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HomeMy WebLinkAboutShelton, Georgea/ �CAMA / DREDGE & FILL 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 Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. Applicant Name Address City r 'g ; !' 1 O State ._ ZIP Phone # O E-Mail Authorized Agent ❑ CW PTA ❑ ES ❑ PTS Affected ❑ OEA .'>�tW ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): PWS: ORW: yes ! no PNA yes / Type of Project/ Activity Pier (dock) length r Fixed Platform(s) ` Floating Platform(s) Finger pier(s) r Groin length F~ number Bulkhead/ Riprap length avg distance offshore t max distance offshore ,- Basin, channel i cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozi Other Shoreline Length SAV: not sure yes no Moratorium: n/a yes Photos: yes no Waiver Attached: yesr) no C A building permit may be required by:! ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Project Location: County --- Street Address/ State Road/ Lot #(s) Subdivision; City- _ _ ZIP Phone # (._ ) River Basin Adj. Wtr. Body f 1 i na man unk Closest Maj. Wtr. Body (Scale: ❑ See note on back regarding River Basin rules. Permit Officer's Printed Signature Fl@ase read compliance statement on DacK or permit -- 2a�� i Application Fee(s) Check# Issuing Dater Expira on 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/ 1-888ARCOAST 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) http://www.nccoastaimanagement.net/ 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 08/27/ 14 DocuSlgn Envelope ID: 37161575-9BED-4D70-8495-1C63C1 EC58C7 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Dusty & Christine Shelton S. (Name of Property Owner) property located at 177 Garbacon Dr (Address, Lot, Bock, Road, etc-} on Neuse River in Beaufort N.C. (Waterbody) . (City/Town and/or County) The applic@pt has described to me, as shown below, the development proposed at the above Iocatio , 1 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) Bu Bulkhead along 207' water line with (2) 25' jetties set 15' in from property tines. WAIVER SECTION Jetty set back 15' -- from prop line I understand that a pier, dock, mooring pilings, 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 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) acuS ne by ` C g�(j� Sig-n l K17943440... _Christine Shelton Print or Type Name _177 Garbacon Dr Mailing Address Beaufort NC28516 City/state2ip 410-991-9808 Telephone Number 1/17/2018 Date (Adjacent Property Owner Information) DocuSlgned by: Ma ' VfttmNNA' 2FiDF464.. _Paul Freeman Print or Type Name _8114 Edgewood Church Rd Mailing Address _Frederick MD 21702 CitylStatelZip 301-898-2631 Telephone Number _ 1/17/2018 Date (Revised 611812012) DocuSign Envelope ID: 37443E04-14F6-4F79-8957-7AF677E9CC83 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Dusty & Christine Shelton 's (Name of Property Owner) property located at _ 177 Garbacon Dr (Address, Lot, Block, Road, etc.) on Neuse River in Beaufort (Waterbody) (City/Town and/or County) N.C. The agpiicant has described to me, as shown below, the development proposed at the above loc a n. 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 description below or attach a site drawing) Bulkhead along 207' water line with (2) 25' jetties set 15' in from property tines. Jetty set back 15` �r from prop tine WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 w.i,sh4o waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. FOR THE BULKHEAD do not wish to waive the 15' setback requirement. FOR THE JETTY {Proer�r Qwner Information) ne by (Ajt,,�?roperty Owner Information) 17943446_ncr Signai� ure g— _Christine Shelton _Donna Von Gerichten Print or Type Name Print or Type Name Garbacon Dr _364 St Marks Ave _177 Mailing Address Mailing Address Beaufort NC28516 _Freeport NY 11520 City/State2ip City/State/Zip 410-991-9808 516-223-9169 Telephone Number Telephone Number 1/24/2018 1/24/2018 Date Date (Revised 611812012)