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Home My WebLink AboutPartlo, NathalieP(CAMA 0 DREDGE & FILL GENERAL PERMIT Previous permit # New ElModification ElComplete Reissue El 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 0 ! I'l — P Rules atta hed. 4-1 Applicant -Name Project Location: County !Address Street Address/ State Road/ Lot #(s) I Fity—. State f-,l ZIP 4f" Phone fl, Fax # Authorized Agent 0 CW IEW PTA ES PTS Affected AEC(s): DOEA e E1HHF 01H 0 UBA El N/A 0 PWS: OFQ ORW: yes/ fiQ PNA yes k6o Crit.Hab. yes Subdivision city,,;: i ZIP Phone# River Basin Adj. Wtr. Body Qt /man /unkn) Closest Maj. Win Body jtl n 11 I Type of Project/ Activity%, k 1.) 'J ", . /010 Pier Platf, Fing Groi Bulk Bash Boat Boat Beac Otho (Scale: length■■■■■■■■■■■■n■■■■■■■■■�■■■i■■■■■■■■■■ number cubic yards ramp iouW,Boatli dozing iBull r M= MEN IMMMIMMO No ■■�� --line Length not sure yes Fags: not sure �yes torium: rVa -yes 1'no ''Yes trAxi6ed- VAq A building permit may be required by; k ('1 k Notes/ Special Conditions El See note on back regarding River Basin rules. Age _qtbr Applicant Printed Name PermitOffice�s Signature.:, f Signature Please read compliance statement on back of permit Issuing Date' Expiration Date, 'Application Fee(s) Check Local PlanningJurisdiction_ Rover File Name , 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 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 (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on howto comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above 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 -below New River Inlet- and Pender Counties) Revised 08/09/06 CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY. OWNER NOTIFICATION/WAIVER FORM,/ Name of individual applying for the permit: Address of property: ��/ �l v GY' �/' J�� ° Ali % 12Y (Lot or street#, street of road) Mailing address: 31�/ /4/L A4�,, G/' 21 r (City & County) Phone number you can be reached at I hereby certify the 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, should be provided whit this letter. I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. 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 sandbags must be set back a minimum distance of 15' From my area of riprap access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) QVI do wish to "waive the 15' setback requirement I do not wish to waive the 15" setback requirements Signature U D to RECEIVED 1014A A( Print Name NOV 18 ?tii DCM-MHD CITY Telephone number with area code www.nccoastalmanagement.net/Permits/RiDarianSetbackWaiver.Ddf 0 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date /� o21' 161 Applicant Name A,' TA . A c Mailing Address cl/- 4/ -;e I certify that I have authorized (agent) .c! �� - �� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) This certificationisvalid thru (date) Signature '- x go. 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper RECEIVED NOV 19 x14 DCM-MHD Cllb ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to �l �.r� �Gt/.�e�% i.) 's property located at (Lot, Block, Road, etc.) (Name of Property Owner) on & , h , in &L R::4� , N.C. (Waterbody) (Town and/or County), He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. ,I -T &_ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ----------------------------- (Applicant Information) Mailing Address City/State/Zip Telephone Number Date Va — 0 RECEIVED NOV 12 2014 DCM-MHD CITY (Riparian Property Owner Inforrmmati`on) Signature V .ST�vE�-��r.l �ni�1L1NGr Print or Type Name Iq 62S Z— 4(��67,5 RECEIVED Telephone Number Nnv 1_8 2014 Date ' I ._ � — (� _ "'M-MHD CITY ; o� L t- ooii