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HomeMy WebLinkAboutFerri, Chris62� 5 Ir A-- mA I ❑El DREDGE &'. FILL 3 A B D NERAL PERMIT Previous permit # -:New ElModification L]Completdr Reissue El Partial Reissue Date previous permit issued As agthorizedr by the State of North Carolina,; Department 'of Environment and Natural: Resources 66, 7�1 ? and the Coastal. Resources Comrpission in an area of environmental concern pursuant to I SA NCAC [Mes attached. Applicant Nam ProJect Location: County 11� A r I e dd' ss, 2;' Street Address/ State Road/ Lot #(s) Ci St ate,/(/;c Zip �Ll Y 121"A((') 1-1 r--1 Phone # '�`3 —6)16('E-Mail Subdivision Authorized Agent ZIP -2-M 211TA .&tS El PTS Affected Phone # RiV r Basin<./ AEC(s): El OEA 0 HHF ON 0 UBA El N/A Body Adj. Wtr. Bo (e/man /unkn PWS: ORW es )-/I no P 0 NA yes Closest Maj. Wtr. Body—4 ZS" Type of Project/ Activity 6 VO ck c <' (Scale: Pier (dock ) length Fixe Float Fing Groffr Bulk Basil Boat Boat Beac Oth( Shor SAV Mor Phot J. Waiv P1 tf ing Platform(s) r pier(s) length number ENNEEMEMPMEENVIYANNEEN oil lead/ Riprap length avg distance offsho4 max distance offshore", ,Channel cubic yards ramp -louse/ Boatlift ME N i Bulldozing­ r �RlineLenggtt"hOPM not sure yes (n' WE rium: n/a yes �n ■■■■■■■■■:■■■ yes Attached: yes 66 ON A building permit may be required by: V" e H. El see noa on back regarding River Basin rules. Note Local Planning Jurisdiction) c I Conditions NOtestspe special C.e", L Agent or Applicant, Prih4?d Na7 Permit is isifint6d NName .41 L SIgn atuAPle,ase, read compliance eb c k' fpermJ Signatu , Application 1�ei',e s'�� ti;Wbn' bate )ba '-5 -W 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, certify that this project is consistent with 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 how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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.nccoastalmanagement.net/ Revised 08/27/ 14 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: address of Property: (Z1(I -t;;, c -ice ,Lot or Street #, Street or Road, City & County) Agent's Name #: Chf t �— i Mailing Address: 60 C" Agent's phone # o'Z off` <�J '� tr�� En-e� 1 Q (— c� +zereby 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 nave no objections to this proposal. i have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management fDCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at , orby calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. 1141 WAIVER SECTION ! understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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_) RECEtVED do wish to waive the 15' setback requirement. FEB 0 8 2017 I do not wish to waive the 15' setback requirement. QCbAibAHD CITY Owner Information) Print or Type Name 3 cs .waffl g Address Ct �fjm �- e �o�gS 1�- �itylState&ip Telephone Number/ Email Address mate (Riparian Property Owner Information) Signature Print or Type Name -F(<3 X`rT Mailing Address CA ns 9 Qf'oAL K-X— City/State/Zip Telephone Number/Email Address Dan - (Revised Aug. 2014) f Complete items 1, X and 3 ■ print your name and address on the reverse so that we can return the card to you. a Attach this card to the back of the mailpieM or on they front if space permits. f. Article Addressed tO: T5-cilz-� 3. Service Type ❑ Adult Signature 0 Adult Signature F 9590 9402 2377 6249 9873 63 a Certified Mali® a Certified Mjal� 11 Collect on 2. Arnie Number flrelWer from service lal all ❑7o15 1,73a aaa2 16a9 6ao+� FS F'on 3811, July 2015 PSN 7530-02-000-9o53 A. A eceNed by Printed NanpfG. !fie -401 vv,-'f em-, t D. is deilvery address Offeraft from ftm 1? II Itm If YES, enter delivery address Wovr. o