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HomeMy WebLinkAboutSmallwood, William H.%�6AIVIA El DREDGE & FILL S A 4 10 66, '07 A B Previous per it # GENERAL PERMIT Jou P, ew - EJModification E]Complete Reissue 0 Partial Reissue Date prev1qu permit issued I As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an areaof nviropmental conqep p t to I SA NCAC ursu , � R61es attach e r 1 V Applicant Name Project Location: County Address— Street Address/ State oad/,Lgt #(s) ty--il f H Ci 0,� State 1.1V zip I LIOL Phone # Subdivision -Mail i Authorized e City �� Affected A OES 0 PTS Phone # AEC(s): 0 OEA IF IIH El UBA 0 N/A Adj. Wtr. Bod OIRW: yes PINA yes no Closest Maj. Wtr. Body Type of Project/ Activity x, Pier (dock) length Fixed Platform(s) Floating PIatform(sJ-_--1 Finger pier(s)_"- Groin length number Bulkhead/ Riprap length -- ayg distance offshore, -- max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing , Other � ;Y Shoreline Length SAM not sure 0 Moratorium: n/a yes Q_e 1 11 Photos: y?*'\ 0 Waiver Attached: no — — — A building permit may be required by: Note Local Planning Jurisdiction)V Notes/ Spe�al Conditions 0` A- (Scale: ❑ See note on back regarding River Basin, rules. I �jeAgent;or—Applicant Printed Name Permit Office Ps,,P rinte d Name Si Vease read compliance e statement on back of permit Signature �a?e_,, 4t 4/ V. Application I ,Check# U ss ing!Date,�,. Expiration 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: Tar - Pamlico River Basin Buffer Rules ❑ Other: El 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.nccoastaimanagement.nett Revised 08/27/ 14 1iiO��il�fs��r1/��' ■■■�llf/�Irii��d/' AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applyingfor Permit: 110 A i a M 41, S I"A l l u1 d 4 Mailing address: z4Z S Telephone Number: q % C/ - 5-.3 '�— R el(J 1 certify that I have authorized xvkt (agent/contractor), to act on my behalf, for the purpose of appljVng and obtaining all CAMA permits necessary for the proposed development of / h em& at my property located at This certification is valid through (date). 4f (Property Owner Information) Signature u�;!(►�,� H.:5"141wa50J Print or Type Name Title, co. owner or trustee for property ,30 c -he 1, Date qly"`r/.:z��ii Telephone Number RECEIVED NOV 0 2 2015 DCM- MHD CITY @ ot7 b&Ck 6f4r f 5fill vi c e , Cory] Email Address RECEIVED NOV 06 2015 DCM- MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property; adjacent to 1A) 1 r✓ta m R .S�,.rti1114 pbj 's property located at 83 l 4 (Name of Property Owner) (Address, Lot, Block, Road, etc.) on lit' a �>'n C rz e ek , in --!I- r^ (Waterbody) , N.C. (City/Town 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 must fill gfn�des iplion below or attach a site drawing) {—~ A --� WftAIV,ER C 10 j�1[ I understand thatLthe ring pilings, at ra rea e , oaiivu c, fi i must be setbackce of 15' fro my a a f rip ri n access unless waived yEIVED me. (If you wish tk, you must, . " 1 a opi e blank below.) ., lNOV 2015 t//T do wish to waive the 15' setback re u' t. o 1 do not ish to waive the 15' setba requirement �C�e CITY t (Property Owner Info a ion) T(Adee Pr pe y Owner Information) Si nature R° ?D 4dlf, A", 1-14Y���s runt or Type Name Pnnt or Type Name � Mal g Addr� Mailing Address 0- - Sl1�l ) L f Crfy/Sta%/Zip y —9 ! t � +y-/ � City/State/v Telephone Number/ email address — -� 72 ;eJ , s:111� a Te ephone Number/email address Date Date* ' *Valid for one calendar year after signature* (Revised Aug. 2014) Lw . 4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ` I'hereby certify that I own ro e p p rty adjacent to a �S���lGt1 DDG� is property located at '8 3 (NaMe of Property Owner) / ,'� C�S� (Address, Lot Block Road, etc.) on a , in 'N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above lo7ti�'o��� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill irk disc 1ption below or attach a site drawing) I understand that must be set back me. (If you wish t( , dock, mooring pilings, imum distance of 15' frc the setback, you must x kz C--I do wish to waive the 15' setback I do not &sji to waive the 15' (Properly Owner Inforri�a io ) Signature `�i.7111 %a �► �60 Print or Type Name Mailr— ng dress City/StateQip Teiephone Number/ email address /a AZ) /-.-, A/ - i Date *Valid for one calendar year after signature* f boathouse, lift, r in ;cess unless wa1v ank below.) . ry (Adjacent Property Owner Information) V 6 201 re r i( N e C� 1 C �� Vc® MailiqqAddr ss � / NO C C� ate 1p L ®2 2015 late e�� Tele,hNDrmiaddress ss C�LII 'T Y Date* (Revised Aug. 2014)