HomeMy WebLinkAboutHamilton, Jamesb CAMA / ❑ DREDGE & FILL
GENERAL PERMIT -441'11.1 Previous permit #
QNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources/fe
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC f1
Rules attached
Applicant Name { I Project Location: County
Address _' ' `-fir Street Address/ State Road/ Lot #((s) ) F 1 1
State :. ZIP
f�
hone # ( ~) Fax #O
uthorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
,C]EW -QPTA ❑ES ❑PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
ORW: yes// no PNA yes
IType of Project/ Activity
1 Pier
Platf
Fing
Groi
Bul
Basi
Boat
Boat
Beac
Oth
EShor
SAV.-
1Sana
Mo
sPhot
VNaiv
Crit.Hab. yes / no
Subdivision
City " t, . _t ZIP
Phone # ( ) River Basin l: �� /Ir (1/.
Adj. Wtr. Body f i t r ' " =' fr. (jit� man /unkn)
Closest Maj. Wtr. Body—(f r
_ (Scale: , ; )
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AMON
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■■■■■■■■■■■■■■■■■■■■■■■
.■■■■■■■■■■■■■■■■■.■■■■■■■■■■■■■
C.....
Bulldozing
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mill
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in
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NUNNills■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
line Length
not sure yes
MEN
Dags. not sure yes�
■■■■■■■■■■■■■■■!i■■■■il
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i ii■■[!■Wyes
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A building permit may be required by: _ r r ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
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_1 �j i A.� � i '� t ` l � C � � 1P ��� :. r'"• • f �'�wwn +� _ _...-=
'Agent or Applicant Printed Name Permit Officer's Signature
i
!°Wp1u
Please read compliance statement on back of permit Issuing Date Expiration Date
Local Plannin urisdiction Rover File Name
i Fee(s) Check # 8�
I
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, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar -Pamlico River Basin Buffer Rules 0 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/ 1-8884RCOAST
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
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to I S �H me5�'�� 's
(Name of Property Owner)
properly located at t'
(Address, Lot, Block, Road, etc.)
on CA5V Moo i� �liy , in #.igRKeAs —T5L4"d /A/-e , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Mailing Address: .
Agent's phone #:
He/She has described to me as shown below the development he/she is proposing at that location,
and I have no objections to the proposal.
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
s o a old 30`� L►1�T
o a o 0
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 http.lAvww.nccoastaimanaclemeninet(web/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
ggna
perty Owner for ation)
ture
Print or Type Name
Mailing Address
MM A�eles 7544,,A4-
City/State/Zip
/ -C . `o
Telephone Number/Email Address
_ -79,R 1 �� &Q,
Date OLI — &I - -lb—
(Riparian Property Owner Information)
�1-1"
n A A. ham_ )A
\�ignature 1
Print or pe Name
Mailing Address DC
�
Vto,iz7-2-bs3/
City/StatelZip
3 �r� 2-Arl. 312:-f
Telephone Number/Email Address
Date
(Revised: Aug. 2014)
ECENED
R 29 1A
mg PITY
a
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
' I hereby certify that. I own property adjacent to T Ya YneS t� 1�'i ! LTO _'s
(Name of Property Owner)
ol?eriyao_4atecl _fit i_3 T e. N. 1
1- (Address, Lot, Block,,Road,etc
on 1^ RSr'Y�o KJ%�y , in /-%A,2Ke2s 1s &RrEfel , N.C.
(Waterbody) (City/Town and/or County)
The applic nt has described to me, as shown below, the development proposed at the above
location.
l have no objection to this proposal.
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)
° ® ° ° 1_ ii Fr
7ocK
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.
do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
' RECEIVED
re t�"�M Signature APR 2 9 7015
o
rY1P�.S m i L7oN >�1 d� I l S.,� ►fin Tra.� -- p ►nmr
Print or TyRe ,Name , Print or Type Name
19-5 cJ eAW I � 2iUe-. to NB1 ,, Ji IJ Q� 01J I✓�
Maili g Addres$ Mailing Address
1. � >z Ke,e s �s L,aNd G dV P A 10 d611
City/ tate/Zip City/ ate/Zip
A4C 5-31 io-%-e4-aoh
Telephone Number Telephone Number
9..T)-- I&S- 59 `
Date O L J-0k_ (_ ) 5' Date -
(Revised 611812012)
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Lot Number
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