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HomeMy WebLinkAboutGross, Earl�ZJGAMA /❑"'DREDGE &FILL a� A B CJ D ` 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 r%. County Boundary P 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 Nill. http://carteret.connectgis.comIDownloadFile.ashx?i=_ags_mapabO6007e361642a991 l41... 11 /23/2015