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
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—
1CI
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�
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
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L� _' f / r 1 w f % `
❑ See note oy back regarding River Basin rules.
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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
-
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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
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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