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Home My WebLink AboutPridgen, Kayj� 17CAI11�A / ❑ DREDGE &FILL 1 k1h� 6 GENERAL PERMIT Previous permit# w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources r ., /, } "-s and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC [Rules attache Applicant Name t •,' (-,I Project Location: County C1 I (' Address Street Address/ State Road/ Lot #(s)... k City 1j6.�.(. "� - State y ZIP w Phone #;�-Mai l Subdivision Authorized Agent j' ° i FV f i w �; e b. i Clty I AO 7 , "y ' S� ZIP Affected ❑ CVi/ """ftW �A ❑ ES ❑ P7 s Phone # (F ) % River Basin/f ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A dt '+ ti l AEC(s): Adj. Wtr. Body ,f b '?� 6 4 C a>:'Vman /unkn) ❑ PWS: T y ,- g Closest Maj. Wtr. Body f_ ORW: yes PNA yes "no" P Type of Proj77 ec Activity j f . ` t1 \ l t , Pier (dock) length ive!7 Fixed Platform(s) ` a Floating Platform(s) Finger pier(s) ^°°" Groin length number .^- Bulkhead/ Riprap length avg distance offshore max distance offshore" Basin, channel cubic yards w Boat ramp Boathous Boatl' d Beach d 'f1'g ry Other WV Shoreline Length / �:='k. SAM not sure yes fio Moratorium: n/a yes no Photos: ye, no Waiver Attached: ye n9 ° /1 A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions �l (Scale: ,/ I ❑ See note on back regarding River Basin rules. r ri „Agen qr / pipii t Printed N e PermitOfficer's Sign re ease ad compliance statement on backo�mit Signature � ApplicationFee(s) Check# Issuin Date 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 0 Tar - Pamlico River Basin Buffer Rules 0 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 howto comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST 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.nccoastalmanagement.net/ Revised 08/27/ 14 N i-n ru m m 0 U.S. Postal Service" CERTIFIED MAIL RECEIPT Mail only Domestic + ww usos com° 0 0 a 0 0 Ln 0 r ■ Complete items 1:, 2, and I ■ 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: —T /0 M 9s M. #, 11 all 50 W�- h geg 1, t#sue S� . ,a sfo ,j / Al t c at 850 ► Il I't'I'I I'll I'll l I l I I l III Il I'll'l) �� II I'I'II 9590 9403 0435 5163 779131 PS Forn ❑ Agent ❑ Addressee Q Date of Delivery Is delivery address different from item 1? 0 Yes If YES, enter delivery address below: Q Nu 3, Sergi 13 Adult O AduR C a. 000119 ) Type NO"" " Exptess� rotate. 0 Registered Mail*TM! Pature ResMaHS trlcW Delivery O Re9lstered Mail Restricted Mail ResdP W Delivery O Fi letwnryRe�elpt for n Dellvety _ Ju1_er_ch�pdsQ - 1 conflmrationTM i confinTmon d Delivery -- - �omesa�Fteturrt Reoeipt� UNITED STATE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 ' Sender:'tslease print your name, address, and ZIP+40 in this box• y CpS E ni /0T6 SCAJ-4 'Ir USPS TRACKING# LIAR 1 5 ZO16 i cTy 959[ EAST STATION BEAUFORT, North Carolina 235167925 3613950942-60�) 02/18/2016 (252)728-1812 01 - Sales Receipt -- — Product Sale Unit Final i Description Oty Price Price KINSTON NC 28501-4827 Zoaie-1 $0.49 First -Class Mail Letter 0.49 o-'. Exrw. I Delivery: Sat,02/20/16 L0 od Mai 1 $3.45 l od Mai l# L . )2524 Return Receipt $2.80 Label #: ' 9590940304355169779731 Issue Postage: - $6.74 (Forever) 1 $9.80 $9.80 Star-Spangled Banner PSA BKLT/20 Total: C w �� $16.54 Paid by. G MasterCard $16.54 Account WAR 1 kAXXXXX5159 Approval #: 01805B Transaction #: o C `TY M ®® Text your tracking number to 28777 (2USPS) to get the latest status. Standard Message and Data z rates may apply. You may also visit USPS.com USPS Tracking or call 1-800-222-1811. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. I own property adjacent to <'q I i J Q IFtj 's (Naine of Property r) o % �t -"►l L - . _ (Address, Lot, ME k, Road, etc.) on Snl4Ft E} C ® Its f A L f-G?w4t� L4. , N.C. (Waterbody) (City own and/or 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development mast fill in description below or attach a site drawing) ECI MAR 15 2016 ®C- MHD CITY Y 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 \K u wish to waive the setback, you must initial the appropriate blank below.) t( I do wish to waive the 15' setback requirement. MAR 16 2016 I do not wish to waive the 15' setback requirement. ®CIVIm, 'HD CITY (Property Owner Information) J:�' Gxj� � Si at Tre Print or Type Name _ /na/n Sc_ JA�A-%�G I�VZ. City/StatelZip :3 9 9- 9'L0 / Telephone Number ,;),—lg-l(o Date (Adjagent Date er Information) N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: r Mailing Address: I certify that I have authorized (agent)) we l� 4t a i92; fv c to act on my i C o �,�"ak, •f-i a �J behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) I fZ , at (my property located at) L. p �J % S c ��g-1 &" 'D /2 . , �Vf= �v �0 2 % Al C This certification is valid thru (date) RECEIVED Property Owner Signature MAR 15 2016 D CITY MAR 16 2016 n hI- � HD E�ITY A-4�- Al.,E v,,,,,,)o —F IV J57-0 - - - r1�J u'I cr u7 m 171 it 1 --- CJ M — . fl.l11, —" rl ru S r--- U.S. postal Service'" CERTIFIEP 4AILO RECEIPT Domestic Mail •� 09.9r.11M MIN KI w. ... Poe Certified Feel! 1, ili_! Return Receipt Fee (Endorsement Required) l! , i_!I 1 ReEM stricted Delivery Fee (Endorsement Required) Total Postage&Fees 7' Sent f eet & Apt. or PO Box fSo., ,..[ --- I + --> ----- ------------ZIP+4 City, Stat „ p 0/J I• N S � w 094 f!? Postmark Here _- �!'f-�i�1� � � S ---- j i - I� li I I! i 'I it ■ Complete items 1, 2, and 3. ■ 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: -Ti10 M A-S 17 A. Si at X •'` ❑ Agent ❑ Addressee B.; Received by (Printed Name) C. Date of Deli ry D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No op l / su c�A 1*t ,.421 44SA5 f5 >,C, oZ� 5O I<i NS40 nl) / 3. Service Type ❑ Priority redll Express® II I IIIII) IIII I'I I II (III I IIII II I I I I III I II II'lI ❑ Adult Signature ❑Registered MaiITM' ❑ Adult Signature Restricted Delivery ❑ Certified Mail® ❑ Registered Mail Restricted Delivery 9590 9402 1400 53291014 15 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Deliverya Rw&Ad Delivery ❑ Signature Confirmation'rK ❑ Signature Confirmation; 2. Article Number (Transfer from service labeO " t114 2120 0 0 0 3? 3 3 5 9520 ary Restricted Delivery PS Form 381 ` , my 2015 PSN 7530-02-000-9053 "' tvl l irlFF' teceipt USPS TRACKING # First -Class Mail Postage & Fees Paid USPS Permit No. G-10 9590 940F" 4k-5329 1014 15 United States Postal Service • Sender: Please print your name, address, and ZIP+4® in this box• f<4 biz �P5 tj y /Vc.0/10o4 % Al ';� gS%o lif!}lillli!}i'}!i!}I'isliii'}I'iiti!}li!'i'illi!l11II111'tI'fil'