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HomeMy WebLinkAboutWilliams, Jasonu AMA► / O^DREDGE &` FILL NVO 65 415 VGN ERAL- PERMIT Previous permit # mew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources W and the Coastal Resources Commission in an ar of environmental concern pursuant to 15A NCAC ' s'f Mules attached. . Applicant Name"`''` Project Location: County Address d Street Address/ State Road/ Lot #(s City State?°• ZIP ,,,?�,.d Phone # �,i.I) P j:.'"'�.,r /;"r� E-Mail Subdivision Authorized Agent City !M i ' " r,~ ZIP � } � L•�%'� Affected ❑ CVN '"'SSW ""mC�]'P'rA El ElPTS Phone # ( ) River Basin � . ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Win Body !' ' l man unkn ❑ PWS• " i r Closest Maj. Wtr. Body ORW: yes p° no k PNA yes// no Type of Project/ Activity _r, r ,Y {7 cl O r t C-Afaf i Pier (dock) length-� Fixed Platform(s) Floating Platform(s) Finger piers) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore ' Basin, channel cubic yards Boat ramp Boathouse/ Boatlift. MI 11111111MEMER11001111 NEI NMI ❑ See note on back regarding River Basin rules. EJ7 1 i e' / :rmitOffi�A s7ted Name Signature ), 1: I §umg Date f Expir bV } cm Date it 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules 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 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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.nccoastalmanagement.net/ Revised 08/27/ 14 AMA / ❑ DREDGE & FILL, t°° a' NERAL P � � 41 A B D PERMIT I T Previous permit # Mpkew ❑Modification El 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 Commission in an ar of environmental concern pursuant to I SA NCAC ,Mul-7 0 es attached. A GJ� ,` I �:/h I ProjectApplicant Location: County Address f t Street Address/ State Road/ Lot #(s) City F'G4 ir,>= StateAJ� ZII' 11 ce Phone# )La - &/ E-Mail Subdivision :- Authorized Agent City t ' ;•�' ZIP a f Affected ❑ CW -.. OWTA ❑ ES ❑ PTS Phone # ( ) River Basin ! c. 1 ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA AEC5: �) I ❑ PWS: Adj. Wtr. Body !"!1 man unkn ORW: yes no` PNA y / n Closest Maj. Wtr. Body Type of Project/ Activity 1 ■ ■ ■■■ ■■■i i �� ■■ OR ■ ■ ACC■CCIN INK acCs■■C1C.■ C ■■■■■■C■■■/■I7W■■,aA 41N■`NEE/;�ilicgmm■■■ ■■■■■■■■�■/J■■■■■J■t�■ �1■■�■�1r\L■7��■■i■■■�® ■ ■CMGs■®� iCCr �CIhCC��;■111111OMG .•4=CC'CCC momCCC:' : UNINa C■C► WERM o N1 CCiiCiCCCCCC■'e■■CC■■■`,'i'►i',C.Cii C CC CCFIAMEN ■ci■N■■ ■ ■ ■�■ e�•..■■C�■■■■! ■■ ■■■■ CC'�CCC■■:ACC■CCCCCCcC■C'.:C■■■■:�■C■■■.0 . ■■OMEN■■■■■11001 ..........■�..C■CC■■■■■■ ■■■■■■■■■■■■■■■■Oe�■CC■ ■■. ■I.. ■ Agent or Applicant Printed Name r Signat Please read compliance statement on back of permit Permit Offi . s ted Nam w Application Fee(s), Check# Issuing pate �/ii . Expiration Date. t t ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent tosav� 1.J,��', , ,_, s (Name of Property 01 property located at i one,, �'S (Address, Lot, Block, oad, etc.) in�- (Waterbody) (City/Town and/or Cs The applicant has described to me, as shown below, the development props location I have no objection to this proposal. i I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPN (individual proposing development must fill in description below or attacl 140 f H, 50 'Via', J WAIVER SECTION I N.C. at the above r a site drawing) RECEIVED MAY 2 61015 DCIJ tYt tD C!tl 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner info ation) �natu�re Print or Type Name 3t S boa.. 64; Mailing Addr ss 3e'..u-- 4- r iG a jS l CitytState,10 Telephone Number Qwner 1 Print or Type Name AS- 2 fl ItIC- 7Z.-7,s9 i lv�S— Telephone Number Date Date 8l1 &2012j N r hereby certify that I own property adjacent to Sa a " 's (Name of Property wner) property located at g Socm �" (Address, Lot, Bloc Road, etc.) on �1�. s-}ra ►�-..5 , in ce*,,rtP , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development pro osed at the above location. ✓ I have no objection to this proposal. I 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) i7 a�.Gc s, 5 " w ),e mac - 4J Ic",.5k 7b to 50 ' 66 ' 1 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. I do not wish to waive the 15' setback requirement. (Props Owner In nation) Signature Print or Type Name ,j 318 c-T-MA". C Mai �ng Acidr . r,J City/Stat�eElZiip+ asa - tiaa - 69�y Telephone Number -- y -- z ;)- -15 Date (Adjacent Information) (Revised CVI&20f2) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to \�so,n 1,J.k� .. . s s (Name of Property Owner) property located at 3l$ Jaa,� CA-1 on 11-le- (Address, Lot, Block, Road, etc.) N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location/ I have no objection to this proposal. I 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) t/oGV� P/}�f�. f ,n-J� tr1 �. e P�� �•` C-5 dole Giro �+ 0 s o f s � UC Adj. 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. I do not wish to waive the 15' setback requirement. (Property Owner Info mation) (Adjacent Property pwner Information) ignaiure J ignature S, � s5e ,II'« ,S -W,r Print or Type Name Print or Type Name Mailing Addr ss M9iling Address EitU - /z wC Z7SjJ / City/state/Zi City/ ate/Zip �N- y�2�- 69 ?L/ q/I? - &I Telephone Number Telephone Number y-�� - 15- j —z11--/s Date Date (Revised 611812012) I hereby certify that I own property adjacent to property located at g --S-OGi.n \ (Address, on s-� fa'�-F S , in (Waterbody) TE o*,O%n %\ kI (Name of Property Owner) Bloc� Rpad, etc.) (City/Town and/or County) N.C. The applicant has described to me, as shown below, the development pro . osed at the above location. I have no objection to this proposal. I 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) , 0C.LC Pic. �'�,�.. f � r,..J w -J e a,s G lo'S C- �Iofs ( �le et 1�,I 1c.54l. -)0 10C WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or I roin must be set back a minimum distance of 15' from my area of riparian access unless wai�d 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. (Prope Owner In rmation) Signature -S-'50' W�II,a.-.S Print or Type Name 318 T-0, L+, Mar ng A r ss 'Jeo. + r r\JL �g5/6 City/State/Zip :45a. -gAl - 6974/ Telephone Number y- 2�-/5 Date (Adjacent Property,Owne� Information) Address TBlephone?dumb (Revised 611812012) Page 1 of 1 Parcels - Updated 05/21/2015 D Centerlines NC Railroad Right of Way 13 County Boundary Other County <all othervalue>> Ca rt Acreage Parcel Dimensions Lot Number http://carteret.connectgis.comIDownloadFile.ashx?i= ags_map8ffea378cfO34875b8a55a45... 5/28/2015