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HomeMy WebLinkAboutWhite, PhillipP GE & FILL 6647 A B CC D GE NERAL PERMIT Previous permit # ElComplete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Corpmissiln in an a ea of environmental concern pursuant to 15A NCAC 1H ules attached. Applicant Name 11 - P o! Project Location: County - Address Street Address/ State Road/ Lot # ell, Zip City, State Phone # E7Mail Subdivision Authorized Agent City ZIP 4�� E -1 Cw VV ZAAEPTS Phone # River Basin I Affected 7 AEC(s): EI OEA El HHF 0 1H 0 UBA El N/A Adj. Wtr. Body Z in—a't4man /unkn) 0 PWS: Closest Maj. Wtr. Body- ORW: 14;S'^11A no PNA yesJ nQ Type of Project/ Activity 4 Pier (dock) length f 'K I —! Fixed Platform(0 RL-1 -I- Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore — max distance offshore Basin, channel . . .. ..... ... ... cubic yards Vat ramp Boahouse/ Boatfift ' o hi x Beach Bulldozing I. Other Shoreline Length SAV. not sure yes �0'i Moratorium: n/a yes jn�0 — ""' Photos: yes (n .-- -- - I--- -I-- - T-- -1: i. Waiver Attached: yes " ri� A building permit may be required by: IN t Note Local Planning jurisdiction) 6 - Notes/ Special Conditions I Agent or Applicant infedt1lame El See note on back r Nam! (Scale: '00wT GJ River Basin rules. A ce statement on back of permit Signatur **Pl6se read compliance Signature App6cation ,e(s) Check# IssuiniDath iration'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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 0 Tar - Pamlico River Basin Buffer Rules 0 Other: M 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 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.net/ Revised 08/27/ 14 AMA / ❑ DREDGE & FILL' $ 66477 CsEA B NERAL PERMIT Previous permit # ,lifflkew ❑Modification ❑Complete Reissue El Partial. Reissue Date previous permit issued As authorized,by the State of North Carolina, Department of Environment and Natural Resources 'A6 and the Coastal Resources Co mi i n in an a ea o envi onmental concern 'pursuant to 15A NCAC Wes attached. a APPlicant Name Project Location: Count y r Address t j Street Address/ State Road/ Lot #(s) City . 1f r �15 v � i i � State ZlP �15 47 CA JA A, �✓ 4 Phone-Eri�� ail Subdivision Authorized Agent -' City ZIP CW Phone # TA ❑ PTS River Basin !' Affected ' O O ❑ ❑ IDEA ❑ HHP ❑ IH ❑ UBA ❑ N/A f AEC (s): Adj, Wtr. Body nat man unkn ❑ PWs ORW: es no PNA es / n Closest Maj. WinBody W� _ f �s Type of ProjecV'Activity �/ f� A� 314[/ d TAAK' /�'I'.f�,.,-n M Pier (dock) length �SCaie: f ) ®■■■■■■■ENE No ■■■ 41■■■Erg■■■■■■ boom �■Mla■�A■■■ Finger oi&(s) ■ ■■ ■■ ■ MM■M MMGroin length■■■■■■■■■■ ■■■ NONE Mr'(■■ gXNEINFINJ mom mom ■®■huniber' ■■■■■■■■ ■■■■■ MEN ■■■M■�■Mon, MEME■■■■n■■Eal►��1�1■■ MEN ■■■■■ �11PTIl■PMPROP.'r:!'17F MIEN 0 T.II11!1,1Ku,;MME W- ONE ■■ 0 ME MMM1*;1WVXMVW PRP 0 EMMIN ■■�1■■■■E■■■M■MEEM .■■■.■..■ I.� jIF► ILIA .E 1■■E■E/l■E■■■ ■■■■■■■ AID f lWIVI7 ■l4ll��.rl'irae�■■�Marli■■■�■ ■■■■■■■■ .■■.:,■■ ■■■■■■■ �I Il�lt ilt'! ■�`'�■ ■ M ■■�■■■■■ ■ U�..C■.■■■..ME PPIN■.■■■■■■MHUMM .■ ■EIhIM■■ ly!�oon a■■r■��■■■■■.MEMEt No ONE UA MMMMM il!2EM■E■:■MYME■rl1■UP-M/■■ UM■■■■■■■0Mr.■■■■■■ ■■N %Sam EMM■E NU M M■MIUMEM i■!�E■■■/®■■■■■■ ' ■■lJPJ■■■■■R Eall ■■`rl�►" EMMMWIM■■Mi-49M EME■■l■■ME■NEEMEM ■RAMN/!■■■■ UNIZE a ■ ■■■MEMO ■MLI�1! .il%■CGIMM■■ Off! E NNEWMMMr I�Irl�lr■MMMLi1■OM■EE ,gip ■■M■■■MrM■■Ma■■ II-q111101■:IN®■■ M C �MM2�'; a 1�■■■iIIJ.7�ME �■!lM■ '3®:■■■■■■■■■ ■MMUMEM■■M ONE ... No MEMO EM E ■ LEwrilll';[11111■EF►/.EMM■h■■■■ME ■ ■ ■ ■M■ ,�■ ;.■�■EE■�.■�� 1111I IO ■.®.�.�C��..■ ■MM■■■ MIEIIIIIIIIIIIII� m ■■V E►rEMEEwaM■�II>�I®■�Il�rri�rrr,re�lrrlrr . _.MAU E]See note on back reprding River Basin rules. D�cw ! ! T 1 /.+ Permit _ �P� N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: �I.,I,► W�kV-e,,, Mailing Address: Na q& I certify that I have authorized (agent) -- ` -ber 61A � f0j i o lv&to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) i�7a (Y-ai ►aA bT- IC: le. Gfi RECEIVED This certification is valid thru (date) I tCJUV►' 1 ` i� �� DEC 2 9 2015 Property Owner Signature Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: I t1; Q to k I I C-, Address of Property: /� -LyC! God l s- (Lot or Street #, Street or Road, City & County) /J / Agent's Name #: !J, y (Jl(�� tj Mailing Address: f,) D boy Agent's phone #: d5� "3 J c-9 9`�� 1�1,41,erol ,l 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 proposing. A description or drawing with dimensions must be provided with this letter. JI 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 athtta://www.nccoastalmanaaement.net/web/cm/staff-listing orby calling 1-888-4RCOAST. 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, boat ramp, 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 L tow 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. (PrOiDerty Own r formatio) (Ri riar(Property Owner Information) Signature JFature E C E I V E D ph't fe--0 9vot ri %o? DEC 2 9 2015 Print or Typb Name Print or Type Name 67 NG q6 W K C &OV 00Ni (` AUt DCM- MHD CITY Mailing Address Mailin Address Ile lUG �75�� �w►���I�SI� n-� City/St /Zip City/State/Zrp fAi q1C Telephone Number E ail Address Telephone Number/ Email Address Date C'1 It 35 Date (Revised Aug. 2014) CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER N OTIIFICATIONMAIVER FORM PhName of Property Owner: 4 t / P W A i -11e - Address of Property: [� / Q� 6,egt -oa Ar (Lot or Street #, Street or Road, City & County) Agent's Name #: 0-14 tl Z�/r �C16�(, 15 Mailing Address: ✓" a /�0/ / 5u 4" C� Agent's phone #: q� a- �`l d -1,V 7 /' yM ��2"� Gt .�- S 1 c IQ6 �� � / 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 proposing. 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 athtto.11www.nccoastalmanaaement.net/web/cm/staff-listina orby calling 1-888-4RCOAST. 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, boat ramp, 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. (Prop rty Owner I mation tgnature PA,h� 1I� Punt or Typb Name Mailing Address Y dun u (lamp City/Sta ip 19 -351 �h; l l,pi, ", e® t)e . c(. 60 Telephone NumberE ail Address Date (Riparian Property Owner I form ion) t lvA"J�„ Signature ' Print or Type Name t0g0.& CANS RECEIVED Mailing Address e•✓t;r�D �� ` F � � DEC 2 9 2015 5tyistateizip nf' nn M H D C IT -6116 Telephone Number/Email ddress l7�illlZvlS Date (Revised Aug. 2014) Riprl'n prop ire 'pox. prop'M in' ` ' to rn I pry l../ N G CD m ^^L'' ^W I..L cu w 0) O -0 L U C O CU ►� H' o. Gol4562 Nc. P.O. Id 0.. N Em'nk W' NC 285p4 GM H—m ofR@h'rbprc -dnp.00n 252-W4987