1 ,5 741 DCM-NJ OCITY AN ISM fb* cove me me; left RECEIVED NnV 2 0 2014 DOM-MHD CITY RECEIVED OCT fl; 2014 DCM-Mf Q Ci. W 5:3 bv-1 JJ663 �--76 nuLX;L,L_ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereb certify that I own property adjacent to Edward A Cortina 's Y (Name of Property Owner) property located at 112 Salem St. L24 25 L28 B38 MOREHEAD BLUFFS (Address, Lot, Block, Road, etc.) on Peltier Creek , in Morehead City , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loca 'o . I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or grol&ECEIVED must be set back a minimum distance of 15' from my area of riparian access unless waived 6 2 0 2014 me. (If you wish to waive the setback, you must initial the appropriate blank below.) DCM-WD CITY I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inf rmation) Signature dward A Cortina Print or Type Name 112 Salem Street Mailing Address Morehead City, NC 28557 Ci4v.State/Zip 919-815-1628 tonycortina@nc.rr.com Telephone Numb r/ email address /o z iy Date (Adjacent Property Ow er Information) e e f ey Toms Print or Type Name 110 Salem Street Mailing Address Morehead City, NC 28557 Cit}e?!F'-amb T2,6 — 7 514 Telephone Number/email address r Date*'—� RECEIVED OCT 1 K 2014 DCM-MHD CITY (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to Edward A Cortina 's me ne property located at 112 Salem St. L24 25 L28aB38fMORPEHEADWBLUFFS (Address, Lot, Block, Road, etc.) on Peletier Creek in Morehead City , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. . t� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by RECEIVED me. (If 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. (Property Owner Information) Q,JA. 6r Signature Edward A Cortina P�,?fr y.Tfemm9treet Mailing Address Morehead City, NC 28557 IlState/Z' 9-815-1628 Teleph9ne Number/email address Date Nnv 2 0 2014 MWMR3 M (Adjacent Property Owner Information) SiTgnna re* RECEIVED Jul'a Gould Print or Type Name 108 Salem Street Mailing Address Morehead City, NC 28557 Cit�r5atP`/�6 - 3 8 21 I�Tele h ne Nlyumber/email address TI l y Date (Revised Aug. 2014) *Valid for one calendar year after signature* OCT 15 2014 DCM-MHD CITY