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HomeMy WebLinkAboutLangston, FrancisQtPCAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# A B�, D .FrNew ❑Modification ❑Complete 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 15A NCAC f p Rules attached. Applicant Name"Y Project Location: County '� rr•_ Address h i{+ ' % l�`c.,)� ,+�J Street Address/ State Road/ Lot #(s),, F City }rW.. , f.. iF to �' State "'i.'�� ZIP. :.stir t'( Phone # ( ) _ r -2 E-Mail Subdivision_ Authorized Agent :iv ; r l '}. > r': r*% ! City. = �' zip./... i Cw ❑ EW aPTA ❑ ES ❑ PTS Phone # ( ) River Basin 4 Affected ' t_. OEA HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body fjt _-- '�{?nat /man /unkn) El El -- Closest Maj. Wtr. Body ORW: ! "yes � no PNA yes Ln) Type of Project/ Activity x r c !t' U r �� P,r 4-1v r en Fixed Float Fing Groi Bulk Basi Boat Boat Beac Oth Shor SAV Mor Phoi Wain (Scale: PPOCClength I� — 1CI � � I I �CMOMMEMEM a number mmm� M&WA—W p--%qquw I-Now-m—EM �Wmam MENEM avg distance offshore— max distance offshore IMMEM10111MINOM11 OMEN 0 ONE cubic yards mp louse(Eoa�tlift) Ir. am ■ �EMEMEMEMOMMEMMMEM ■EN MESSIMMOMMISM MENEM A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions r � %�. t j. .,r"i ILA �I L� _' f / r 1 w f % ` ❑ See note oy back regarding River Basin rules. , y a . Agent or Applicant Printed Name PermitOffice rinted Name" Signature Please read compliance statement on back of permit * �r�il / ��� Signature 1 i t %D l J - �t l -..•a Application Fee(s) . Check # Issuing Date Exp ration Da e 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 CarolinaCoastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules Other: 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 complywith 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 a - ■■■■■e■■■■■■e■■■■■mew■■■e■■■■■■es■■■■■mow - ■■■■■■■■■■■■■■■■�■new►°fir■■■■e■■■■■■■■■■■ ■eeeeeeeeeeeeee�a� ��u� c �eeeeeweee■ee■eeee _ eenwei■ee■■ee■��re■ese■■ee��reeeeeeeeeeu:.■■® ■■■■■■■►ifs■■■■■■e■■■�e■■s■■■■����rs.■■■■■■ e■eees4�■■se��eeee■■e®■eee■eesei�ee�ereee - - ■■■■■■■o�e�■r■e■Pe■■�®■■■■■■�■■des■sue■■■■■ ■l�■e/�■■■■■■ee►fir■■■■■■■■e■®►.■i■■■ee■■■Dii■ _ ee►�gqeeeee■■■a■a�roeeeee�■■e■■e■eeee■e®■e■e■ ■■fi■■■ee■■■■■■leeeee �■■■�'I■■■e■ee■■IJ■■■■■ ■■■■■■�■i■use®®�®ie�ii■■ii■■i®■i�■0■■■®® ONE "IMPREEN - Ir'■■e��:.e�■e■■■®eue■■eeeei-. r�i■�rli��®f® ■■■■■■■■■ ■■/1A��1■ /i■■■■■■■■w■fiiMUi�'1�■■■ .■e■■■■■■s ■■ Ofese �a �u■■e■■■■®■ww■s■ - - - . ■■■■■■■■■■e■es■■■■■s■■■■■■■■■■■■eee■ere■■ Ck-ModdidA N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 1 1 P 201 Name of Property Owner Applying for Permit: R 2,WJCF,, � 5. P)_ LLQ,, � Mailing Address: - MWIVmal �' - _.► Mw I certify that T have authorized (agent), 7 j&€ 7F _ � � rke 1 k-.53o act on my C0"-4q 2-0Cn O',,4 behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) O at (my property located at) � C)? RECEIVED This certification is valid thru (date) ��Z JAN 2 8 2015 CrTV Property Owner Signature to A11a GH1Q.-Wajo 311 �� SIOZ L 9 Ndf A apt Co a3/003b 'I I ADJACENT RIPARIAN PROPPJ-fl' 09Mlr R STATEMEN r I hereby certify that t own property adjacent to i _ 'JHaM0fPr0PedY2W[S�2t1 property located at (Address, L 8bdc, Road, Gb--){ N.C. �t J� an in(illaterbody) (CIiylTown andlor county) The applicant has described to ms. as shown belwv, the development proposed at the above i J7: on l have no objection to this proposal. I have objections to this proposal. OESCFJFTIOH ANDIOR DRAWING OF PROPOSED DEVELOPMENT (lncyVidual Proposing davelopment rntrst fU in deseripfon below or attach a site drauring) 1-� 45Pf 4E-= LCCZYn (:)T-4 't�5 P��11 Lys - Doct-- . WAIVER SECT I understand that a pier, dock, moormg pi i�gs breakwater, boathouse, Uft, or groin must be set back a minimum distance of IV from my area of riparian access unless waived by me. Of you wish to waive the setback, you mast initial the appropriate blank below.) RECEIVED I do wish to waive the 16 setback requirement. JAN 29 711'Z) - \ I clo not wish to waive the 1 & setback requirement. (property Owner Info>nnation) (Adjacent Pro pe wrier Infonnafion) Si a �% RECEIVED / c, rS Anfifor Type James JAN 27 2015 %"'Y - Dl4v40 Telephone NuM� l Date Ber''amno Witt (Revised &IW012) 12 � r � [2 i Za Pro r 0S.Sc r) N�,.") ao�� I I rvotjce-s Late5s+otJ 252 1-7�S' RECEIVED JAN 2 910b RECEIVED JAN 27 7oli APPUCATION" FOR BUILDING PERMIT Please fill out completely before presenting for approval. All information must be accurate and legible. If you make an error be sure to correct on all sheets. This will be a pernmnent record BE NEAT.. DO NOT, DETACH DO NOT DETACH PLOT PLAN: Draw plot, plan accurately from survey if possible; show all dimensions of lot and locate all buildings by dimensions from the property lines. Dimension all buildings. Lot No Size of,t. tFrontage Depth no This permit allows only -the construction shown above as located on this plot. TOWN OF iErIMERALD ISLE BUILDING INSPECTOR EMERALD ISLE, NORTH CAROLINA Permit tot.f l_IZONING 19 t O PERMIT NO. Permisslon is herebyjjgr��anted to: IMP. NO.. Mr. t � C-4 5S4%, as owner, Mr. asContractg�ter, repair ap I ex f building on. Road Block# tot# zl?o To be used as ti r u 4LAj a _and contains rooms Estimated CosIt, Total $ �� �` Fee Collected, 1, RECEIVED JAN 29 YU15 The building is to be erected or altered In accordance with the ordinance of the N.C., and the General Building Laws of the State. Expires 6 mo. after date of Issue. C.all e►r"n�tjq � Building Inspector (24 working hours in advance) fors (1) footing -foundation inspection (2) framing in- spection Electrical and Plumbing Inspection,(3) completion inspection, Remarks: RECEIVED JAN 27 ?A'9 Signed ° -� Signed Bldg. !leant TOwif 0f E old Isle inspector • TOWN OF EMERALD ISLE JOINT PERMrm APPLICATION. (Permit expires one. year from date of application)> 7A i E vr- Ne 18 3 PERMIT# CONTRACTOR` HEALTH PERMITlf 1^� NC PRIVILEGE LIC.# LAID USE; PERMIT# NC CONTRA RS LIC. - BLOCK. LOT(S) 0 ADDRESS X SUBDIVfSTREET g oZac, ESTIMATED COST °dam OWNER �_ S identiatl TYPE 131 G• L � % c FEE $1 TYPE CONSTRUCTION r � - O o CE roams, , moths. story, root, shingle —piling, HEATING AND AIR-CONDITIONING PERMIT # CONTRACTOR NC PRIVILEGE UC.# ADDRESS NC MECH. UC.# UNITSIZE TON FEE $ ._ PLUMBING PERMIT CONTRACTOR' NC PRIVILEGE LIC.# ADDRESS NC PLUMBERS LIC.#' BAR SINKS KITCHEN SINK URINALS BATH TUBS LAUNDRY TUBS WATER COOLED AJCOND. CLOSETS LAVATORIES GREASE TRAPS CLOTHES WASHER REFRIG.wlicemkr HOT WATER HEATERS DISHWASHER SEWAGEEJECTORS HOT.WfR.STRG.7ANK DISPOSALS SHOWERS MISCELLANEOUS DRINK FOUNTAIN SLOP SINK TOTAL -FIXTURE FEE FLOOR DRAINS SODA FOUNTAINPLUMBING FEE: FEE RECEIVED . ELECTRICAL PERMIT CONTRACTOR ___ __ _ NC PRIVILEGE LIC.# ADDRESS NC ELECTRICIAN LIP.#; SIZE OF SERVICE AMPS A PHASE A FEE$ Statement of Contractors, Agents, and Applicant: 1 certify that l have been contracted to do the work, as outlined above, and will have it comply to all State aaftUtD lays. Any misrepresentation wiil,.or can, constitute voiding of this permit or section thereof, with loss of fees paid. JAN 2 7 2015 Applicant Gen. Contractor Electrical Heating/Cooling Plumbing I UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • �0 7e /Vz,v & rn ■ 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 mailpiece, or on the front If space permits. 1. Article Addressed to: kS l�lr�✓' bier r � �C- 2g5��OD A. Signature X ❑ Agent' ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from Item 17 ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail 0 Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number j 7 012 1010 0002 6133 3 2 8 0 j (Transfer from se _-- PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ADJACENT RIPARIAN PROPERiEY OWNER STATEMENT I hereby certify that 1 own property adjacent to t t K 1 's property located at4 �� _flime of � (Address, L Bkxk Road, et .) on=?� in .Q(J)I=_ N.G. (Waterbody) (Cldyffown andtor County) The applicant has described to me, as shown below, the development proposed at the above tilgn. I have no objection to this proposal . f. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Indfvldual proposing deyeloprnent must fall in description below or attach a site drawing) � icy Pr�JKDU5L4 EXIST I �i Qoc.1L (jilt E:"F— � t=r�T W ( QE 2S)Laac� iz::2or7 UOU5E � PR-7 Cock . WADIER SECTION I understand that a pier, dock, mooring pings, breakwater, boathouse, lilt, or groin must be set back a minimum distance of 16' 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 16 setback requirement RECEIVED I do not wish to waive the 1 b' setback requirement. JAN 2 9 2015 (Property Owner Information) (Adjacent Property Owner information) H�' -MRH elf V&aLeOp G21 Te ephone Nu 'Tiber 2S� Date L fy, " %, a a -, � - P, ,, , , , " -) , � , - - , FWnt or Type Name 25ot> LA�i7 ,Ma7ing Address RECEIVED in�rrz() .1=s�€ CitylStateOp JAN 27 211'� ZSZ-- 35':�" 333�j Telephone Number E'atwlgEH" 12—t-Z,91� Date (Revised 611WO12) f, t t Proros-sci, NC-ko povfL 1 3 PC,v% �✓G (,Jcas La,,,5sfotj 6 82� Cct.nw,l D�►�� �.L, Z5Z-74s_ RECEIVED JAN 29 2015 eefM-7MP*-O L""Y, RECEIVED JAN 2 7 2015 f)GM-MMEi ERy APPLICA710W FOR BU1LDWID PEAYIT Please fill out completely, before presenting for approval. All Information must be accurate and legible. Ifyou make an error be sure to correcton all sheet& This will be'a permanent record BE NEAT. DO NOT DETACHDO NOT DETACH PLOT PLAN: Draw plot plan accurately from survey if -possible, show all dimensions of lot and locate all buildings by dimensions from the property lines.'Dimensior) all buildings., TOWN OF EMERALD ISLE This permit allows only the construction shown above as located on this plot,. TOWN OF EMERAM ISLE BUILDING INSPECTOR EMERALD ISLE, NORTH CAROLINA Permit to _ C ZONING 19 PERMIT NO, _ •�` Permission is hereby granted to: IMRR NO. r1 -as Mr. s i v owner, Mr. - as Contract ' o erect, a ter, repair 1 Q.Y tty tr-t~ roof building on.. Road Block# Lot#�` To, be used as I io ir i I Ct and contains — rooms Estimated Cost, Total $ Fee Collected, 3 RECEIVED JAN 2 9 1015 The building Is to be erected or altered .in accordance. with the,ordinance. of the M�i� HO Crly N.C., and the General Building Laws of the State. Expires B mo. after date of issue. Cali Building inspector (24 working hours in advance) for: (1) footing -foundation Inspection (2) framing in -Spection Electrical and Plumbing Inspection (3) completion inspection. • Remarks: RECEIVED JAN 2 7 2015 DCM•MHD CITY I. r, Signed Signed Bldg.. lican ToweAr�6ald`Isle Inspector TOWN 0 EMERALD WME JOINT PERMITS APPLICATION (Permit expires one year from date of appllcation) CONTRACTOR- -- ADDRESS BAR SINKS BATH TUBS CLOSETS CLOTHES -WASHER DISHWASHER DISPOSALS DRINK°FOUNTAIN FLOOR DRAINS PLUMBING PERMIT KITCHEN SINK LAUNDRY TUBS LAVATORIES! REFRiG.wlicemkr SEWAGE EJECTORS SHOWERS SLOP SINK SODA FOUNTAIN NC PRIVILEGE LIC.# NC PLUMBERSLIC.tf -URINALS WATER COOLED AICOND.: GREASE TRAPS HOT WATER HEATERS HOT WTR.STRG.TANK MISCELLANEOUS TOTAL -FIXTURE FEE • , - PLUMBING FEE FEEL_J Statement of Contractors, Agents, and Applicant: I certify that I have been contracted to do the work, as outilned above, and will have it comply to all iRM\M local laws. Any misrepresentation will, or can, constitute voiding of this permit or section thereof, with loss of fees paid. JAN 2 7 i11 Applicant Electrical Plumbing DGM-MI.19 CITY Gen. Caniractor HeatinglCooling