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HomeMy WebLinkAboutOlde Towne Yacht ClubAll ❑ CAMA / ❑ DREDGE & FILL No 7045 8 A B C D GENERAL PERMIT 9 Previous permit # El New ❑Modification ❑Complete Reissue CPartial 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 ❑ Rules attached. Applicant Name Project Location: County Address t Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) E-Mail Subdivision Authorized Agent City ZIP Affected [I Cw ❑ ew [I PTA El ES ❑ PTS Phone # I fL. ,rr River Basin _ AEC(s): [IoeA ElHHF ❑ IH ElUBA El N/A Adj. Wtr. Body Innt man /unkn ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body - rI MEMME 15 XIS11 BEE ■ Ia �lgIRVWE■bFikRZ��L����r�..a�� 191"m�1,10■ftw�v I ink-wiam F. - ■■ .� r M.OMEN_�.�.,_■■■■■ _..fir _ 04 ME �s [GIWW� YN'" MEMOi■■i�f ►ti►�;•.�C��'�A■■H■w 0 M ■mg,opp- ■■ no !�r.■i�:■■_■■■■�■■�■■■■ray■■■�■�■■■■■■■■ st - ■■■ r��■� ■■�■■■■�ri■■�■■■� NA■�■�■■■ M. ii�■ �l�I�►�i01/►� ■i7Lli�iUM EVSKI'.1i■ IN■�� ■■ EMEM. RAMMEMOMM09MENERM E � � "!!/I■l ttlii ri■■■i71�1■■■ �i�iiifr�iii�i%�■L!��ilL�'/1■■■ir�lis'i■■■moms 7■■■mmommirI►im ■% ■iWE■i�■ LEWIN III WFAM Agent or Applicant Printed (dame Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Permit Officer's Printed N Signature Issuing Date Expiation bate 13' 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/ 1-888-4RCOAST 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 I hereby certify that I own property adjacent to _ D Idc I Dyme, 1Ql.V fT �tU�'J 's Property located at �� a (N a of P »arty �wne) on(Address, Lot, ck, Ro d, tc.) U( S, in a 1.1 N.C. (Waterbody) CY (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. --, 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) WAIVER SECTION 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 -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. (P o erty Own r Information) (Adjacent Property Owner Information) S M(A �� tgnature p r✓✓ f G✓.r /� ` Print or Type Name s, �t . n I 1 �IpVE,� L fit - �U �lhC 4 0 0 a _ L tJY ► 1 V C 0 1 U Mailing7Addres c ✓� �" -Z ZY5l/ ��City/Statemp Telephoonnne Numbl, / 2mb r 7 Telephone Number Dale Date (Revised 611812012) f oby C-0 lily [Mai I Own Gk'Q1i JK1jJe-0r,' i0 9a ►� P� i,�r1++�tj ++ t I DESCRIPTION ANDFOR DRJti1M11+l�'hi Of PROPOSED DEVELOPMENT Onr h*War prapp" deveh3p~ must AM in desc;Jption b*00wr Of at#xh 8 sita drawi WAIMOVU—Mi t tar stam, drat a pw. doo.v rrACanv rvj.ptajS twckahwvtMft t hk grNrl MUS1 t* "I brac* p minimurn ;Onee' of IV PcDn my area tit itpanan 4wcass t1l wss warrrect by rrte Of you -Ansh to +w,1rve the use tk ack you must Inida,l ti* aWWkVe. btank below i I do *r sh 10 wa+wr me 15, , s*it rctr. rewire-rMfit I do nit "Sh #o wwvq me 1 S* setback requirement P , JA4jacant Property Uwnec informati*o) " of cw Typo W J�tlr' a w� �.1 �. m> Par (Rovtwd Wi W1 ) 3QQ T-v 1 3 ?) 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