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
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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»
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'Agent or Applicant Printed Name
PermitOffl p`s Si .
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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
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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.
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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