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HomeMy WebLinkAboutBurton Farm Development Co.No 70411 ❑CAMA / ❑ DREDGE & FILL A B C D ,. GENERAL PERMIT Previous permit # ❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 1 , I4 /" t' and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ules attached. County Applicant Name ; w f : / �...!� Project Location: Street Address/ State Road/ Lot #(s) ' , N Ec:t( ' Address 11 >� City :"=rV�L'' State'° ZIP < 71t.• Phone—� o f `�" E-Mail O Subdivisions _ Authorized Agent 5 -"4f��t ar' ! City ZIP j ElCW [IEW ❑ PTA ,-JQES ,ill PTS Phone # ( ) , River Basin Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA El, N/A Adj. Wtr. Body / k , s I n man unkn � ' Closest Maj. Wtr. Body ' ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) r ` Groin length number Bulkhead/ Riprap length avg distance offshore i max distance offshore / Basin, channel cubic yards Boat ramp Boathouse/ Boadift Beach Bulldozing Other Shoreline Length ow SAV: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes n A building permit may be required by: 1 1 3 ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # (Scale: IwMil ❑ See note on back regarding River Basin rules. PermitOfficer's Printed Name r' r` Signaturf j s Issuing Date Expiration 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, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules 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 complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 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 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home 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) Revised 7/06/ 17 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit*-�E> . r {- ­4---g-,- r ,.A '] � L-C n-1-,l (b - Mailing address:"�1 Telephone Number: I certify that I have authoriz ,.a (ag ent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of _ at my property located at This certification is valid through 'A - a D - t g (date). (Property Owner Information) Signature D. �rVA, h . e::!! In a 14, 5 Print or TypeAlame) Tate, co. owrYer or trustee for property Date T Telephone Number Ema' Address 11 Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ® Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: U, vtAD 5Rs'-�'C"V-P- 1, �` 7 (.D U� O ' A. X ❑ Agent ❑ Addressee !!�� C. Date of Delivery 3 •A'7 - l 1� D. Is delivery address different from item 14 ❑ Yes If YES, enter delivery address below: ❑ No 3❑ SeSceTtyp ❑ Priority Mail Express® II �'III'I III I'I I II II II�II I IIIiIIIlIl III igreAdua ❑ Adult Signature Restricted Delivery ❑ Registered MaQTM ❑Registered Mail Restricted 9590 9402 2553 6306 4720 76 ❑ Certified Mail® ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for Merchandise ❑ Collect on Delivery O C�II@9t gn Delivery Restricted Delivery Signature ConfirmatlonTM ❑ Signature Confirmation 2 N a rtmr,rfcr t:em 7 017 1450 0001 1777 0251 3estricted Delivery Restricted Delivery Domestic Return Receipt-- PS Form 3811, July 2015 PSN 7530-02-000-9053 r items 1, 2, and 3. lame and address on the reverse can return the card to you. card to the back of the mailpiece, orit if space permits. ssed to: r l .' t„ss3 - o•� Pi - ck l A. Slgnature� X ❑ Agent ❑ Addressee B. Received by( ted Name) C. D e of D ive ✓, i D. Is delivery address different from Rem ,? ❑ Yes If YES, enter delivery address below: ❑ tSo a type a. dull ❑ priority Mall Express® III i ll ll llll ! I! I i Ill l ill i fll I I I ❑ Adult Signature Si ❑Registered MaIITM ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 02 2553 6306 4720 69 ❑ Certified Mail® Certified Mail Restricted Delivery Delivery ❑Return Receipt for ❑ Collect on Delivery Merchandise �e�u _ — ❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM 71117 1450 1 17 7 70244 1 ❑ Signature Confirmation iil Restricted Delivery Restricted Delivery 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt DWOON OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOMFICATIONANAIVER FORM Name of Propwtyy Owner. ,address of Property: �,Q V�& rAkA 'L, LQ a C� j �� 0 f J� —r �c�►n � _ � �i �`t �� (Uof or fted A Sbiet or mod, My & court '-B a66�, Cots-�- A9Ws Name#: Cotes $�+ ear. • �. Maft Aftass: ( 6b 3 M-e ui e Ass phone V a5^ a - a y9 -1 Ca ! -7 Grua, N*,". A)C- aTs a 9 I hereby cep► that a"no for this Pert they are propoov. i ____,_r,I have no objections to this proposal, ______I have objections to this proposal. megsomM ( �� � no@A �noaca. f`aribd � OW ofto in a'by0saw +1RCOW8% WAVER MnON I untlwshm that a Pier, dock, mooring pilinsis, boat ram, breakwaW, boathouse, or oft must be ad back a minimum distance of I& from my area of riprien acoetas unless walled by me. (If you wish to waive the setback, you mug InWd the approprlaha blank below.) I do wish to waive the 15' setback requirement i do not wish to waive the IV setback requirement. gc� Owner ' rivp P � � C� j c . to���o ir. � YYS t Y �'� Ole � Th e_ Orm— TMOMM NtrrMW18W Aeit M 3LMM (14rvfasalAug. 2014) 9 x 30 Platform Drawing by Bobby Cahoon Construction for: Arlington Place Proposed Neuse River Concrete Pier Community Beach Area k1000L1UII LU UC UC1C1111111CUf This drawing is the sole property of Bobby Cahoon Construction Inc. and is not intended for use by any other entity.