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HomeMy WebLinkAboutHammer, Suzi9bAMA / ❑ DREDGE & FILL~ GENERAL PERMIT R Previous permit# A BC E�New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources "% j� 1 �, and the Coastal Resources Commission in an ar a of environmental concern pursuant to I SA NCAC f ` / ,pRulesattached. Applicant Name "r z' ie�14-1 /� Project Location: County ( e' i- Address 0 0 � / 1 % Street Address/ State Road/ Lot #(s) — City . C << �; r State AJ(7 ZIP Phone # ( f E-Mail Subdivision Authorized Agent City'� (� C=.. / ZIP X. I' I rl r'r / Affected ❑ Cw SEW ---QPTA ❑ ES ❑ PTS Phone # ( ) RiWr Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body t.9 f t� f r nat man un!D ❑ P h" ORW: yes no) PNA r yes no Closest Maj. Wtr. Body "1 Type of Project/ Activity f Pier Fixes Float Fingi Groi Bulk Basic Boat Boat Beac Othi Shor SAv Mor Phoi Was) (Scale:/ V %C ) i length MENOMINEE OMEN MEN MOMMOMMEME number 0 MOM NMI avg distance offshore—_ max distance offshore- NINE Mi IIIII cubic yards ramp OMEN No mom MEN ME ABuildozing . . MMEEMNMMMMMENMI sline Length not sure yes fs: yes MINE EMEM mom mom No 0 MEN IN er Attached: yes ino/ A building permit may be required by: �r ' ( Note Local Planning jurisdiction) Notes/ Special Conditions ,,.. Agent o Applicant. Printed Name i signature- ** Please read compliance statement on back of permit ** ,,f'_1: U �. Apples ication Fee(s) Check # ❑ See note on back regarding River Basin rules. Name F h � s Signature i , 't i Issuing Date ` Expiration Date r 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 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 comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-411COAST 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.nccoastaimanagement.net/ Revised 08/27/ 14 UNITED STATES POSTAL SERVICE First -Class Mail Postage &Fees Paid Permit R;I:& i&D • Sender: Please print our name, ®' . • 201� p y address, and ZIP+4 In this box 1RLoV �lu— RD REC IVED v �1 JUN 2 5 1� i Gu-c,c.. ��7121 l C. pCnn-r: ,Nn CITv li)i1,1)I,1ili,itil)I,)I))„1,)„u'1))II'1')1)I")�)1111,11),)I) ■ Complete items 1, 2, and 3. Also complete Item 4 If Restricted Delivery is desired. r 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 mailpiece, or on the front if space permits. 1. Article Addressed to: 04,c r\ a-70 i, 2. Article Number (Transfer from service /abeO A. Signature ❑ Agent B. Received by (Printed Name) C. Dale of Delivery D. Is delivery address different from tte ? O Yes If YES, enter delivery address below: ❑ No 3. Se a Type. Certified Mali® 0 Priority Mall Express' Registered O Return Receipt for Merchandise O Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 7014 2120 0003 '7335 5003 Ps Form 3811, July 2013 Domestic Return Receipt UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS �errflif'IVO�Ci10 ' v- • Sender: Please print your name, address, and ZIP+ n this 1�ox• co W :tsV 0004) 41L�L- IED JUN 9 1015 OLL Por -I) a 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. Article Addressed to: Li,c 1 o� YI SI.v� T-.s Dz . izJA 6S INT a�SSy P \ / ❑ Agent I VVV ❑ Addressee r Name) f J IfL: Q.W6f Ueli_ jLey D. Is dell ery address rff from Item 17 u Ye., If YES. enter deiivee address below: O No 3. Se a Type ertifled Mail® ❑Priority Mail Express- Registered ❑ Return Receipt for Merchandise ❑ Insured Mail O Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number - — (transfer from service fabeO 7 014 2120 0000 5398 2 512 _ PS Form 3811, July 2013 Domestic Return Receipt CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. I'Nea 64kck .,c) ?-+ I Address of Property: (0o k- (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: d�51� 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 with dimensions must be provided with this`letter. they are proposing. A�descnatiorror drawmas - xI 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. Contact information for DCM offices is available at rww nccoastalmanagement-net/contact dcm.htm or by calling 1-8884RCOAST. 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 b%#@&vEo 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.) RECA3 0 2015 _ x I do wish to waive the 15' setback requirement. JUN 2 5 2015 I do not wish to waive the 15' setback requirement. (Property Owner Information) Signat % Print or Type Name 9c7O t..: cot.cJ A/ Mailing Address 3&--, :1 '.e Fy if-7— City/Stateaip �5 6 a�. Telephone Number .41l,�4_ Y-U3 --[ q 60 61-7/IS Date (Adjacent Prop Owner Information) Tyv� . Y-69Q2. Signat te MCLY-qa- Print or Ty Name (a.IR-�� Date 151 Revised 611812012 t44- So-� �Ho-cEri- gloo IJ C, a�-51(10 �jr f_�os-y Kc��7 -13� RECoVED NN 2 1015 RECEIVED JUN g 01015 Ho us C CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: T-sQR MI (S �I( Address of Property: 960 &0� kku— RIO (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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 they are proposing. A description or drawing with dimensions must be provided with this letter. 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. Contact information for DCM offices is available at-wwwnccoastalmanagement.net(contact dcm.htm 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, 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.) RECEIVED RECEIVED I do wish to waive the 15' setback requirement. JUN 9 0 1015 JUN 2 5 1015 I do not wish to waive the 15' setback requirement. !? Jo 1 " Dr PAN! (Property Owner Information) Signa Print or Type Name 90 0 Ojeo LJ 14 iLL !� U Mailing Address AJ City/State/Zio Y/9(-- P03 Telephone Number O dL l� `7 /1 414 -350 - &3!d Date (Adjacent Property Owner Information) Signature Print or Type Name '.o Mailing Address City/State/Zip Telephone Number 5 z)ok'S, Date Revised 611812012