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HomeMy WebLinkAboutPowell, JosephCAMA / ❑ DREDGE & FILL t �i%� fi '1'�'" TST WGENERAL PERMIT Previous permit # KNew ❑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 r p Rules attached. Applicant Name M ,'° r �`' `' ' [?J(I Project Location: County Address ,r; L } LF' 4 " ?... Street Address/ State Road/ Lot #(s) I, o i l .i J`i f ZIP r _ City State F - Sr. fg ✓"'1 ' Phone # O=t Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS:, ORW: yes no E-Mail I'EW _ j P'fA ❑ HHF ❑ IH PNA yes Type of Project/ Activity ' S Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore ..� max distance offshore�� Basin, channel _ _ ✓ cubic yards Boat ramp r Beach Bululldozing x , Other Shoreline Length �.h SAV: not sure yes no` s Moratorium: n/a yes()n no Photos: yesno . Waiver Attached: yes A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions T i City ❑ ES ❑ PTS Phone # ( ) River Basin ' , J (.•. �" a 7� ❑ UBA ❑ N/A ; ^ T Adj. Mr. Body ,�( + r' 1 (`' (natJman /unkn) Closest Maj. Win Body ,f t _ ` t (Scale: / — ''" "' ) ` y L`C r, /% C": ❑! See note on back regarding River Basin rules. f .v N. if i Agenf or Ap�plicapt-Pr "Mam ` Permil Sign 're leasefeadcompliancestatementonbackofrp[�ermit * Signa 41L�u.n, Application Fee(s) Check # i i P 7 . ,., " e D Expiration ate 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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules El 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 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 comply with 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 ajA / DREDGE & FILL EFERAL PERMIT f. �. A B :�'Previous wModification ❑Complete Reissue permit # ❑Partial Reissue Date previous permit issued i As authorized by the State of North Carolina, Department of Environment and Natural Resources r and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_ �-w% Applicant Name �� s-e ,- ® Rul s attached. Project Location: County _ ^ Address �� Street Address/ State Road/ Lot #(s)_ City j '�? t State ZI P=C�16- `• Phone # () 7 E-Mail ubdivision y Authorized Agent .: City, 'JL ZIP2 Affected ❑ CW _ A ❑ ES ❑ PTS Phone # � (_) River Basin F __ �,j r� AEC s : ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A �) ❑ PWS: Adj. Wtr. Body��=' �..-�iJ'n t man unkn ORW: yes /' no PNA yes / ngf r Closest Maj. Wtr. Body Type of Project/ ActivityT... T11(X , l �) l6 f f 1 fb : , . Pier (dock) length `^ />r r•� ) (Scale: Fixed Platform(s) i Floating Platform(s) Finger pier(s) Groin length number ,. Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel �����Il• ri"'ii�lliv���l/r�■■■■■ M. ::■■■■■■■■■��wri�l�■■ate■■■ - r� ■■■■■ ■ ��.�iil■■ice+ � �Gi1�t11 MOMWE .. ,►: a l Sign re eas ad compliance statement on back of permit Signatpre M � r it d See note on back regarding River Basin rules. `fFr Name AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: tow Mailing address: Telephone Number; I certify that I have authorized (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of at my property located at A 00 r C- UIIC a-Ysr1 This certification is valid through (date). (ProgYer#y Ownerlpftqmation) or Type Name Title, co. owner or trustee for property C' Gl—/5-- Date aq / H a i Telephone Number Email Address RECEIVED JUN 16 2015 1a��AP-►U�H� �St� DIVISION OF COASTAL MANAGEMENT I hereby certify that I own property adjacent to '? ft f) f,. -'e property located at 0 (Name of Property Owner) (Address, Lot, Block, Road, etc.) on QJJJ , in ae4`N.C. (Waterbody) (Clty/Town and/or County) Agent's Name #: Mailing Address: Agent's phone #: He/She has described to me as shown below the development helshe is proposing at that location, and I have no objections to the proposal. ----------- ----------- ------------ ----- ------ __ _ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT -_ _ "--_ (individual proposing development must fill In desor/pt/on below or attach a site drawing) �� �l �D�cJ .3 c�d � fit` ►'l I�. (, v� S If you have objections to what /s being proposed; y ov must notlly the Division of constalManagement (DCM) in wilting within 10 days of receipt of this notice. Contact Information for DCM offices Is available athrtiv:lA ww.ncgo maaad_ _ ementp� lb cm/sW-A_g ing orbycalling t-$88.4RCOAST. Nn iDRnnnea .� wwsfA..-..-i �r.� _--- -- --- -"- .... Print or Ty a Nam® Mailing Address pz c� CitylstSWIMP OL a c Telephone Numbor/Emeil Address Dare (Riparian Property Owng�j*aggtton) psi nc �Y 12:30 PM GMT Signature Print or Type Name 2- 0 '-& V U � Melling Address N � w L c. CrtylStat ip Tetephons Numbed Entail Address Date (Revised: Aug. 2014) RECEIVED JUN 16 2015 ,CV—teAH^. `11y DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to a5? P� pafs,-, Rw-el l 's (Name of Property Owner) property located at ��i ( 1 r ►O�q l-a L, d i'1,11 , (Address, Lot, Block, Road, etc.) on �� , in D e d= ..., , N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) Pfd �Ose --pock 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 http://www.nccoastalmanaaement.net/web/cm/staff-listing orby calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. Print or Type Name Mailing Address CitylState/Zip Telephone Numberl Email Address - a-�- IS Date ( iparian Prope wner Information) ignature Pnnf or Type Name 61b coo i2 rV D)-E:- Mailing Address / u /Z ( C / (/ xj a� CitylState2ip Telepho N�er/Email Address Date RECEIVED JUN 16 2015 (Revised: Aug. 2014) C ® RECEIVED 1UN 16