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Home My WebLink AboutKennedy, CharlesJCAMA / ❑E_'DREDGE & FILL N272098A B C D GENERAL PERMIT Previous permit # D New --Modification [-]Complete Reissue ElPartial 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 15A NCAC 7 Rules attached. Applicant Name- Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # E-Mail Subdivision Authorized Agent City ZIP Affected [7 CW 01 EW D PTA El ES El PTS Phone# River Basin [I OEA Ll HHF El IH 0 UBA El N/A AEC(s): Adj. Wtr. Body---- (nu� ]man Junkn M PWS: ORW: yes / no PNA yes / no. Closest Maj. Wtr. Body--- -MEN M MEN ■MENI ME■MEMEMEMOMM EMOMMIM ME No V V. MEM MMMMEMOMME ME HE F11 11MV111 WINE I I a■M Boom= IMMMMMM ME MMMMEN= NONE ■ K ■ ■ M EMMEME No ME M0NW=MMM No P11111110V &I ME M ASININE M. ORNAME ME WE ■■■m■■■■■ swim ME E a ONE MEMOMMEM M■i■i■■�■■■■�■i■�■�■ 0 E ME■ ■■ �■ ■� ■� MEN■ Es I■ i M ME M■■i■! I ■�i■■■ EMEMM E ■■ice■■■Ei■■■■■ ONE INON ■■ice■■■� WIN•ENNEEMME■ ®■■■■■■ M mff"hV_Jw NN Agent or Applicant Printed Name Signature Please read compliance statement on ba&of permit Application Fee(s) Check# PermitOfficer's Printed Name Signature Issuing Date Exp(ir-ation 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 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/ 1-888ARCOAST 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 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 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 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: 1,1'n" et-3er +- CharI4 S h�f#ne- dk Address of Property: 7 S9 0 ld S t k st i AA, Qea` AO rt i-Z Cap l k re e- co, (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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. 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 at http://www.nccoastalmanagement.net/web/cm/staff-listing or by 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. (Property Owner Information) gnature Print or Type Name Z.6 r 3 ,eu P & -Y /" Mailing Address City/State/Zip (Ripa ' n Property Owner Information) t Zignature ��7r'v,A2 Print or 7yype Nyame 0/4, Mailing Address City/State2ip t, OIL Telephone Number/Email Address ( Te ep on�er/ mail A d se s Z Datel 11Date (Revised Aug. 2014) U.S.TM tal Service RF�EIPT FIED ail Only information, visit our website at www.usps.com®. 1-N7Ek-1-1�!211:i'Xz0 Certified Mail Fee :3.35 N942 01 fU 7 Extra Services pt Fees (check box, add fee qJfJr Return Receipt (haMcoPY) $i�t postmark r-J ❑Return Receipt (electronic) Certified Mail Retricted Delivery $�/yy(a Hefe Adult Signature Required $ Adult Signature ResMcted Delivery $------- O Postage $0.49 491i9i2017 Ln :3- $otal Postage and ".5g �O � � $ 1^ L sentroa? on Jr''P r.a p --------. SheetendApt &0,,o;Pd6oxNo. i -D a- b� 11 Q y --`5------------ t-------------------- r CityCaiYl'l�DYd /(� C 7 33 r.�rcrzawic ,OASTAL MANAGEME TY OWNER NOTIFICATION/WAIVER FORM Z & fo li RA l��.t.. iJ' T G o` / . (y,� t, Street or Road, City & County) Mailing Address: 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. 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 at http://www.nccoastaimana_gement.netlweb/cm/staff-listing or by 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. (Property Owner Information) gnature 7-re-1 )-the6er�e►.- Print or Type Name 1673 Xv,-Pky 5 1- Mailing Address L'��o +�•rb , ✓y S' ��f City/State/Zip (Riparian Property Owner Information) �- Signature Print or Type Name floe A], /eCt Mailing Address -Sa K4 W, A]G 273 3 O City/State/Zip 3 Q.1 r � -Ahez " orr t � � � S— S SC% l Telephone Number/Email Address Telephone Number/Email Address q' I/ Z- Date 17 Date (Revised Aug. 2014) ` CAMA / El DREDGE &FILL N272098 A B D L GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue El 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 15A NCAC t7 , /- F_ 1 ® Rules attached. Applicant Name `,r. `'-t t1 �� t Project Location: County Address ; 0 ! ' > i � '' ' Street Address/ State Road/ Lot #(s) (2,� „'' > City--[ Phone # Authorized Agent E-Mail ElCW =1] EW PTA Affected _.❑ AEC(s): ❑ OEA ❑ HHF ElIH ❑ PWS: ORW: yes/ no PNA yes / no Type of Project/ Activity t Pier ( tf Fixed Floati Finge Groin Bulk] Basir Boat Boat Beac Othi Shor SAV Mor Phoi Wai, [:1 ES ❑ PTS ❑ UBA ❑ N/A Subdivision "; i ` ''� r`i t,�' p City ! t i ' `--_ ZIP �r� Phone # ( ) River Basin , A { `-�f t Adj. Wtr. Body ' ' t� (nat `Q /unkn) Closest Maj. Wtr. 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M■ ■■■■■■■■■■■M■■■■■i9■■■■■■■■M■■■■■ A building permit may be required by: i ( Note Local Planning Jurisdiction) Notes/ Special Condition s v , Sign a `"'Please read compliance statement onb�ofpetmit"�" L A Application Fee(s) Check # ❑ See note on back regarding River Basin rules. f t S!' }. s - E � Permit Officer's Printed Name Signature ,...� Issuing Date Expiration Date