The URL can be used to link to this page

Home My WebLink AboutPardue, Gerald❑CAMA / ❑ DREDGE & FILL t`iT�� 7O7 i q B C D GEN RAL PERMIT Previous permit # ❑New � Od'ifi at ❑ omplete Reissue ❑Partial Reissue Date previous permit issued As authorized by the S att e o' N �ta, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. Applicant Name -t , µ ��--- - Project Location: County Address ;' *' r Street Address/ State Road/ Lot #(s) City State ZIP, 'r Phone # O E-Mail ^� Subdivision Authorized Agent City ZIP -- ❑ CW ❑ EW ❑ PTA El ES ❑ PTS Phone # ( ) River Basin r Affected OEA HHF IH ❑ UBA N/A AEC(s): ❑ El ❑ Adj. Wtr. Body (nat /man_ /un ❑ PWS: Closest Maj. Wtr. Body PNA yes / no -- M. M. NEWS 1FANU No ■■■■■■■■■■�1ij1�■�1r1!wIi111�i.1�r • - ■�■■■■■■■■ ■N■ lii!i/►��lirif ■®■■■�■■��itr��. ■®■■■■. ■ ■Il rl■ . - ■�■■11�uiLJ■!'■� ■ill■■■■■■I1■Y�■ilili�i��■■■■■ ��®!_�!■■■■■II�j►� ■ I IT!�1 11� �!■■■'.�/41ti�.yN �rl�l lid■■■■■IPf►�FV� ■■■I1■R■■■■■�■■■n■■■■■■ Agent or Applicant Printed Name Signature ** Please read complian a statement on back of permit Application Fee(s) Check # Permit Officer's Printed Name Sipat}ire Issuing Dat lExpirabon 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 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 Lis r AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �'t—='"' /4LO Foe-C)C'C-;- Mailing Address: I)c N.c, 2--l0S0 Phone Number: Email Address: I certify that I have authorized rn t--'D TS,-`161 ►}"'r� T—ti-' /-- Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ZE i 161 IJv I at my property located at S 1-) K-/ wU -'4' w )0 L--G' , in 1/)a4co,-41 County. / furthermore certify that l 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 -P :z Print or Type Name Title I / 1(c / i� Date This certification is valid through SCENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toy c' L� }�O n `'" 's r _(Name of Property Owner) property located at 1 r 5 4 (Address, Lit, Block, Roat�,etc.) on CAfv a L , in N�-�Aw�'►� SSA C k , N.C. (yl►aterlbody) (CityRown andlor County) The applicant has described to me, as shown below, the development proposed at the above 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must flit In description below or attach a site drawing) �c.(�,. Jc�� Jo c k�_ 1 �► -�'�� : roof Jar � ti-� i Fw�-It 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 16 from my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) c.'o W I do wish to waive the 16 setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad' cent Properhr Own e Inform ) _ Prirrt or Type Name Pri p t or T Name _Ding Address Z IiD i s N��. Telephone Number/email address IZ-19-1"� fI. - *Valid for one calendar year after signature* ,��//�1' Telepb6neo,NHmberI email add D Efate- (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (3ErazD T&LC)�GK' 's I hereby certify that 1 own property adjacent to �\ Name of Property Owner) property located at 17) � J� t s f t� (Address, L Block, Roa etc.) on C A rJ 4 L , in Lh�4 k aA r, N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above Nation. -\/ 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fil in description below or attach a site drawing) 40 Dt'c L -ES4)-54 N 5 L, , -�t WAIVER SECTION 1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) k,'g B. I do wish to waive the 16 setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner information) Signature Print or Type Name &M Address ` - p�S) 20 Telephone Number/email address lZ I?— 1 Date Owner information) Si tune * ` PWi or Type Name !' �. ;�6x Mailing Add, esr c ZsteZp ,7 Z G L Telephone Number/email address (Revised Aug_ 2014) *Valid for one calendar year after signature* I0CAMA / ❑ DREDGE & FILL Na 70911 A B D GENERAL PERMIT Previous permit# IM-PNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued { As authorized by the State of North Carolina, Department of Environmental Quality I j� and the Coastal Resources Commission, in an area -of environmental concern pursuant to I SA NCAC Rules actpched. �_., Applicant Name ' , ( Project Location: County r ! i E ,� Address `' t' jr fFr j Street Address/ State Road/ Lot #(s) Cityr,` State.ZIP �° 1t° '-,� -~—l_a #',; r €h; t {' "•�'" Phone # ) ' , ` E-Mail Subdivision ., L t��i4'1>>� City Authorized Agent f , ❑ CW L EW El ES ❑ PTS - Phone # Affected ❑ OEA ❑HF ETA > IH ❑ UBA ❑ N/A Adj. Wtr. Bodyi AEC(s): ❑ PWS: Closest Maj. Wtr. Body ORW: yes / now PNA yes / r�,' Type of Project/ Activity Pier ( Fixed Float) Finge Groir Bulkt Basir Boat Boat Beac Otht Shot SAS Mor Pho Wai River Basin (Scale: ■■■■■■■■■■■■■■■■■■■■■■■■■ MEN ■■ONE ■■■■■■■ Platform(s) C(I■■■■■■■■■■■■■■■■■■■■■■■■■ MEN ■■mom ■■■■■■■ ■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■E�■!a■■■■■ ..■_..■■.■.■.�..�.■.. M ■■..■COVA1.■■.■length .■ ME iumber ■■■■■■■■■■■■■■■■■■■■■■■■■.■■■Ei�■■■■■■■■ -ad/ Riprap length■■■■■■■■■■■■■■■■■■■■■■■■■■.■■■■1�i■■■■■■■■ :vg distance offshore■■■■■■■■■■■■■■■■■■■■■■,-nax distance offshore■■■■■■■■■■■■■�■■■ ■■■■■■■■■■■■■■■■■■■■■■■E■!�l�1MOEM!M'�i'i■■■■ channel ■■■■■■■■ it■■ ■■■ ■■IN ■■■!■■■■■■i+■■■■■■ ■ ...■■■..■■cubic ....■. yards_. MEW ENE ■■■■■■■■■■■■■■■■■■■■■ Now ■lam ■■■■■■■■■■■■ ramp ■■■■■■■■■■:1■■■■■■■■■■■ EMIR ■ii■■■■■■■■■■■■ ■■■■■■■■■■"R■■■■■■■■■■■ mom ■r�■■■■■mom ■■■■■ ■■■■■■■■■■!■7■■■■■■■■ MEN {ii■■■■■MEN ■■■■■ ■■■■■■■■■■■YIL1�ll�1■�tt�■■■■■■■■■■■■■■■■■■■ ■ MN Mims ■■■■■■■■■■No ■■■1■NVIS ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■ !■■..M iEErwin ■■■■■■■1■■■■■■■■■n■■■■■■ Length■■■■■■■ M i'i■■■■■■■■■��_E■_��■_■■■■■ not sure yes no ■■■■■■■■■■111'■■■■■■■■■■■■■■■■■■■■FY■■■■■■■ '■■■■ ENE ■■ONE ■■■■■■■■■■■ ■■■■ ■��\■�■■■■■ MEN ■■MEN ■■■■■■■■■■■■■■■�■■■■■■■■■■ •■■■■ . ..■■■■■■■■■■!■■■■■■ MEMO ■■�■■■■ A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions , Agent or Applicant Printed Name in r i, Signature Please read compliance statement on back of permit ❑ See note on back regarding River Basin rules. Permit Officer's Si na re Icci rin rh41 xnira inn I7atP 7�� Tv--� gCAMA / ❑ DREDGE & FILL A B CC D 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 Cif and and the Cpastal Reno ces Commission in an ar of environmental concern pursuant to I SA NCAC l� 9 !, Rules attached. Applicant Name 1 Project Location: County Address- ( ?Xk Street Address/State Road/Lot #(s) _ City State' 1L ZIP Phone #) E_Mail Subdivi 'on Authorized Agent _I .1 % i( City1, IP Phone # /r �' River Basin Affected ElCW EW PTA El ES ❑ PT! ( 3 ❑ OEA HF 1 AEC(s): ❑ UBA ❑ N/A J nat m unkr 1 Ad'. Wtr. Bod ❑ PWS: Closest Maj. t, . Wtr. Body— .� L ORW: yes / . o PNA yes / o, ' Type of Project/ Activity \ _ �i (Scale. ) Pier (dock) length r Fixed Platform(s); Floating Platform(s�� 1 I I j Finger pier(s) i 1 f-'-._ i._.� i Groin length i I i i I i number Bulkhead/ Ripraplength avg distance offshore j j f i ' max distance offshore { Basin, channel i j I i cubic yards i I i Boat ramp Boathouse/ Boadift i t I Beach Bulldozing'"'^` Other � ` Y �_\ /�f I i { 1 Shoreline Length I SAV: not sure yes no Moratorium: n/a yes I I 1 f IPhotos: 41, yesfiWaiver Attached: /�Ak no r jre 'fC A building permit may be required by: ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) /r a / { 1 ) Notes/ SpecialConditions-I �6 RA-1 (� G Agent or Applicant Printed Name I !� 69 b-1 F> l* � Signature �e read compli a statement on back of permit t:2(u Application Fee(s) Check # Permit Officers P SVa ' re Issuin Dat pira ion Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I henry certify that I own property adjacent to G P n i J F aYz- n JC-_ I (Name of Property Owner) property located at 5 ! "1 �L t VaS � ti if v e- - (Address, L Block, Road etc.) on ►� L-- , in ��L jQ'\/ f I -c (-= X3 C h , N.C. (Waterbody) (City/%wn and/or County) The appli t has described to me, as shown below, the development proposed at the above Iocaiw��y� 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 descripfion below or affach a sft a drawing) + 000 TAIVIE 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.) U41E .I _ I do wish to waive the 15' setback requirement. I do not wish to waive the 16 setback requirement. (Property Owner Information) (Ad!-nt Property Owner Information) Signature (� St a " t� Print or T Pe Name Pant or ype Name Mailing Address Ma' ' ress k =- ow,-�. -4 (ems � j C . Z '7 b So � rr � G � � � /C city/Slateop CltylStafeOp P , C_ - 7 Telephone Number email address Telephone Number/email address ?,_3 (- sst 3 `1500 3 Date Date (Revised Aug. 2014) *Valid for one calendar year after signature's ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to C:) P n ) J F a yz-0 J is JUomn of Qrnnerht rhunnrl property located at :5 -1 W ont— (Waterbody) (Address, Lit, Block, Road, etc.) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio . ! 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) A F) 00 VZJ TAIVE14' 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 16 setback requirement. (Property Owner Information) Signature G I=— r' e- L- C5 Print or Tie Name C '_a� ' lohfia��,; ,, I 1 c ►zd , Mailing Address 'fit" oyi.-{� -4 ( � C , Z '� b S� gwstateop C— Telephone Number / email address 3`3 (.'r613 clSOo Date *Valid for one calendar year after signature* (A 'agent Property ec In tiion) Sa e6l�'�-l/ Print or ype Name / ` ZePw YM * ing Aeress City/Stat FP Tele one P(umberJ email address Date (Revised Aug. 2014)