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