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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 Z 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 ��Za / Z-- Date Date 4f\.� OP-P - ate` 1 4„-af P,&,., , CW