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HomeMy WebLinkAboutTyson, Jamesvi k i r S >.'; k". ,... +M 03L E �i 7 � 77 Statement of Compliance and Consistency 4� 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: f Tar- Pamlico River Basin Buffer Rules sa 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 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-8884RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Tyson Date: 9/30/13 General Permit #: 63004C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount OW Dredge ❑ Fill ❑ Both ❑ Other ® 800 800 HM Dredge ❑ Fill ❑ Both ❑ Other ® 250 250 HG Dredge ❑ Fill ❑ Both ❑ Other ® 100 100 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-8884RCOAST :: www.nccoastaimanagement.net revised:02/03/10 ADJACENT RIPARIAN PROPELU OWNER STATEMEEIT 1 hereby certify that I own property adjacent to JAM iU Er !'rSeAJ 's (Name of Property Owner) located at 1 % ) S0 IV �nU65 2)d�- Address, Lot, Block, Road, etc.) an $�lq & bi t4& S CAS K„ . in — Ali N.C. '(Waterbody) (City/Town and/or Comity) The applicant has described to me, as shown below, the development proposed at the above location.? 1 oo<, 4ave no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (/ndiv7daal proposing dev+eiopment most fin in description below or attach a site drawing) 374-Z7 DRMwINe WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 95' 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 95' setback requirement. I do not wish to waive the W setback requirement (Property Owner Information) (Adjacent Property Owner Information) Sia�naturre J t-3 i y5 0A)- - ignature . --r- Print or Type Name 111 SANV Ptint or T 1 / � ti lam+'- 4L A"ft Address - 7I Ale— . ss1,� na�ir Addresstj C-aSs`l G J=M4-473� c. fty 83g-��i�t5 Telephone 9 �� !� Telephone NWnber Vila(.�3 Date Date (Revised 611812012) so, so, O so, loot SCALE: 110 60• 1 E. GLE181 CORK". CERTIFY RM THAT tTkli ' PRLdSTIONA �ORAIYNFACE �+ L o w MONI . ��ot $so AND SEAL THIS ----- ----.DAY OF A • tO BRICKAILOCK�' �� FOUNDATIONAS ON PILL 0 m APR8A118D 1299T W p4'PCy �-7/ mm �� O ^ �^\ \ FEt OOOOTINGS ONLY FOR FRONT AND REAR PORCH I d ! \ AT TIME OF SURVEY a I �l LEGEND: / \ I ECA! EXI57IM4 CAYCRETE A ♦ i EIP EXISTING 1RLYY PIPE r . EIR EXISTING IWV RW Y RIGh(TU� &NAIL PP PAYER POLE TEL TEMOAKWE PEDESTA CE OVERREAD ELECTRIC MW UEAN RICH WATER 7 IM RMLRDAD SPIKE QP ��ED Pd� EIR REVISED: iI \` APRIL 22, 1997 BY J.T. CCHHANGED EO ADDRESS UNDATION 6 RFFitRi`NCF.S: HIDDEN HARIBC LOT 8 AQJAggNT RIP'AR16N PROPERTY OWNER STAT 1f Eh!T ! hereby certify that I own property adjacent to , J A i'? F-6 (Nameof Pf ar perty Owner) property located at / f 5 �' HQ5. �7 _ 'Address, Lot, Block, Road, etc.) ~� on N.C. (Waterbcdy) (City/Town andr'or Col ty) ~Y The applicant has described to me, as shown below, the devetoprnent proposed a tiAe aboVe lt)CatiQ±I_ 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF (individual proposing development must fill in de Del tts'v'c~- s. cription below or attach a site drat►winnI MY•: qua _ +.• w. ,oa a4n•r w7u"trn� tlfftMN g���= Ir-T.A WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set' back a minimum distance of 15' from icy area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback regi iremen` (Property Owner Information) (Adjacent P party Owr+,er information) S'I�'!-llftll'P .�1fW"liil�r Y X- gAi, L" - -�� )-. Print or Type Name T Print or Iowa !Name so, so* O so, 100, sc.Ll..Ic. 11, - 50, L E. CUMN CORSETT. CERTIFY Tf1AT oPLAT �Tm MWOM �0ON immy&LmpsQ-W 44u fl t C$sol AND SEA. TNIS_r--_-.DAY OF_ mayy. • AD, 19____ A11Ai� _•la V �0•S BR %/BLOCK' cM FAS PLAAC� ON AWL18 199T a\/ / w /n\ FEt OOTINGS ONLY FOR I \ FRONT AND REAR PORCH / I \ AT TIME OF SURVEY ! O LEGEND: ECN EXMM1C C+OYWCRET£ A / E/P EX15l7MG IR6W PIPE �A y/ & PP POWER I E $ TEL IMEPHGHE PEOEST/ DE 01ERHEAD ELECTft MIN MEAN HIGH WATER RM RAILROAD SPIKE IMF NOW OR PARiIERLY CP COMPUTED POINT P a: EIRRIS _ APRILE22. 199T BY J.T. $ �\ ADDED FOUNDATION 6 I 53 CHANGED ADDRESS REFERENCES: `\ HIDDEN LOT 8 _♦