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HomeMy WebLinkAboutSalter, MarkI A-m iV,5 JZ�4tAMA El DREDGE & FILL LTR- "GENERAL PERMIT Previous permit # �,NlNlew 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 I SA NCAC DIkules attached/ 41,� Applicant Name Project Location: County_ 0, Address C0� Street Address/ State Road/ Lot #(s) City State ZIP Phone # �,,'""F-Mnil Subdivision Authorized Agent Affected 0 Cw �w A -PTA DES 0 PTS AEC(s): D OEA 0 HHIF 0 1H 0 USA ON/A D PWS: COW yes J, no.-' PNA yes Type of Project/ Activity Pier (dock) length i"',✓ 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 Boathouse/ Boatlift City ZIP 1 1 Phone # [liver Basin LIZ, 7A Adj. Wtr. Body- rhai /man /-unkn) J Closest Maj. Wtr. Body Beach Bylldozing Other Fr Shoreline Length SAV: not sure' yes no Moratorium: n/a yes Photos: yes Waiver Attached: no /O C Abuilding permit may be required b,, Y (-q (Note Local Planning jurisdiction) Notes/ Special Conditions A ! N. w aL -4- I'a A le L icn!�,, 1 41N Agent 'I t Printed Name Permit Off Sig ature� PlWse read compliance statement on 4back e It SignatuTe '- PIP Fees) ss vij D; (Scale: i ❑ See note on back regarding River Basin rules. n Printed Name, E mticin: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, certify that this project is consistent with 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 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.nccoastalmanagement.net/ Revised 08/27/ 14 rCAMA / ❑ DREDGE & FILLM 67718A B 'rC D ;E�NERAL PERMIT Previous permit# --" New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued sized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC�r pies attached t Name S;J Project Location: County Gpil, *_ Street Address/ State Road/ Lot #(s) 3_ _ State , ZI4 E-Mail Subdivision ;ed Agent "�... City ZIP ❑ CW CW „'PTA ❑ ES ❑ PTS Phone # O River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A �» Adj. Wtr. Body ' nat an unkn ❑ PWS: yes o PNA yes no Closest Maj. Wtr. Body �'✓'—' �` f Project/ Activity € f '` �° � ,r I r �, ■ vg distance offshore oil channel MIN MM Ell )Ic yards mmmimm=mmmmm MEN ONE 1_111111MIM MMMI ME No 11111101IM1101 NEON ---IEEE IN mommomi MOMEN 41IMEMIN �■NEON T �lsl■1 li � �■1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to YYL Ak;k�- 's Name of Property Owner) property located at l L it �( .S'i �i� �j�c Kc- (Address, Lot, Block, Road etc.) on K3 o 6 Gcrr1y in 9.exF'& T- , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. fie� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) 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.) RECEIVED do wish to waive. the 15' setback requirement. JUL 18 2016 I do not wish to waive the 15' setback requirement. (Property Owner Information) . (Adjacent Property Owner In r on ® CITY Signature Print or Type Name .I I �i S Af Zif& IQ A7�c� f�i'cjl Mailin Address tqc,�- J"V . PArei Cit /State/Zi sz.- Y a— s�S� Telephone Number Date Signature Ch,& p l �s Print or Type Name 1 t 3q 8, I ter Pk - Mailing Address 1/34 City/State/Zip Telephone Number 7,Q-,)q/ -017q 15 Date 6' `o _ io (Revised 611812012) CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: /' A p - 1C&&T £ & Address of Property: t aq S * c 'T e& p,att,' Merl- SitcaocAm nz .a"4 (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: I hereby certify that 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 pr osing. A description or drawina, with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. 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.nccoastalmana_aement.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. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to w tie setback, you must initial the appropriate blank below.) I do not wish to waive the 15' setback requirement. JUL 18 2016 EMM ® CITY (Property Owner Information) Signcfture YYi,0 1 k � fz Print or Type Name C,I,ZY S,4e- Gr eort4God Mailing Address -,�e,r f a /,t pi r a a la City/State/Zip Telephone Number/Email Address 6-3-146 Date (Ripafi4n Property Owner Information) Signature Print or Type Name Railing City/State2ip R15 3,71, - 3S 3 �-- Telephone Number/Email Address fo iif-/7D Ic, Date (Revised Aug. 2014)