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Home My WebLink AboutGossett, Joe. '.. ... ._ -._.. per .. t. .. .. CAMA / ❑ DREDGE & FILL Da �j NO. 61062 ' L■ ' ENIERAPERMIT V Previous permit 2New ❑Modification El 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 of environmental concern pursuant to 15A NCAC ..�•, -»-- /2 Applicant Named CC' f — jlf Project Location: Rules attached. County Address i'':!-"�' (_-ir" Street Address/ State Road/ Lot #(s) City `t.Y , State%t ZIP �`r7y Phone # ( Litt `� i ;� t Fax # O Subdivision Authorized Agent City-1, p CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected Phone # ( ) , :�� River Basin` ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): t Adj. Wtr. Body ,,,,r�, , f- l? ,1; /, (X ; ; - t f.._ nat!/man) /unkn ( ) _ r ' ORW: yes /(n PNA yes /;'no) Crit.Hab. Closest Maj. Wtr. Body yes / no Type of Project/ Activity Pier (dock) length Platform(s) ' Finger pier(s) Groin length number Bulkhead/ Riprap length r avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other r �'l ®m (Scale: `% ) S� line Length J not sure yes not; / Sandbags: not sure yes 'n9'' s =Moratorium • n/a yes ---no t�-"` _.. n - Photos- -Yes C "o �7 --�- '! kk Waiver Attached: yes (nod A building permit may be: required by: ❑ See note on back'regarding River Basin rules. _ , / r Notes/ Special Conditions �`ws.aer-•✓ ' M... F{n''r«..�..-�./y, j f� _ f 6 ' j `t v aJ .. Agent or Applicant Printed Name` Permit Officer's Signature , r Signature `' Please read compliance statement on back of permit Issuing Date E xpiration Date y , ApplicationFee(s) Check# " Local Planning Jurisdiction Rover File Name 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 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/ 1-888-4RCOAST 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) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOT] FICATIONIlNAIVER FORM Name of Property Owner:J� Address of Property: z4/__��f��cl��i�2�•��Oo�'� (Lot or Street #, Street or Road, City & County) Agent's Name #: Mailing Address: Agent's phone #: 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 desciption'or`drawing' witfi dmensio'ns,'must be -provided with -this letter". 6 I have no objections to this proposal. hav'e objections to this proposal. if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 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 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.) R>~CENIGT� �a do wish to waive the 15' setback requirement. r If. APR 18 Z013 I do not wish to waive the 15' setback requirement. f Imme eff*— (PropertKOwner Information) Si4&ure �D// (�ez5T7'�- Print or T pe Name Mailing Address /v City/State/Zip Telephone Number (,- ZU/3 Date /lIA (Adjacent Property Owner Information) Re l4oa�, Sinature m rI e.Ps Print or Type Name Mailing Address Cit Statelzip 0�9- Telephone Number 4-g-1 S Date Revised 61IM012 I ■ Complete"tems 2,-and 3. Also complete item,} it.tiestricted"Dellvery is desired. ■ Print yourrrame and -address on the reverse so that we,gsi fbturn.the card to you. ■ Attach tiiis card to the back of the mailplece, or on the front if space permits. 1. Article Addressed to:. Z�z6 GAIA A,-,4,e-54,1L //. L � Z- W. /V-C. A. W Agent Received by (Printed Name) l I C. Date of Delivery D, Is delivery address different from. item 11 ❑ Yes If YES, enter delivery address.below: 0 No 3. Service Type Q Certified Mail Q Express Mall ❑ Registered C3 Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?, (Extra Fee) ❑ Yes 2. Article Number Mrransferfrom servicefakeq 7012 3050 0000 2066 7726 t Ps Form 3811, February 2004 Domestic Return Receipt 102585.02-M-1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: kar.er ��SS Address of Property: � % �^ � �_e• ` ��-!�-G---- (Lot or Street #, Street or Road, City L. County) Agent's Name #: Mailing Address: Agent's phone #: 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'dei6-dUi n or dr'ayiing wifh'dimensions °miasf be proJided with this letter. I have 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 (DCM) in writing within 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 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.) itCElg A 1-011 I do wish to waive the 15' setback requirement. APR 18 2013 1 do not wish to waive the 15' setback requirement. (Prope Owner formation) Sig ure - Print or T pe Name 6 Z 9 lE1'ID✓�I L /U .. Mailing Address ' C Z))RE City/State/Zip lid`� �66 • Z 742- Telephone Number 25-1PiA16!W Zo! Date (Adjace o wn for ation) gnature Print or Type Name 277 STgwA*4?.T Mailing Address ,8459yr-oai Nc 28511 City/StatelZip Telephone Number Date Revised 611812012 UNITED STATES POSTAL SERVICE First -Class Mail Postage &Fees Paid uses Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • L`J �ilurll�iill�Iuil�Ii►�I,III , � , � � I � ,� , I J ■ Complete items 1, 2,, and 3 'Also complete item 4 if Restricted Delivery Is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailplece, or on the front if space permits. 1. -Article Addressed to; Z7 7��- u�=o,�r; )u . c . ZgS)6 D. Is delivery address different from Item 1? ❑'Yw If YES, enter delivery address below: ❑ No 3. Service Type Q Certified MPJ1 13 Express, Ma!► O Registered CI. Return Receipt for Merchancil" ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) Q Yes 2. Article Number 7p12 3050 00�0 2�66 7733 (Transfer from service talien PS Form 3811, February 2004 Domestic Return Receipt, 102595-02-M-7540 -L .'71-c n C� Vlo r co RECBWEED APR 18 2013 DCM-MHD CrrY — air✓ ,F, %rn �7�'� � �"(y �Zs?n1 �1 6r-�m (Y7 Ll