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)