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HomeMy WebLinkAboutPeters, LynnXCAMA El DREDGE & FILL GENERAL PERMIT Previous permit # [ New DModification ElComplete Reissue (&I Reissue Date.previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources —, /I I ) 7�1_1 n - and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Y ------ [2Rules attached. Applicant Name Alvi V 77 Project Location: County Address R-/ c) 1 Street Address/ State Road/ Lot #(s) L QtV r rk't State F r zip v Phone # Fax #,(_ '], erJArgnt "P— t � Affected '-CW -�EW _I�PTA _61ES 0 PTS AEC(s): OOEA OHHF EIIH 6UBA ON/A 0 PWS: 0 FQ Subdivision City zip Phone# River Basin i in i -T7 Adj. Wtr. Bod nail/man /unkn) ORW: yes /'_n'�6., PNA yes Clico- Crit.Hab. yes o Closest Mal. Mr. Body Type of Project/ Activity (711 Pier Plat( Finge Groffl Bulk Basi Boat Boat B'eac Oth� (Scale: 1 '::5- mmmmmmmmmmmmmmommmommommmmmmmommmmm length EMMMMEN ■yea■i■■■■■M■■WM■MU■■■■■■■■■■■■nn■■■ �eadf Riprap length avg distance offshore �■■■■■■■■■■■■■■■■■■■MM■MMERMOINIME m=mmmmmmmmE=mmmEEmLMEEMNMEBEEEMMMEEEMM ,channel EMEMMMMMEME=mmmmmmmmmMMENEEMMMME mmmmMEE=MMMMMMEEMwmmommomommmmmmoommm ■mmu■■■■mm■=■■■■■ ■MMMMMMEMME=EEEEEERMMMmmommmmmmmosomm ■MOMENESEMMMMMMMEEMMENMMMMMMEEMMMMMMEN EMMMMMMMEMOMMEMEMSEMMMMENEMMMMMEMEMMM �IhBuljd �Zln ■ ■®■■■®■®N■■Ms■■■ MEMMMMME=■■■®M■■■■ mmmmmmmmmmm=mmmmwAnnummmummmommmms W MMMEMMMOMMEMMMEEMMOMMMMMMMEEMMMMENEM "EMENINOMMMMMMMMMMMMmmmmoommmmommommmo '00 -line Lenr-,- not sure yes ."E=mmmmmmmm■�MMMMMMMMMMEEMMMEMOMMMEm n_ WagS: notsure yeso MMMMMEEMMEMMMMMMMME=mMMMMMMEEMMMMEM torlum: fVa no yes�� no mmmmmmmmrimmmmmm�mmmmmsommmmmmomommm I y n momommmmmummmmmmummommmmmmmrvlummmmmmm w.6ed: J3 -, �mmomommumommmmmmmmmomm=MLIIOEEE '-- - --- / - i - A building permit may be required by: i Notes/ Special Conditions 7 (,c�l P. eo Ag ent Iirame V 5ignaturr-, Please read compliance statem �Application Fee(s) PermitOfficer )n back f iffy ,!-*- Issuing Date Check# Local PlanningJ See noe on back regarding River Basin rules. c, ! ,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 officerwhen 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 thatthis project is consistent with 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 how to 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date �'� 3d - 13 Name of Property Owner Applying for Permit: //V Ii )DIAN 67q62FS Cotek-T /Uetv�oo�er C o�85%b Mailing Address: I certify that I have authorized (agent) t . P rej w-V M aY i n e l.UY&Gt+[Wact on my behalf, for the purpose of applying fo1r' and obtaining all CAMA Permits necessary to Install or construct (activity) _ OC Y, t bfA -1 _Ii(_''_ at (my property located at) _ 114 5 n dfa n . S�(mp r This certification is valid thru (date) ,; � . f / Dk4 9-,30 - Property Owner Signature Date 3 ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse ' so that we can return the card to you. g-M&1V ■ Attach this card to the back of the mailpiece, p or on the front if space permits. 1. Article Addressed to: f -e- iwu' 2�-I 3 C teen inert A(Paot roA o laDU ❑ Agent ❑ Addressee q ea, je) C. Date of Delivery from item 1? ❑ Yes iss below: ❑ No 3. Pelvice Type Certrfied Mail ❑ Express Mad', ❑ Ftegistered ❑ Retum Receipt for Merchandise ❑ Insured Mail ❑ C.o.D 4. Restricted Delivery? (Extra Fee)' ❑ Yes z. Article Number. 7011 .0470 0003 25, 6 _.5�09 (Transfer from service label) PS Form 3811,' February 2004" Domestic Return Receipt' . 10 ' 102595-Q2-M-1540 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 • PRESCOTT MARINE CONSTRUCTION, LLC PO BOX 874 ORIENTAL, NC 26571 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to n + L Lt C 's � ,i � S 1 � e of Property Owner) -+��-{.—r�' � � property located at b 6r_� (Address, Lot, Block, Road, etc.) on �. �CI� , in a CO. N.C. (waterbody) (CItylTbwn andlor County) The applicant has described to me, as shown below, the development proposed at the above location. — I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) R tvcr i Qrtip� P�uperfy Feiner` pmproy WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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. -1 do not wish .to waive the 15' setback requirement. (Property owner Info ation) (Adjacent Property Owner Information) Signatum S. .r 614 Print or Type Name �— Print or Type Name /O)O cwt- � S lV ifingAddress MatfngAddress .. C_O/Stata0p Cfty/Slat&7ip Telephone Number Telephone Number Date Date. Q(Revised &IW012) �w