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HomeMy WebLinkAboutElliott, Carolyn190AP4A /-QDREDGE & FILL GENERAL PERMIT Previous permit# ONew ❑Modifi'cation . ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources f -,' and the Coastal Resources Commiss'on in an area of environmental concern pursuant to I SA NCAC J +rf-� p Rules attached. Applicant Name ✓ j J 1 Project Location: County ress State ZIP ie#(L_ ) F #() iorized Agent Affected ❑ CW p EW G}PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: . ORW: 'esno PNA yes (no; Type of Project/ Activity I Pio Crit.Hab. yes / no Street Address/ State R«oo,,adrt/ Lot #(s) ,t Subdivision City` e =,r' ZIP Phone # ( ) River Basin Adj. Wtr. Body ; ?'„ ,A - ` (nat /man /unkn) Closest Maj. Wtr. Body J _.� (Scale: '; 1 ) I 1, ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■��■■./M■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MMMMMMEMMMMMEEEMMEMEMMMEMMMMMM ■■■®®®■■■■■■ cubic yards ME MMM■ :ii■■ MEN ■■E■E■■iio Noramp ®■■■■■■®�■■■■■M■r�■M■M■■u� ■■■■■■■■■■■■■■ Bulldozing ■■ROOM ENFIME■■NE ►�E■■MARNM M■■■■■■■■OMEN :1 M■M■MiIMEEMEMNN■ fflin-MMMEMENE E P�:■■MH■■MM■■■■■■■EEO■■ ■11M ■■ni MEEN■EMMENMEME INN■■EMnot I Len line..........■■■ sure yes, .....■.■■.M■rac■a...■MOM■■■MM� MEMO tags: notsure yes 0 ........1�iIIC�E.■■� :MEE!.....■1!� .. ■.■NONE .........,... .... ...■..■WWHU, :.■■■■ mr Attached: A building permit may be required by: t r'j r tit / `- ❑ See note on back regarding River Basin rules. ` Notes/ Special Conditions jP .i i 1 l +!`: C _✓ Y ' . i C/ 'j / r-.-��r ii ,}{ °r fr» I' i A `fN �;. ` Ptt J fgnature 'Agent or Applicant Printed Name PermitOffl p`s Si . vvm ' 'E Signa re ; Plea3e read compliance statement on back of permit** Issuing Date µ iration Date I Application Fee(s) Check # ; Local Planning Jurisdiction Rover File Name r I 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, 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 complywith these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters. Washington District Mailing Address: 400 Commerce Ave 943 Washington Square Mall 1638 Mail Service Center Morehead City, NC 28557 Washington, NC 27889 Raleigh, NC 27699-1638 252-808-2808/ 1-888-411COAST 252-946-6481 Location: Fax: 252-247-3330 Fax: 252-948-0478 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above (Serves: Beaufort, Bertie, Hertford, Hyde, Raleigh, NC 27604 New River Inlet- and Pamlico Counties) Tyrrell and Washington Counties) 919-733-2293 Fax: 919-733-1495 Elizabeth City District Wilmington District 1367 U.S. 17 South 127 Cardinal Drive Ext. Elizabeth City, NC 27909 Wilmington, NC 28405-3845 252-264-3901 910-796-7215 Fax:252-264-3723 Fax:910-395-3964 (Serves: Camden, Chowan, Currituck, (Serves: Brunswick, New Hanover, Dare, Gates, Pasquotank and Perquimans Onslow -below New River Inlet- and Counties) Pender Counties) Revised 08/09/06 ■NONE ■■■■■■■E■■■EE■■EMME■MMEMEN■O■■■■A■■ ■ENEe■ee■■■e■■ee��eZ■N�Q�u■Nee■eee■*��►�e - - eases■■eases■■e■e■■■e■■■■Nee■e.e■e�ee�■e ■eeeE■eeee■■Neee■■e■■Ne■Nee■■e■ee■eNee■e -_ ■■■e■■■■■■■■■N■■■eee■■■■■■■■■■■■■■■■■■■■ ■eNee■e■ee■eeeeeE■ee■■e■e■e■ee■■eee■eeee - ee■ee■e■■■■Nee■■e■■e■■■■■Nee■■■eee■■■■e■ _ - ■e■ee■eee■■■e■ee■■ee■■e■e■e■e■■■eee■■eee - ■eee■■e■ee■eeee■Ee■ee■eee■e■■e■ee■eee■e■ ■N■■E■REMe.r INNOMME■E■.PW .��■nNr a■Nee■■Nee■ ee����■e■e■eetlee■ r�e■ee■E■e■e�i-.`■■■eee■ ME MWIMMMnE eeee■■■eee■eee■ee�■e■Nee■�:a■e■■e.r■sees rye■■E■■'fre■■as�■erre■■�s■�;r•e■e■■e.e■■eNee eases■■r■e■■■eer!4r�■■■eeet�■e■eE■e■■eNee■e ■■■■■■■v■■■■ ieNsn��r�■eee■■■N■■ewNr�!a■■■■■N eeeee■eew■■e EEa+��,��eee a�neEreer��rr�!�Ee■eNee eerie■■,����■■aee■w■►�■es�N■■e■■e■■eNee■e■e■ -- ■ire■■N�eee■�e��t�ir�■�e��eee■eeee■eee■N■eee eeNee■■■epee■v: -iio��rae■■Neese■■ee■■Ir■eeeee■ ■■e■■■e■i��■■ ■■e■►�i■■■ ���■■■■■ee■ea�eN■■Nee ee■■e■■et��e■e N'■■s�■Nee �►lf�■■■eee■■E■■■■e■e■ .. eee■.■e■�e■es��w��I■E■ENE -. ■■■■■■■��®NOON■■ ■e■etr■�■... --�.. at Wye■■..■...�..�, ....,,...■.awe■■■■■�1���■■■■■■■ ■■■■■■Eta■■■■ ®N�■®lO■■■ �/i■■■■■■1����i'i■■■■■ cneanerr�na yes FrraYY A building permit may, be required by- See note on back regarding River Basin Notes`/ Special Conditions . � .t t t i (�i. 1: iJ/1 .» �t Imo.... ,L i�C�4 i0e5 ,"Lv • .,.c jJc✓ ,� �., ,,t. �,,.• ,,,f l a clij- ��t �if�, f rules. J{gent�rApplicantPnrited anomie PermrtOffi 'Si ure NC®ENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date 4 — / 5- _ --2,0 1 's Applicant Name Mailing Address Z° 6 S+c-c-`1 1- ° ° P P-b S4-�c- 4 1,4 .0 . AWS9( John E. Skvarla, III Secretary I certify that I have authorized (agent) 7er(-\jj e to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) lff L64 A AaS L; ,ds dwrzsr aAL)Aot (location) This certific ' n ig valid thru (date) Signatur �;7 400 Commerce Ave., Morehead City, INC 28557 Phone: 252-808-28081 FAX: 252-247-MO Internet: www rIccoastalmanagementnet An Equal Opportmrity t Affinmbe Action Employer RECEIVED APR 2 9 7015 DGM-I' IND CITY One N&Marohna �atura!!r� CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property.Owner. Address of Property: oVB (Lot or Strdet #, Str4et or Road, City & &C. Agent's Name #:(5� 5 V" m 4.uS Mailing Address: 1 ?90- dg lQ36ol �i2. Agent's phone #: / ^r2S:2 - 713 = G o 2 i4 �Q;C ".5, .i S 44 AJJ I 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. A description or drawing with dimensions must be provided with this letter I have no objections to this proposal. I have objections to this proposal. If you have objections to whatis being proposed, you must notify the Division of Coastal Management iing (DCM) in wnwithin -10 days of receipt of this notice.: Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808= 2808. No response is considered the same as no objection if you have been notifled 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.) I do wish to waive the 15' setback requirement. RECEIVED APR 2 9 1015-_. do not wish to waive the 15' setback requirement. - r��n� (Property Owner infonnation) (Adjacent Property Owner Information) Signature Signature 44U % W Print or Type Name Print or Type Name Mailing Address . C1ty/Sfata0p Telephone Number Date 4126 AI/Aw Mailing Address CitylStata0p ---- .Telephone Number Date Revised 6110012 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONIWAIVER FORM Name of Property Owner. Address of Property: (Lot or Street ,- Street or Road, City & County) Agent's Name m moedz i'eo/1unly Mailing Address: 6A,94 4cy' ��,P,. Agent's phone #: l --2,5-72 s = as 2-0 �. ;,¢s �s L �•G 2-S-'531 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 posing. A description or.drawina with dimensions, must be provided with this letter 1 have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must noiifythe Division of Coasta/Management (DCM) in writing within •10 days of receipt of this notice. Correspondence should be mailed 40.400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808& 2808. 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 beset _backa minimum m distance of 16 from my area of riparian access unless waived by me. (If _you . 'wish to waive the setback, yoUmust initial the appropriate blank below.) - l . do .wish to waive the 15setback requirement. APR 2 9 2015 I do not wish to waive the 15' setback requirement.cM, (Property Owner information) Signature Print or Type Name (Adjacent Property Owner Information) Signature Print or Type Name Mailing Address Mailing Address - Ci MtatisMp CitylStfitaZp 7. Telephone Number ; . Telephone Number Date Date Revised 6(18/2012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT L� s I hereby certify that. I own property adjacent to CG �G y� �/ r 4 ..... L.G=r .., Name of Property Owner) _-prpperty-localmcl �t_y �. _ (� (Address, Lo ,Block, Road,"etc- on CG✓ -( J `' -A , in ,)eTc ` N.C. (Waterbody) (City/Town and/ r County) The applicant has described to me, as shown below, the development proposed at the above location. have no objection to this proposal. 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) G I--1 Q 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.-Of(YAVED wish to waive the setback, you must initial the appropriate blank below.) APR 2 9 2015 do wish to waive the 15' setback requirement. RpWMr p 1PITY do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name Mailing Address City/StatelZip Telephone Number Date (Adjacent Property Owner Information) signgi M ✓1�� J ! i ff Print or Type Name Mailing Address City/State2ip Telephone Number Date (Revised 6/1 MO12) . 70 I . 4h I 4; r February 6, 2015 Charles, Please complete this waiver form and return to me at the address shown below. I will then forward it along with a copy my of my waiver form to Terry Yeomans, the person who will do the work. He will then be able to complete the permit process and get on with the project. Hopefully we will have the canal open by early spring and Sam will be able to bring his boat home when returns from his trip. Thanks again for your help. Regards, sa/ Bob Fulcher 4126 Raven Ridge Dr. Wilson, NC 27896 RECEIVED APR 2 9 2015 POM-t"n" P-17y