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Home My WebLink AboutGallardo, Charles14CAMA / ❑ DREDGE & FILL :� c►;.r,.+ a GENERAL PERMIT Previous permit# P ew ❑Modification ' El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources / 1 -� j and the Coastal Resources Commissi n in an area of environmen I concern pursuant to 15A NCAC j` / �( C✓ 4 __.,_ ___.. _ W.-__ [NR les attached. 'Applicant Name °� ��' }r��' ✓ I- Project Location: County fir'/c'L IfA dress '1(i � -i � � "i ��r �� ;;�f I Street Address/ State Road/ Lot #(s) city, 1 5'. ?' �, State,/LA,.. ZIP Phone # ( ) �"}1_ Fax # (_) Authorized Agent I y Affected �CW 10 EW TA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes no) PNA yes no Crit.Hab. yes / no Subdivision City. ZIP � / 7 Phone # ( ) River Basin, 1 r P/f t Adj. Wtr. Body ( ��^ P, Ina mma u—nkn Closest Maj. Wtr. Body — Type of Project/ Activity 7 t' C I 191/' -i I��/"� S'k /'U C; Ic Pier ( "' t Platf Fing Groi Bulk Basii Boa, Boat Beac Oth, .Shur ' SAV: ;Sand !Mo Phot Wai (Scale: -['` ) 1� ■M■■■■■■■■■■■■■■■■■■■■■■ ;�-% qwMLE K=75 J ■■■■■■■■ ■■■■■■■■■■:� ■ �■ r pier(s)■■■■■:■■■�■�� ■M■■■■■■■ .0 m mms■ length number ■��■■■■��li�irrr��■�00�■■_�_ '�""M'M■■■■■■ avg distance offshore :■��.....�...... �..�C� ■.■■■■.. max distance offshore ■■■■■■i�■■■■■■■■■■■■�1■■■■■■■■ri■■��■■■■■ ■■■■ ■ rir■■■■■\r ■Irk■■■■ cubic yards■■■■:■!� ramp ■■■■■■�■■■■■■■■■■■■■■� ■■•■M■M■■■■ M■r•■ MEE ■■■r�■■■■■■■■■■ ■■N E■■■� ■■ ■■■■■■ i■■■■■■■■ ■■■■■■I 'i1u■■ ■■■■■'I,'!■%■■ Bulldozing ■MEMO■■.::��:::■■:■■::::::::.■::■�■::::::::: .i PLength -line notsure yes . ■■■■■■■■■■■■■■Q.■■■■■■■■rj■■■nf�■r�■■■■■ ■■■■�::::::��iwi�i:i::::: bags: not sure yes n • ::::::i:::::i ■■■■■ ■■. ■■iO:%O■■■■■■■ ■■■■■■■ " �,■■■■■■ii�■■i■■■■■■■ �■■■■■■■i■■ii iW A building permit may be equired by: Conditions Ccr-1 e,r, � i. _t ! t Y1' ✓ti h 1 r i /1 f i, 1 ❑ See note on back regarding River Basin rules. �i&J- { 1), -1,7 P.:/ e 1, 11, 1 C-,X I I"r J J4 ,J Agent or Applicant yPrinted J Name r Permit Office s Signature f �x Issuin Dat iradonDate :Sig re //�*� jP�le}ase read compliance stateement on'bac of permit �* . W � t P ,; 2 plication Fee(s) C/heck # Local Planning Jurisdiction Rover File Name 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 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-648 [)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/ 1-888ARCOAST 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 Page 1 of 1 S7-14 Parcels - Updated 02-20-2014 Centerlines NC Railroad Right of Way 13 County Boundary Other County <all othervalues> Cart PIN Parcel Dimensions RECEIVED Nnv 10 2014 DCM-MHD CITY http://carteret.connectgis.com/DownloadFile.ashx?i=_ags_map7O9e9O432b254775919a2d... 11 /3 /2014 Oct 31 1411:14a Brooks Dredging 2525044744 p.1 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Al Name of Property Owner Applying for Permit: C',R,Ce Mailing Address: ,� /1 05S G!/17( , X407� �7 .srA Je r A I certify that I have authorized (agent) P/l;'Q� to act on my behalf, for the purpose of applying for and obtaining in CAMA Permits necessary to Install or construct (activity) at (my property located at) This certification is valid thru (date) Property Owner Signature /.f 71�r- RECEIVED Nnv 10 2014 . DCM-MHD CITY Date RECEIVED OCT 3 DCm? 4t9 CITY Oct 31 14 1.1:14a Brooks Dredging 2525044744 p.2 0 f pug" RECEIVED - NnV 10 2014 N DCM-MHD CITY -NN Av* kayak RECEIVED OCT q, 12014 DCM-MH0 Coy 04) P,-k -Imy" Kc. Ira-71Y . % -J, � u�" I(//z g/�Y ADJACENT RIPARIAN PROPERTY OWNER STATEMENT/ hereby certify that I own property adjacent to of /0r % i- d� 's (Name of Property Owner) property located at � /.S` f vss� �.-� %ry � � �� / (Address, Lot, Block, Road, etc.) on i��'�de„ Cr-e�,E' , in 'L '-4 , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locati 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) RECEIVED OCT 10 1014 DCM-MHD CITY WAIVER SECTION 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.) v� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner In ormation) Signature a Sign re % l) Print or Type �Name / Print or Typ Name Mailing Address M ding Address G City/State ip City/-State/zip Telephone Number Telep/hone Number () Date RECEIVEDDate Nnv 10 2014 (Revised 6/18/2012) DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to �/�, d.�i o`. �G Z� 5SJd-"A �i) 's (Name of Property Owner) property located at 51" 401 , -TA -A k . � (Address, Lot Block, Road, etc.) on In , (Waterbody) (City/Towand/or County) N.C. n The applicant has described to me, as shown below, the development proposed at the above location. X I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) RECEIVED OCT 3 0 2014 DCM-MHD CITY WAIVER SECTION 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner formation) Si nature _&or/es Print or Type Name Mai 'ng Address N1 City/Sta &i sio - &0 /-"7'V3/ ��Te/eph��Nurnb � RECEIVED er Date Nov 10 7014 (Adjacent Property Owner Information) Si ture �Print o ype Name gax 2=Nc- CitylState&Jp �-6 9- 7 2- 9 Telephone Number Date DCM-MHD CITY (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to �"�g �s g //'.d d 's (Name of Property Owner) property located at /s� C7IS on (Address, r/P.n C�ee /C (Address, Lot, Block, Road, etc.) in S' i , N.C. (Waterbody) U (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 1 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) RECEIVED Nnv 0 5 2014 DCM-MHD CITY WAIVER SECTION 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 me. (If ou wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. RECEIVED Nnv 10 70it I do not wish to waive the 15' setback requirement. (Property Owner 1 ormation) Signature p/�, ZZ - / Print orr—Type Name MaTg; Address CitylSta /Zip TelepT� u�� /email address Date ?" (Adjacent Prope�i Owner, nlfture1 / J &,A/ pA Print o Type Name l�0 X- Op DCM-hW'0gy "'/'ll City/,$tatw/ p T Tele hon Number/email address /// �/1-Ot `f Date* (Revised Aug. 2014) *Valid for one calendar year after signature*