HomeMy WebLinkAboutGullick, GuyNCAMA DREDGE & FILL
GENERAL
GENERAL PERMIT
Previous permit #
ElModification El 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 concer p rsuant to I SA NCAC
_
ApplicantNam el. U
C_ ED Rules attached.
Project Location: County
Address
Street Address/ State Road Lot #
.C. �
Ity i �tat ( ZIP
0C
Phone # (_Fax#(�)
Subdivision
Authorized Agent
City IVD ZIP 1Z
Affected ID CW EW DES 0 PTS
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Phone#River Basin 1
0',
0 OEA 0 HHF 1UH 0 UBA ❑0 N/A
AEC(s):
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El PWS:
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ORW: yes /.,no PNA yes / (no Crit.Hab.
yes no Closest Maj. Win Body-7,
Fof Project/ Activity
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L)U11U1J1S PC# 1.111L 1114Y ut: rcquiueu oy. 't 1 i i s i i,i i i L_J bee note on t)ack regarding Fiver k3asri rules.
Notes/ Special Conditions U
C
IQ 01-
orAo plicantPrinted Name
Permit Officer's Signature
Lent
7
,'Signature .4t Olea'se read compliance statement on back of permit
IssuingDate
Expiration Date
Application Fee(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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
0 Tar- Pamlico River Basin Buffer Rules
0 Neuse River Basin Buffer Rules
Other:
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/ 1-888-411COAST
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
GP Habitat Sheet
Name: Guy Gullick Permit M 64104C.
Date: 6/17/14 Address: 1409 % Shackleford St
Habitat
SF of Disturbance
SF of Disturbance
LF of Disturbance
LF of Disturbance
Open water
301
301
N/A
N/A
` JUN x
'5121/2014 CCE05072014 0000jpg
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date V - 6 _ 2"v 14-
tiame of Properh. O%vner Appl,,ing for Permit:
Cru \� GLA L." G1t,,,
Mailing :Address:
L.F.,o;.r
I certify that I have authorized (agent) ��F�zi� ""' i='=-`e<---= to act on m%'
behalf, for the purpose of applying for and obtaining all CANIA Permits necessan- to
install or construct (activity)
at (mN propert% located at)iG--
This certification is valid thru (date) &% �)0--2C.-1
tv ownej• Signature
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
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Name of Property Owner: (- �•4�% ut L.i �.:��.. ` �__ --
Address of Property: " ` t '`
(Lot or Street #. Street or Road. City & Ccuntyl
r
r
Applicant phone Mailing Address:
-72
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
re proposing. A description or crawina, with dimensions. must be provided with this Ietter
pl I %ram K—Zll have no olhjectionS to this proposal. _ � I ha\ e nbicetions to this propot ai.
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. Contact information for DCM offices is
available at;vww.nccoastalmangement.neticontact_dcm.htrn or by calling 1.888-4RCOAST. 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. or lift trust be set back a
minimum distance of 15' from my area of riparian access unless waived by 111e. (If you wish to
ive a se back. you must initial the appropriate blank below.) C I D
I do wish to waive the 15' setback requirement.
JUN 17 2014
I do not wish to waive the 15' setback requirement.
(Pr?pfirty Owner Infor ati%o�n' /-
C--�'-i G u �-c..i c•-f
Print or Type .N.,ime
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POaikng Address J`
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Citylstat Zip
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
f
Name of Property Owner: (< <•4'f- -i �.'� _ `
Address of Property: 1 zlo w1
(Lot or Street #. Street or Road. City & County)
" �OZ(P Mailing Address:.
Applicant phone #: g ?
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1 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 description or drawing, with dimensions. must be provided with this letter
L,)r 1 have no objection; to this proposal. _ I ha\e ob.icction,� io this propo.al.
If you have objections to what is being proposed, you tnust notify the Division of Coastal Management
(DC1d) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at w►vw.nccoastalmangeinent.net/contact dcm.htni or by calling 1.888.4RCOAST. 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. or lift must be set back a
minimum distance of 15from my area of riparian access unless waved by me. (If you v�h tMCMVI�o
waive the setback. you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement. JUN 17 2014
' 1 do not wish to waive the 1 5' setback requirement.
DCM-MHD CITY
(Prop y Owner Infor ati/o/`nj—
Print or Type Nome
A4.3 !ing Address
City/5tat e2ip
Telephone Number
(Riparian Property Ownehlnformation)
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6/16/2014
ConnectGIS Feature Report
4CCONNECTGIS Carte014
Printed June 16, 214
FP r+-:;r"ISee Below for Disclaimer
40' f
Parcels - Updated 02-20-2014
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133531
County Boundary
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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 othe
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