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Home My WebLink AboutStagner, Jubalicy. as11sFelN 1,;1,CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # 7New ❑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 Commi Sion in an area of environmental concern pursuant to 15A NCAC Rules ttached. o F,kpplicant Name .i 1 j - `�� } Project Location: County t 6 1 1 Street Address/ State Road/ Lot # s Address i 1�`` O City rr (�i' Statel ZIP"/it • i t' � .._._.._.-..,_ Phone'#(` `)� (` ax#�j~-~'^"" Subdivision i w, ,1� m ("~:' City .L�, �� 1�11? (, {Y ZIP Authorized Agent' r 1 ,� j� n i ❑ CW L;gw P-TA ❑ ES ❑ PTS Phone # 11"I) {' er Basin lvE i f Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A T�i r ' ^ i '� % , AEC(s): Adj. Wtr. Body ( i ti (f � flrti (-. '{ nat than unkn ❑ PWS: ❑ FC: Closest Maj. Win Body no ORW: yes / :�0 1 PNA yes / Crit.Hab. yes / no Type of Project/ Activity ' '� i ' i # �� i y-1 , 1 C : ,(. y:-'�r li i �(j f �i.,, I i Of 3 (Scale: I ly Pier (dock) length Platforms) Finger pier(s)! Groin length number- Bulkhead/ Riprap length - avg distance offshore �. J max distance offshore i L Basin, channel cubic yards---- j C D Boat rampnr Boathouse/ Bpatlift. PC Beach Bulldozing'" Shoreline Length _ _ !.. SAV: not sure yes o Sandbags: not sure yes np Moratorium: n/a yes+� no ? , Photos: yes no ! v + Waiver Attached. j es no m 1 ij f ❑ See note on back regarding River Basin rules. A building permit may be regwred by: �i ' }`t ( i g Notes/ Special Conditions- r . _ j s l ; �i ,� , �J�. , " t t 1 (; 1 ,� i < n� ! t' !_` i�ttl tl,;� Vfcf,lr; ny( v(I; `=)) ti11 �c=`(� ('fl ,; . { '(`'t +`�'t � i � f Vt.•f; - 1 , .-� `. I;�t�._�- �i ..ti . � n{�; .�," �4nf,'1'.�=t{:iS';��. ,� til-f.�' ��`�j't�-�7;��;{�t,� .. "� E {i• _ � ; t ent or, "Applicant Pri ted1Name Permit Officer's Signature ii 01 Ignature ** e� ase read compliance statement on back of DerMIt * IssuingDate - t j Expiration Date s // ApplicationFee(s) Check# Local PlanningJurisdiction RoverFileName 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 andvoid. 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: Tar - Pamlico River Basin Buffer Rules 0 Neuse River Basin Buffer Rules Other: 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. 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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) 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 -below New River Inlet- and Pender Counties) Revised 08/09/06 GP Habitat Sheet Name: Jubal Stagner Permit M 65276C Date: 10/22/14 Address: 112 Sound dr. Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Open water 493 493 n/a n/a RECEIVED OCT 24 IN N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date / —20 -,.-, Name of Property Owner Applying for Permit: Mailing Address: �o fox 1 q0q1 A All,a **761 I certify that I have authorized (agent) kk , Srp-4-% to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) &.7f Lt 164- 9 at (my property located at) (% �oK.�+� bn V'e- f Af3 . t L This certification is valid thru (date) RECEIVED OCT 24 M4 DCU-W4'1 D(MR RECEIVED OCT 20 2014 DCM-MHD CITY '2�� CAJv, -ee-y� � v eA L- o50-coEre, 112, 5au0D 'DOgP- t,.agn.ITt C.. t3EAC.04.d a N U w V 3: U C t�e move -ro r CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Own Address of Property: (Lot or Street #, Street or Road, city & county) Applicant phone #: q t &' it 14- qO'T? Mailing Address: PO &C !!Z!�f L (Ureq k G— oZ 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 posing. A description or drawing 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 www.nccoastaimengement net(contact dcm.htm or by calling 1-8884RCOAST. 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, 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 waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Bair 19a�1 Mailing Address lot 9-1 hff!q kR t CitoStatelZill �'19 - �19�� q 00 Telephone Number loh�h� Date (Ri anan Property Qwner Information) Srgna re Print or Type Name RX City/State2ip / RECENED Telephon6 Number �T 2 4 2014 RECENED flaw Date OCT 2 01014 DCM-MHD CITY A DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: J u Address of Property: I l aA . )uu '"' cv i /,L' C L C- (l.ot or Street #, Street or Road, City & County) Applicant phone #: Mailing Address; _ P6 .96 X f 9 o a .2 7,6C I hereby certify that I own property adjacent to the above references applying for this permit has described to me as shown on the attached they are proposing. A description or drawing. w ith dimensions, must bE I have no objections to this proposal. I have objections to this proposal. 11you have objections to what Is being proposed, you must notify the Division of Coastal Management (DCM) In wdiing within 10 days of receipt of this notice. Contact information for DCM offices Is available at www.nccoastalmangementnet/contac(dcm.htm or by calling 1.888.4RCOAST No response is considered the some as no obfection if you have been notlfled by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, 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 waive the setback, you must initial the appropriate blank below.) Al I do wish to waive the 15' setback requirement. I do not wish to waive the 15! setback requirement. operty Owner Information) gnature Print or Type Name C/ Mailing Address I-Qa/-e-: 76 City/Stateorq Telephone Number za6 Date Information) 1�kvkJLs L . (.>r4N) nt orToo Name Mailing Address In mcc' �-'D R. s 5 ( /JC_ 2 City/statealp 9?iq-21q-M32- Telephone Number - 9-2�'�q Date RECENED OCT 2 d 2014 DCM*",CITV RECENED OCT 20 2014 DCM-MHD CITY