Loading...
HomeMy WebLinkAboutJones Island Club C/o Dan Hancocksv ECAMA / ❑ DREDGE & FILL N2 70963 A B C D GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC j 0 Rules attached. Applicant Namur I t r err--- Project Location: County C Address_ "'ct ` Street Address/ State Road/ Lot #(s)- City _ State ZIP Phone # ()_ E-Mail Authorized Agent _ ❑ CW ❑ EW — PTA ❑ ES ❑ PTS Affected ElOEA ❑ HHF C lH ❑ UBA ElN/A AEC(s): ❑ PWS: ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number ' Bulkhead/ Riprap length !: avg distance offshore max distance offshore .< Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Subdivision City ZIP C' Phone # ( ) River Basi^ r Adj. Wtr. Body n„atsnan /unkn) 1 Closest Maj. Wtr. Body Shoreline Length SAV: not sure yes n J7� Moratorium: n/a yes no Photos: yes# no Waiver Attached: yes ` no A building permit may be rIequired by: 1 i C..0 C? ( Note Local Planning jurisdiction) Notes/ Special Conditions_ f9!7,'./ Agent or Applicant Printed Name Signature P I ease read com pl iance statement on back of permit 7A 1 Application Fee(s) Check # (Scale: ACME See note on back regarding River Basin rules Permit Officer's Printed.,Neme s Issuing Date Date 1 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 comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) Revised 7/06/ 17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Jo✓eS 46vzw Ac Mailing Address: `j(o` Ga(e_ Coee/c_ P,.W Phone Number: ✓ (- Z�si S 2 2-&,Is-S:700 Email Address: 4.1;eI @;o'�)1sIre 0cfc(US cAn� 1 1 certify that I have authorized 24`�' C C "{�1 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature b&n1f't Hr'V1 W CJC Print or Type Name —� Title :_/ 20 / / 9 Date This certification is valid through 3 t, 20 / ) q DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to (Name of Property Owner) property located at���� (Address, Lot, Blo ,Road, etc.) . ' o h N.C. on ��c��� 5tc�f C��� � � �?���9 , in r9-� /i"Gv (Waterbody) Rv (CitylTown and/or County) Agent's Name #: Mailing Address: Agents phone #: He/She has described to me as shown below the development he/she is proposing atthat location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) 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 athttp://www nccoastaimanagement.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. _ (Property Owner Information) (Riparian Property Owner Information) Signature - Signature �ctrVe.\ y-D 0 V1 o vt -P S Print or Type Name Print or Type Name q�oq 6-le Creek- road Mailing Address. GU�bro At zss IS City/ atei0p�n'e(@�J✓X',Sis1a"n'�clab•cQr^ Telephone Number/Email Address Mailing Address _T City/State/Zip Telephone Number/Email Address 3-7-0 -- I't Date Date (Revised: Aug. 2014) DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to 42 V? (Name of Property Owner) property located at-_� c �G j; i� (Address, Lot, Block, Road, etc.) on, 0. mac` 40,A;P1 n lr G �c .�. (Waterbody) (City/Town and/or County) Agent's Name #: Mailing Address: Agent's phone #: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------- - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is available at http://www.nccoaStetmanagement net/web/cm/staff listing or by calling 9-888-4RCOAST. No response is considered -the same as no objection if you have been notified by Certified Mail. (Property Owner Information) (Riparian Property Owner Information) Signature )�, ignature Print or Type Name Print or Type ame Li (hn i Gil, Mailing Address Mailing AdTress Ccty/State/Zip Cit /Stafe/Zi cy(gW ��)a.,rS�s lua�(cI�b cd.ti, Y p Telephone Number/Email Address- Telephone Number/Email Address 3 Date Date (Revised: Aug. 2014)