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
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G t 4 1, ti State ZIP
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go IN
MUNWIPHawl
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Beadh Bulldozing
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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�—
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er
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reline Length , . '
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/ :>.: not sure yesPno
r
atonum• n/a yestos:
y�
ver Attached: yes
wilding permit may be required by: i
't
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❑See note on back regarding River Basin rules.
ote Local Planning Jurisdictio
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"
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
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