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Home My WebLink AboutElkins, ChrisLAMA / ❑ DREDGE & FILLt.•— GENERAL PERMIT Previous permit# 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 f environmental concern pursuant to I SA NCAC -7/ i A i/ V R Ietta h d it j applicant Name it d.�'', Address Woe �Ci t`' ,( J o ei' r StateV ZIP :NI � `,� Phone # () ?Fax # (_) Authorized Agent l .' J . 4 't':s � � usa Project Location: County err Street Address/ Stat Road/ Lot ) dz� -7 .5T",,.i Subdivision City (t ) u re"I fir, ZIP 4� Phone # ( ) River /Basin Adj. Wtr. Body r' l t t i(Gat'/man unkn Closest Maj. Wtr. Body i tJ o Type of Project/ Activity 1 l 'X4 6 , G(y c 1. Pier (dock len (Scale: h � Platf Fing Groi Bulk Basi= Boat Boat Beac Oth= Shor SAV: Sand Moil Phot i Waiv MEENNEEMEM t1��MUNNOME M MOME Cnumber length ■■■■■■■■■■■■■tI� �■■■■■■■■■■■■■■■■■■�■■■�� ■■■■�r.��■■ - MEN CCCCC•• ■■,� ►� 1' • CC■CCMENCCN■N■ • ••• •••• s/N■■■■■■ EMOMM■M■C j ■■■■■■■■■■�■.■■■■■■■■■■■■■■■EE■N■�i■■■■■ ■■MEMO■■■■/■��' FAMMO■■■■■■■■■ ■■■1I■■i'i■■■■■■'. CCCCCCCCCCi�IOCCCCCC®NiWCCCCCCCCramp cubic yards ■MM■■■■■Ctilt■■®iMf1■■1��1■■■M!.!i■■■■■,M�li ■ENE■■■I1ll®E■■I� M�/■■■►Tfl■■■■r'/■■■■■M■/I■■■■I NONE r■ !Mq'imMEMEMEMEMEMOMMEMOMMMUM �►MEMENIM_MMaMMEMEMMECFA■MMEI Bulldozing NONE ■ E-00001130EN1..u�MEEN■■■NMEEM■NNE i Fnii,■■■■, MGIi1MMNO:NONE iM■LIEN■■■��!t�'1■■■■EEM■N■N■■ENR:�.T.•IlR�.1M►�■CEEN, line LengthCCC �CCCCCCCCCCCCCCCC CCMw. C CC�C�CCCnot CCC'' sure yes qQ Lgs: :1 ■■■a■■■■■■■■■■N ■■Et!' ■�■r�■■■■■■■�■■■■MM■. not sure yes n tonum: n/a yes III s. yes •CCI�CCCCCCC i��C�■��EMOMM MEMMCCNFAMNEEMEEM A building permit may be required by: C G 1, r f L' f ❑ See note on back regarding River Basin rules. Notes/ Spe ial Conditions G � = j' l cis j, 'y�J a -) c v I L,.- .1� Mc = h ,� c r /� t�f'�{ 1 �c-� `I' r'�%�'t �.(,,•r (c Jet 11 1 r a i Agent or Applicant Printed Name Permit Officers Sign ure Signlu'ree f* Please read compliance statement on back of permit" Issuing Date Ex iration D to Application Fee(s) Check # Local Planninglurisdiction Rover File Name J 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 Neuse River Basin Buffer Rules 0 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 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 complywith 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/ I-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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that ! own property adjacent to lr s ri MKS (Name of Property owner) property located at Rk Address, tot, Block, Road, etc.) an_=JG". , in - oV G- �t,.r'•ll-etre- , N.C. (Waterbody) (City/Town an or County) The applicant has described to me, as shown below, the development proposed at the above iocati l have no objection to this proposal. I have objections to this proposal, DESCRIPTION ANDJOR DRAWING OF PROPOSED DEVELOPMENT {'individual proposing development must fril in description below or attach a site drawing) RECEIVED OCT 1 01014 DCM-MHIDQ Y WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate Manic below.) I dD wish to waive the 15' setback requirement. RECEIVED OCT 2 0 1014 1 do not wish to waive the 16 setback requirement. DCM-MHD CITY (Property Owner Information) (Adjacent Property Owner information) i '1x4 . I A-- �A — j a 1AA Signature Print or Type Name _ n 2 Mailincy Address ( vecAlte W- Si nature - An Print or Type Name 4 ray (JrPh -d PC4 Mailing Address • tic '-It431Z 1 CU DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. ,�� '..�1.."•d. Address of Property: (Lot or Street'#, Street or Road, City & County) Agent's Name #: Mailing Address: Agent's phone #: N 1 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. Adescription or drawing with dimensions, must to prQvid dg�r+ iLh this fetter. V t have no objections to this proposal. _ i have objections to this proposal. it you have objections to what is being proposal, 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 ve%,w.nccoastaw)arjaemont,net/contact dcm.l:trn or by calling 1-888-4RCOAST. 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.) RECEIVED I do wish to waive the 15' setback requirement. OCT 7 f)1i114 I do not wish to waive the 15' setback requirement. DCMUM 001,TY (Property Owner Information) _L',ak u x,. ,1&- " Signulure Prim or Type Name Zvi? 51 exv•r"jTn i.�" Mailing Address CitylStata0p xsz. 5'IS-- °1 i'elaphone Number (Adjacent Property Owner Information) �ignatu�re�� I Print or Type Nat* 40M mvieky P, Mailing Address Fo-ye+.W1*11e rot City/Slafulzip 910 W14 1691. Telephone Number `t 01.l-I -14 9-7.7.•Iit 4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to rin r�Qwn�eV) (Name of ,s Property Located at Zq7%�'o�r on �leerly k Address, Lot, $cock, Road, etc.j in Vttaterbodyj --_'tlt2�e+' Y' G 1- rt, N.C. (Citytrown and/or Countyj The applicant has described to me, as shown below, the development proposed at the above Iocatipn !'i `mil have no objection to this proposal. ( I have objections to this proposal. f DESCRIPTION AN01OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) i do wish to waive the 15' setback requirement. l do not wish to waive the 15' setback requirement. ir-roperzy uwner Information) Signatui Print or Type Name Marling Add'— e— ss C; IOU -'t'IeY City/StatelZrp Telephone Number Dare . acent Proppq Owner fnformatic igrrat re,�s / f it e" / zS Name f / t'' RECEIVED OCT ]02014 (Revised 611a/2012) ISLAND MARINE CONSTRUCTM?r`i 1286 ISLAND ROAD To: MARKERS ISLAND, NC 28531 252-72$-341$ From: Re: Authorization Letter 1 t—, LEA ils authorize ��o1n g L A w , r C w c. •e to act as my agent for the sole purpose of obtaininoigning permits to perform work at L-7 e_&, 0.1-1 e7r� I { etLj /v c- -84-z- . Sincerely, SignaturErb'' r � Print Name ZZM RECEIVED OCT l 01"44 DCM-WO,CITY V./t/ $11 N Page 1 of 1 i i I Parcels - Updated 02-20-2014 Centerlines NC Railroad Riaht of Way D tCoounty Bourdary Other County <all othervalues> Cart PI N'' Acreaae arcel Cimersiors Lo- Number RECEIVEL" OCT 2 0 "" http://carteret.connectgis.com/DownloadFile.ashx?i=_ags_map 16fc 16100b 1143aa93bf71... 10/13/2014 Davenport, Ryan From: Catherine Elkins <celkins143@grnail.corn> Sent: Friday, October 10, 2014 9:15 AM To: Davenport, Ryan Subject: application to fix our dock Attachments: Elkins, p5 jpeg; Elkins, p4 jpeg; Elkins, p3 jpeg; Elkins, p2 jpeg; Elkins, pl jpeg Mr Davenport - we have asked Thomas Lawrence to fix the dock on our property here in Gloucester and he gave us these forms to fill out and send to you. Please let me know what else happens next or if we need to sign any more paperwork. Thank you - Catherine and Chris Elkins, 297 Sleepy Point Road, Gloucester 28528, 252- 515-4799 €QEIVED 0'r'i- A Q 2014 PA!. rMHaclty 1