HomeMy WebLinkAboutGross, Earl�ZJGAMA /❑"'DREDGE &FILL a�
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` GENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue El 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
p Rules attached. ✓
Applicant Name :%. C .. ,
Project Location: County
Address t i Street Address/ State Road/ Lot #(s)
City State ( ZIP 1 1 c C �7,, '!
J7
Phone # (`) i< E-Mail
Authorized Agent �f '
Affected ❑ CW DEW B PTA —DES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes P nw PNA yes /Irho
f f
Type of Project/ Activity 1 ='
1 Pier
Fixes
Flow
Fingr
Groi
H kl
Basir
Boat
Boat
Beac
Othe
Shor
SAV
Mon
Phot
Wain
Subdivision
•`i
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body ' (nat t and/unkn)
Closest Maj. Wtr. Body ! '
(Scale(/ � � )
a
r pier(s)
i length
!MISSION
mm
■o
number
avg distance offshore_
�■
max distance nffshore
sae■i
■■
Milli
ONE
cubic yards
ramp
MINEEMEME
EMMME-EM
0
1
li
4
NEON
MOOMINEIMENE
Emil
MMMMMEMM=EJ=-
dine Length o
NEON
EMMONS=
ME
not sure
o
A building permit may be required by: / 0 "r /
( Note Local Planning jurisdiction)
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
Agent or Applicant P 'nted Name PermitOfficer srinted Name i
$ fa �;` �i 1 1 l
Signature Ple6e read compliance statement on back of permit ** Signature t /
Application Fee(s) Check# Issuing D to Expiration Date
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 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/ 1-8884RCOAST
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
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
4
Name of Property Owner Applying for Permit: ['24 Cu4
r
Mailing address: cJ ZO
Telephone Number: a E R. -
04
1 certify that I have authorized hi(agent/contractor),
to act on my behalf, for the purpose of appilrng and obtaining all CAMA rmits
necessary for the proposed development of j r
1�
This certification is valid through,(date).
(Property Owner Information)
Signature '
K-(Jurl Vrot
Print or Type Name
Title, co-b. r or trustee for property
�( r� 15
ate
Telephone Number
�1�4r�5S arry ee , Coves
E l Add
A113 aHW -WOa
SIR 8 I AON
NOV 2 4 2015
®CM- MH® CITY
ADJACENT RIPARIAN PROPERTY O
! W
1 herebNER STATEMENT
y certify that f own property adjacent to 0,V'g a,14
Property located at ZO Na S� 's
g ( (Name Property Owner)
on �� (Address, Lot, Block, Ro d, et ,)VV)o�-�
(Waterbody) m !1'Jsn2� � 4
(City/Town an N.C.
The applicant has described to me, as shown ouniy)
location. 6e(ow , the development proposed at the above
---_V I have no objection to this proposal.
--.-_._... I have objections to this proposal.
(111a'ividual
DESCRIP770Nt1 AND/OR DRAWING OF PROPOSED D
proposing development m, LOPMEiU7'
rn rr o e teach a site drawing)
s
i Ah�
/3C2
I understand that a pier, dock, Moo rinW77 AIVER SECTION
must be set back a minimum distance of 1f5' from°my areat a of riparian access °a0use, lift, or groin
me- (!f you wish waive the setback, you must initial the appropriate blank below) waived by
\\ do
a
wish to waive the 15, setback requirement RECEIVED
I do not wish to waive the 15, setback requirement.
NOV-
(PropertV Owner Information)
signar� zgy � Cerra s�
Print or Type Nam
Mai— ll�n}g�gddre�s� Ct
Crty/State2tp — e,
Telepho qreNumber/email address
tt
Date
'Valid for one calendar year after signature*
(Adjacent Prope Owner inforB10,�
Si at
z e
PtintorTvoPntam. _
(Revised Aug. 2014)
24 2015 L
CITY
ADJACENT RlkRtAN PROPERLY OWNER ST,4TEMENT
I hereby cer fy that I own property adjacent to a
Property located at S ZO W 6a,',�_(Name of Property Owner) S
on • t F \ (4ddress, Lot, BIo k, Ito a ,ein
tc.
(Waterhody)�eCounty]
wn
(City/� .C.
The applicant has described soa or
location. to me,; as shown below, the development proposed at the above
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION OF D
(individual proposing ANp/OR DRAWING
in PROPOSEDdevelopment ELOPMENT
to o e tfAach a site drawing)
kl -1
i understand that a ter do WAIVER SECTION
must be set back a minimum distance of15' fromg Pilings, omy arerampa breakwater, ri boathouse, lift, or groin
arian access unless
me. (If you wish to waive the setback, you must initial the appropriate blank below) way
FMCEIVED
I do wish to waive the 15' setback requirement.
NOV 2 4 2015
----__ I do not wish to waive the 15' setback requirement.
(Property Owner information} D(". M- nri H ® e it
Sign----�
Y"YSSS'
Print oorr�TYPe N e
Mai/inAAdd, s
City/aSt�ate/Zip�� �S
Teiepho� Nu ber/emat7address
Date
"Valid for one calendar year after signatures
t
(Adjacent propertyOwner ner Information)
Print
1
Date`
LLSSJ'�
M
a111011 aaaress
ZU It-
(Revised Aug. 2ou)
ConnectGIS Feature Report
Page 1 of 1
CO N N E CTQ IS 2015 Cart
Printed November 23, 015
WEB HOSTING See Below for Disclaimer
t�
Parcels - Updated 11-5-2015
o
Centerlines
NC Railroad Right of Way
13
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County Boundary
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Other County
- $ : <all othervalues>
Cart
PIN
®IIIIIII
104
E=Mm
nM
Acreage
Parcel Dimensions
Lot Number
Ar;.... lye-_ ti
RECEIVED
-i--- - - _ NOV 2 4 2015
Rilp -,_T_ y otoz
' 8194 !)CM- MHD CITY
1 r J�
wF r
161 Feet
The information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other
mblic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o
he information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that
:he data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and access methods a
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