HomeMy WebLinkAboutHall, Effie�SCAIVIA 1:1 DREDGE & FILL M) 62772(_L,/
GENERAL PERMIT Previous permit #
YNew ElModification ElComplete Reissui0eartiall 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
attached.
Rules
-ApplicantName 4- Project Location: Coun
ty—
�Aciclressj Street Address/ State Road/ Lot #(s)
City State Uk- ZIP ob C I I
Phone tax Subdivision ^
A
Authorized AgentCity
Affected " Dcw tTA' El ES El PTS Phone #
El OEA 0 HHF 0 lH 0 UBA 0 WA
AEC(s): Adj. Wtr.Body
El PWS: El FQ
Closest Maj. Wtr. Body
oltv�: (yes� .1 ) no PNA yes/ Crit.Hab. yes no
ZIP
lasin 'k �-L(VI'-
T ype of Project/ Activi ty
(Scale:
Pier (dock) length
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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
Neuse River Basin Buffer Rules
0 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 (252-946-648 [)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/ 1-888-4RCOAST
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)
Revised 08/09/06
Applicant: oy
Date:
1 11 al—n)Lnt Describe below the HABITAT disturbances for the application. All values should match the name, and units of mea
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance• total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
redge ❑ Fill [3 Both [I Other�
CYF-
Dredge ❑ Fill El Both 0 Other
Dredge ❑ Fill El Both [I Other
Dredge El Fill 0 Both [I Other [I
Dredge El Fill 0 Both [I Other 0
Dredge 0 Fill [I Both'O Other 0
Dredge 0 Fill [I Both [I Other 0
Dredge 0 Fill [I Both [I Other 11
Dredge [I Fill [I Both [I Other 0
Dredge 0 Fill [I Both [I Other 0
Dredge [I Fill [I Both D Other 0
Dredge [I Fill ❑ Both [I Other E]
Dredge ❑ Fill [I Both [I Other 0
Dredge El Fill [I Both [I Other 0
Dredge El, Fill [I Both [I Other El
rovised. 02103110
PXCEWED
CERTIFIED MAIL • RETURNRECEIPT REQUESTED
AUG 01 2013
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FIIMHDCny
Name of Property Owner:
Address of Property: l'Q 5 -f r -0-4 i
(Lot or Street #, Stre
Agent's Name #:
Agent's phone #:
Road City &County) �
LAIr
Mailin ddr's :
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
- 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.)
I do wish to waive the 15' setback requirement. ��
L19J
I do not wish to waive the 15' setback requirement.
Owner Information)
Signature `
Print or Type Name
1Oq old AfkalL 0/
Mailing Address
A 5h v; lb. NC Q715(0
City/State/Zip .
ao a- Qo X-5F�
Telephone Number
(property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State)Zip
Telephone Number
Dal J t Date
Revised 611812012
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Na a Property Owner)
property located at D 3
(Address, , Block Road etcj
on in L, N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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)
Qj)
RECEWED
JUL 2 9 2013
DCM bIHD 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 Information)
Signa ,
�e,
Print or Name
a3UQA, W2L L',P-
Mailing Address
City/State
i
Telephone lbfnbe
Date
(Adjacent Property Owner Information)
'�� (
Signature
PrintAr�yG(/
Mailing Address I
y
City/State/Zi
Tele on Number
�9''� f/- --;-/ I�
Date . /3
(Revised 6/1 &2012)
■ Complete Items 1, 2, and 3. Also complete
Item 4 if Flestrid6d 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:
I S4q- (gy�
a7�$ 6:,
�a4l-�
A. SSignature` n
x t .n/1'h M/I B`l �i #nln O AAA -
Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from Item I? ❑ Yes
If YES, enter delivwgw4melow: ❑ No
JUL 2 9 2013
3. Service Type �} ITT
❑ Certified MaIIUIM In
❑ Registered ❑ Return Receipt for Mwdiandise
0 Insured Mall ❑ C.O.D.
4. Restricted Delivery? Pft Fee) -❑ Yes
2. Article Number j - - - -
(transfer from service labeq -_-_ _-7011 3500 0000 7686 3128
- PS Form 3811, February 2004 Domestic Return Receipt 102595-W M-154o
UNITED STATES POSTAL SERVICE
First -Class !A,H
Postage & Few F�
Uses
Pbrmit No.,G-10
Sender: Please print your name, address, and ZIP+4 in this box •
cF61y
o=m
UNITED STATES POSTAL SERVICE
First -Class 1' 4?7
Postage & Fetes P-
t1SPS
Pbrmit No: G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
c� F"s 1 y
1'}'II}III}ilinl}'Ifll}1'I'1'I'}1111111}�I}Il�le}�}nllll�tl}h
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■ 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:
1 S q-q- (9,0 &;�oz'L1
a-705 (,0
A. Signature
X s 13 Agent
❑ Addressee
Received by (Printed Name) C. Date of Delivery
Y O7-Lv /3
D. Is delivery address different from Item 1? ❑ Yes
If YES, enter delAfgaLfAelow: ❑ No
JUL 2 9 2013
3. Service Type f TT
E3 Certified MBCM&Qr� MVail
E3 Registered 0 Return Receipt for Merchandise
E3 Insured Mail ❑ C.O.D.
4. Restricted Delivery? Pft Fee) 13 Yes
2. Article Number -
(Transfer from service fabeo 7 011 3 5 0 0 0000 71381, 3128
PS Form 3811., February 2004 Domestic Return Receipt 102595-02M=154o
CO
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Postage $
Certified Fee
O
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Return Receipt Fee
p
(Endorsement Required)
O
ResWcted Delivery Fee
O
(Endorsement Required)
ul
Total Postage & Fees
m
Sent To
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SFreeyilp£No.
or PO Box No.
---------------------------
IAL USE
W .46 1 0689
$3.10 03
Postmark
$2.55 Here
$6.11 07/17/2013
De 999-A6
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25 LOT 1
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LOT 2
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4
2
'40TE AEC AREA _4W ft FT
28 ' o HOUSE AREA IN AEC
,h t AREA -US 54 FT.
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OFF
wAQL
RECEIVED
JUL 29 2013
DCM-MHD CITY
S'p
50.04
99.9• TO Ep
SIP N 78'-0T-20" E
rNGRESS EGRESS EASE.
3 _� 50.41
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scuF r . 2& SURVErEn By WN_
WILLARD R. HALL, PLS
2411 S. EVANS ST.
DRAWN By �YN
SURVEY PLAT FOR
GREENVILLE, N, C. 27834
�� 4-�a-Ds
EFFIE S. HALL
103 WATER FRONT DRIVE
I°E40w-. aye=:..
MORE_HEAD TWP,
CARTERET COUNTY, N-. C.