HomeMy WebLinkAboutMcAlister, Jeffv
JCAMA / -'DREDGE & FILL
^
GENERAL PERMIT
Previous permit # A
B C D
-JNew Modification -;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 area of environmental concern pursuant to 15A NCAC
1 �.
'Rules attached.
Applicant Name''' /�
Project Location: County
Address
V,. t - Street Address/ State Road/ Lot #(s)
City -" State ZIP
r
Phone # (_ ) E-Mail
Subdivision
_
Authorized Agent
City ZIP
Affected cw ❑ EW _PTA El ❑ PTS
tt
Phone # ( )__ River Basin ;''.fe't"
�
OEA ❑ HHF IH ❑ UBA ❑ N/A
AEC(s): _
Adj. Wtr. Body ; _ °t 1 �~� ; ..� �'��
na ti/man /unkn)
PWS:
ORW: yes / no PNA yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: �
q f
.i �,,, )
r
Pier (dock) length , .^ ')
Fixed Platform(s) +i?
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards -
Boat ramp j. r
Boathouse/ Boatlift / r
Beach Bulldozing
Other
Shoreline Length ___ ._ ___
SAV: not sure yes no `
Moratorium: n/a yes no
Photos: yes i no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
l.f 1•< FV See note on back regarding River Basin rules.
f !,
e
Agent or Applicant Printed Name Permit Officer's PrintJ Nar
Signature * Please read compliance statement on back of permit*r
Application Fee(s) Check#
.
1-0 .y
Signature, i
Issuing Date Expiration Date
c
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 F 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 howto 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
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.nccoastalmanagement.net/
Revised 08/27/14
■ 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.
Article Addressed to:
Lp'qk-1 LllI1 i PVC p�.
W\P' rr,f NC AWN
A. Signa e
Agent
X /. �(/ ❑ Addressee
B. Re eived by (Printed Name) C. Dateof D ivery
B. rr (' r /Z V
D. Is delivery address different from item 1? LJ Y
If YES, enter delivery address below: ❑ No
3 ice Type
0 Priority Mail ExpressO
II�'I'I'I
I'II I'III IIII�I�I
I III
I�III
II"
III III
Adult Signature
dult Signature Restricted Delivery
0 Registered MailTI
❑ Registered Mail Restricted
9590 9403 0514 5173 4465 99
❑ Certified Mail®
❑ Certified Mail Restricted Delivery
Delivery
El Return e pt for
❑ Collect on Delivery
❑ Collect on Delivery Restricted Delivery
Merchandise
❑ Signature Confirmation
2. Article Number (Transfer from service Label)
0 Signature Confirmation
7 011 0470 0003 2488
1323 1 Restricted Delivery
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
C A/(S-fi-*✓
Domestic Return Receipt
■ 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.
I. Article Addressed
to:
DDroaw
L5
A. Sig>natur /�,
X(/Si❑Agent
❑ Addressee
B. eceived by (P ed N e) C. Date of De v
9 /
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
II
�'III'I
I
II
I'I I
I I I
I i I'III
I II
I I'I
I II
I I I I)
I'IIV.
Type
Sig
El Priority Mail Express®
urt
dult Signature
❑ Registered MailrM
A It Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9403 0514 5173 4466 05
❑ Certified WHO
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (Transfer from service label)
❑ Collect on Delivery Restricted Delivery
�jiI
0 Signature Confirmation'"
❑ Signature Confirmation
7 011 0470 0003 2488
1330 iil Restricted Delivery
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
/u1 C /W6/
Domestic Return Receipt
DIVISION OF COASTAL MANAGEMENT
NCDENR
NORTH CAROLINA DEPARTMENT Of
ENviRONM[NT ANO NAzuRAL RF5OVRCE9
TO:
OFFICE:
TELEPHONE: ( ) FAX: ( )
• FROM:
Morehead City Office
400 Commerce Avenue
Morehead City, NC 28557-3421
Voice: (252) 808-2808
FAX: (252) 247-3330
DATE SENT:
TOTAL PAGES INCLUDING COVER SHEET:
I hereby certify that I own property adjacent to I�-� `�' C (�V 's
(Name of Property Owner)
property located at a�----1 � � U � � �
t / (Address, Lot, Block, oad, etc.
on YXI(6 VCC ICE , in �) Cly 1-' c nY('-AVe-V 0 , N.C.
(Waterbody) (Cityrrown 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 rill in description below or attach a site drawing)
W150
���� Pia+fivrm- ►Lpy25
15xa1�
�oncle�a (V1c1�1is+e✓
1N a,�(VtneV
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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 Information) (Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Date
Signature *
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/email address
Dale *
(Revised Aug. 2014)
*Valid for one calendar year after signature"