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HomeMy WebLinkAboutWallace, JamieN}CAMA / QREDGE &PILL LL C " ENE L PERMIT Previous permit# `LT, ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources f F and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. Applicant NareY> �� 4" `',,, , ' Project Location: CountyiA� Address w~ 1 " a , f ``, i ' �� Street Address/ State,Road/ Lot #(s) s b. i G t 4 1, ti State ZIP t go IN MUNWIPHawl M. MEMIN . ■��■r9i111�ilii�■1 Beadh Bulldozing '0'0'0■'■'■'■'■■■■91:C'.'.'.■C����C��.C��I� -■■■■■■■■■■■■1■;■■■■■■��Ll�l■iO■�■�LIIL'iir�iir�■■■ IMINIMINIMM ONE 11 M EMOMMEMEMME 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 I) 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, certifythatthis 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 how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headauarters 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.nccoastaimanagement.net/ Revised 08/27/ 14 AMA / REDGE & FILLS .. 'ENE L PERMIT B t Previous permit # ew. OModification ❑Complete Reissue ❑Partial Reissue Date;previous permit issued ithor ed by the State of North Carolina, Department of Environment and Natural Resources he Coastal Resources Commission in an ara Qf environmental concern pursuant to 15A NCAC 4 a r� , Rules"attar d. cant N project Location: Countyc�... Pph C ) i/ , Street Address State F%ad/ Lot #(s) ri 4 � ^�^«;,:'..�, - D 1. State ZIP , • �~ , ' d -Mail Subdi i ton r o'rfzed Agent City a ZIP, . ❑ CW W TA ❑ ES ❑ PTS Phone # River Basi f# IV ted, ❑ OEA ❑ HHF ElIH ❑ UBA El N/A �. `� s) . ,PWS -, Adj. Wtr. Body `� r s'4 nat aii `unkn no PNA yes / i1 Closest Maj. Wtr. Body J `i''fr, v(s).? ! it of Project/ Activity 2' , (Scaler :(dock) length ... . d Platform(s) - ItingPlatform(s)- rer piers)-- in length i number dread/ Riprap length AU avg distance offshore " rijax distance offshore ramp INNESN'l awl house/ Boatllft�— ■■■■■i■■■■■�IfT►11■■■■■■■■■■■■i■■r-Mr r-tTf=1-17■ er �����������t stir---------------� ,�.�a r—s..-—la • reline Length , . ' �. / :>.: not sure yesPno r atonum• n/a yestos: y� ver Attached: yes wilding permit may be required by: i 't �' ❑See note on back regarding River Basin rules. ote Local Planning Jurisdictio " " " I tes/ Special Conditions , . , � r , / C torApplicant .Printed Name Permlt0 icer's ri ' 'd ame tu7,`.'0** PleadreadcomplianceM atementonbackofpermit Signature'' `•--.:....» � yid '' ,�;`_ � �# -,, �:..�,•^" 3i , ca(t�on Fees) Check #. Issuing pate Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -Jar f- [I.l ice 's (Name of Property Owner) property located at a ( ddre s, Lot, Block Road, etc.) f on GC4-e l` , in �t� 0e i- , N.C. ( ter ody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above loca, . 1 have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) PQ t)c� U't r) I yC9'-) 41 & r-ox, A113 ®HUV -w3® 910z 11 Am 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.) I do wish to waive the 15' setback requirement. RECEIVED I do not wish to waive the 15' setback requirement. MAY 9 3 ms (Property P ner Information) 7C,K{e udlc(e Print or Type Name 7-64 gsgscde A-, Mailing Address Caae Ccrh,� ; I\fc 28—p' f City/St ta�e)Zipp 2:5e- Telephone Number l S�lb/ i4 Date (Adjacent Property Owner Information) DCM- MHD CITY Aamlnfe- v Signature 54rWE <JaK0!SOti Print or Type Name 50q C ACE Po► MT e..T Mailing Address CAPc i\� c 7-8554 City/State/Zip 25;2-764 - 3 17e Telephone Number 51f011 6 Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to :Ey'L, F2. (02I c 's // (Name of Property Owner) property located at &j (Address, Lot, Block, ,toad, etc.) on 4 , in Q00 N.C. (Wa rbody) (City own and/or County) The applicant has described to me, as shown below, the development proposed at the above loca 'o , . I have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) P rd b'� S w1j, �� C IOU RECEIVED MAY 11 2016 WAIVER SECTION DCM- MHD CITY 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.) I do wish to waive the 15' setback requirement. I do r"sh to waive the 15' setback requirement. uagriutcr>z-- Print or Type Nam 2s--> Mailing Address-�� jj* Y'ts /�cyt, L Z59S'S� City/State/Zip 2S7Z - Zq I- OLL1S Telephone Number UWIL Date RECEIVED MAY 232016 (Adjacent Propert Owner"�ormation) M- MHD CITY �. --� Signature oom(g Print or TM e // //�� // 1, CC�- y'e �ol � Mailing Address -0 r ILL Zg�'�`� City/State/Zip )I- 3GCk'413 Telephone NuM ��/ Date I (Revised 611812012) 2'SZ 241-oCki Y .... ......�.�W ..,.......�,�,...�,.�...�...„.r.�...,�..,,s.,:..,�..��.._..,,.....tea®.m.m..��.m..q.,s� _ ..,s.. -m�.�. ..m.di,..=�+...�,+��,.�