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HomeMy WebLinkAboutRucker, AlanCAMA / ❑ DREDGE & FILL N2 70477 A B t fCD GENERAL PERMIT Previous permit# Er ew [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued. As authorized by the State of North Carolina, Department of Environmental Quality 7L J cx� and the Coastal Resources Commiss in an area of environmental concern pursuant to 15A NCAC rr (( �/ +++ �- ules attached. A licant NameA { '` Project Location: County PP Address y► / w �" City' r i j`' State_ ZIP +f`, Phone # (� ��� �� ail Authorized Agent' Affected ❑ CW ET1*A ❑ ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes "/ ri� Street Address/ State Road/ Lot #(s) j -1 t f -T; ,A, S., Tom. Subdivision City 'tM �'f c (' 1 ZIP Phone # ( ) / River Basin Adj. Wtr. Body j (J L4 Cam" `'i/ at iman unkn Closest Maj. Wtr. Body a Type of Project/ Activity (Scale: ,e ,l %f ) Pier i Fixec Float Finge Groii Bulkl Basir Boat Boat Beac Oth( Shor SAV Mor Phoi Wai, ■■■■■■■■■■■■■�IEiILS�:� l■ili�1IMM M1 ■■■■■■■OVAMEMINE ■ M1 No EA .�■.■■■1■■1 ®■■�1®.■ ■■■■■I■■1.�.■ ■■■■■■■■■■■■■■om■■■■®■ ■■■�■■■■■�■■■■ ■■■■■■■■■■ ■■■ ■■■■■■ ■■■■■ ■■■■ ■®■■■H■■■■ii moon ■■■■�■■■�■■■■■■■■■■ ■■■■■■■■■■■�f/11■!■rl/4�R'�i�■■■� ■■■■ ■■�■■■■■Irm ■■ ■ ■o ■■■� ®■ ■■wl�■r■■:■■■ ■■■ ■■■■ NEI {{ ■■■■■ ■�■■■■■�■■■lam■ ■■■■��fi■■■■■■�■■■■■■ ■�■■■■■■■■■■�'9'�■�' rri■■■ME■■■■■■■■■■■■■■■ ■MEN ■■■■■■■ INN ■■■■� ii ■■■®■■■■■ ■■ [!r i Lllitf ■ '■ ■■MOM■,.. IrAR �i_ ..s a■■■■ ■■■■ ■■■■■ ■■■■ ■�� :".:i11�■Irii��■■■■■■■■■�■■■■■ ■■■■■■■■■■ ■ ■'a NONE ■Ell ■■■■■■M■ ■■■■■■■■ ■■ ■. �■EN■■■■■■■ mom ■■■� ■■■■■■■■■■ ■ ■■ �■ ■■■ ■ ■■. ■ ■■■ ■ :.�■■. ... :7!6■ an ■■.■ �■ ■SO■■■■■■■ ■■�l.�lil■■v ■■ ■■■■■■ . Y'f /_ U Se note on back regarding River Basin rules. A building permit may be required by: ./ g g ( Note Local Planning jurisdiction) ✓ f r Notes/ Special Conditions Agent or,Applicant 'Printed Name Si u;n Please read compliance s tement on back of permit" f 1 4' Ve-t'-P'e `A .01 ifi�i �r s Printed Name ApplicationFee(sss) Check# IssuingfDate Ij&pirat%nDate 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 I) 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, certifythat 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 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Owner A for Permit: `q, -u, ke-`/ Name of Property Owner Mailing address: fjy-E(GtA- Telephone Number: I certify that 1 have authorized Car°1•,�aS�••�rc,�'-c A�"`"`agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of 1 aS4att',.A P" <<agS oaf a at my property located at ---Qs la- This certification is valid through (Property Owner Information) *g`nattfre Print or Type Name Title, co. ot4ner or trustee for property Z Dat Telephone Number JN��)CIKC---Q, ® YAK - Col\ Email Address 0 ti 0 o o0 (date). ADJACENT RIPARIAN PROPERTY OWNER STATEMENT �O'fp kc,C 's 1 hereby certify that I own property adjacent to la �- (� a perty Owner) property located at ► 2 l (Addresf on 600c 5L , in (Waterbody) Lot, Block, Road, etc.) N.C. (Citviiown and 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) i � l4pQrcnC 38 WAIVER SECTIQN I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set���v�G� back a minimum distance of 15' from my area of riparian access unless waived by me. (If 10\1 wish to waive the setback, you must initial the appropriate blank below.) ;0 I do wish to waive the 15' setback requirement. MF, I do not wish to waive the 15' setback requirement. (Property Owner Information (Adjacent Property Owner Information) 5igm r Signaritre ' waeq Name Print or Type Name Print ' y C z `D i rhn i3 L-=V fZt- M tngAddress Mailing Address in E ye t� Ado- 2761rl CAl oh& city, tatte,Zi �J� t City/Stare/Zlp TelephonerNum er Telephone Number - U > �v Date Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ala a- KoG<c-c 's (Narrie of Property Owner) property located at 121 Z_ ♦ w JJ on 6cioe 5'-kJA , in (Weterbody) Lot, Road, etc.) own and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above location. ;d 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) ► s l r -i I 'I -- ►pax .,¢ \A- N�ASID SO 04\ \14 G�.' 11 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 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 1 ormat n) (Adjacent Property Owner Inn adon) Sign lure Signa T Trtc.i Print or Type Name N t�,� �� Print or Name /-2 t Y fit' �n b "— M , 'tng Address .— �l(,� l ./L � 2 OS' - _ ci /S t0IZi CitylStafelZtp S Co 9 Tel p e N ber Telephone Number �� 7 /I Date , Date (Revised 6/18/2012) CONNECTGIS I WES Carteret2 Printed May 09, 2018 See Below for Disclaimer Address Poirts • 20' 8 Tax Parcels icor-airs 20' - Certerlires I NC Railroad Rial^t o 'JJa. County Boundary 11 Other Cour-�v <all other`.a�Les> .art PIN Acreaae Parcel Cimersiors Lot Number r^ Total Length: 61.87 Feet N Sq. Feet or ;acres R' E 5429 or Sq. Miles S 1 : 47 Feet S he information displayed by this website is prepared for the inventory of real property found within this jurisdiction and is compiled from recorded deeds, plats, and other ublic records and data. Users of this information are hereby notified that the aforementioned public primary information sources should be consulted for verification o he information contained on this site. Carteret County assumes no legal responsibility for the information contained on this site. Carteret County does not guarantee that he data and map services will be available to users without interruption or error. Furthermore, Carteret County may modify or remove map services and access methods a ill_