HomeMy WebLinkAboutHill, Gary SrNo. 61166,
DREDGE &
dAr- FILL �A f El DRIE
ViGENERAL PERMIT
Previous permit #
k'New. El Modification ElComplete Reissue []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 concern pursuant to I SA NCAC
ERulles attache
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Applicant Name x
Project Location: County. "N
Address
Street Address/ State Road/ Lot #(s) J- 7�,
City_,� 71, J7 State' ZIP
Fax
Phone F #
P
Subdivision H
Authorized Agent
"T
City ! zip ✓Affected
El CW El EW El PTA [ES El PTS
Phone River Basin 1' 7
0 OEA El HHF El 1H 0 UIBA 0 N/A
AEC(s):
Adj. Wtr. BodyInQ `/unkn)
0 PWS: El FQ
ORW: yes ffnol P14A yes Crit.Hab. yes Cno
Closest Maj. Wtr. Body
r
Type of Project/ Activity I
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhea4,Riprap,,rlength
avg ciiii6:n'c"e offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
. ... .. .....
Shoreline Length
SAV. not sure yes /'no\
Sandbags: not sure yes no
Moratorium: . n/a yes no
Photos: yes .1 no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
(Scale:
FH
-4-
1:1 See note on back regarding River Basin rules.
J,!, I
1 311
.
pl�cant Printed Name
Permit Officer's Signature
%
Signature R easereadcompfinn statement on back of permit
issWng Dat6
Expiration Date,.
Application Fee(s)
Check#
Local jurisdiction
9
Rover File Name
t a
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 consistentwith 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 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: 919-733-1495 Elizabeth Citv 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)
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date 101a
Name of Property Owner Applying for Permit:
C-D f q 4( �1
Mailing Address:
1Wc(�
I certify that I have authorized (agent) ,� n n c ]�Yt�> �� la1tQ ('�M to act on my `��
behalf, for the purpose of applying for and o 1aining all CAMA Permits necessary to
install or construct (activity)
at (my property located at) 7 P-),Q no, 2kln-4nn 1prnb klw2�r�
This certification is valid thru (date) tnQp 0,"Dj-,31 26L3
I Is
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner: 6ay-U44\ \
Address of Property: �l�q Ok-A SiC, FOCI kCad �P 7�dr"� ' l "�Ai�"1?X�.�
(Lot or Street #, Street or Road, City & County)
Applicant phone #: Mailing Address: Qq 1-1 -1�v ^7 O IF
aea Ldc+ , IS c aR�1 to
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
the are proposing. A description or`arawin with dimensions' must be rovided with this letter.
a�3�V-hf c,-6scqiA:cLck
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. Contact information for DCM offices is
available at www.nccoastalmangement.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, or lift 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.)
Wl'do wish to waive the 15' setback requirement. /Va z A7
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Pnnt or T e Name
Mailing Address
n 1&± , I)C aRS16
QtylStatelZip
Telephone Number
Date
r2ll-r-
(Riparian PEoperty Owner IpWemation)
Print or Type Name
:zz 3
Mailing Address
a41- Oq/ jc/9-17'o A! I G
City/State2i '
Telephone Number
�11 < 7�d/7,
Date
tid6 Xl-<7 7/44�f /� I /-S"—
y-�s� a ,2) AIV 6414 ?,ea �k ee
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: & a a 4%kk Sr .
Address of Property: \Z0C,6 �esx Ford - ec�r Eery-�
(Lot or Street #, Street or Road, City & County)
Applicant phone#: aF,a-dam\ \-(�t3�-( Mailing Address: a;g) -7 4wy 10 E
�e�u For4- of c a �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
they are propos'ng. A description`or drawing; with dimensions, must provided with this letter.
I have no objections to this proposal. I have objections to this proposal. SEE QAC-f�
If you have objections to whatis 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 www.nccoastalmangementnet/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, or lift 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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signat re
Print or Type Name
F
Mailing Address '
geo fir-
City/State2ip
Telephone Number
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State2ip
Telephone Number
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Date Date
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