HomeMy WebLinkAboutNehring, Henry (2)DCAMA / 7 DREDGE & FILL No. 73108 A B C D
r. GENERAL PERMIT Previous permit#
ElNew Modification JComplete Reissue ❑Partial Reissue Date previous permit issued
As atrthorized by the State of North Carolina, Department of Environmental Quality ,,�i(
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
r ❑ Rules attached.
Applicant Names Project Location: County_
y
Address'' Street Address/ State Road/ Lot #(s)
}
City
State/V( ZIPS��,--
Phone # () ..L`�� `� E-Mail _
Authorized Agent
1'
❑ Cw
❑-EGv ❑ PTA
Affected
AEC(s): OEA
❑ HHF ❑ IH
❑ PWS:
ORW: yes / no
PNA yes / no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length,
avg distance offshore_
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozi
Other
i~ ,J
❑ ES ❑ PTS
❑ UBA ❑ N/A
Subdivision .
�_
City - - ZIP .1
Phone # ( ) River Basin
Adj. Wtr. Body ` " ✓ d 1�1�(t /man lunkn)
Closest Maj. Wtr. Body
Shoreline Length
j
SAV: not sure yes — - -- — - -
Moratorium: n/a yes
Photos: yeses`
Waiver Attached: yes no/
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature , Please read compliance statement on back of permit ##
~ i
Application Fee(s) Check #
(Scale:,.J" )
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name-
v.
Signature
Issuing Date xpiration Da
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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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)
(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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
1---
necessary for the foliowi roposed development: Cs� �' 4 ;
v
at my property' located at/
I furthermore certify that I 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'
ignature
Print or Type Name
obd —
Title
v� 1I)AP--S
Date
This certification is valid through --;L 1 / g, / an to,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �4 e-
(NaW4 of Pr erty Owner)
property located at - � o an 1�
(Address, Lot, BlocM, Road, etc.)
on _ in cc ,N
(W terbody) (City/Town and/or County)
I
C.
The applicant has described to me, as shown below, the development proposed at the above
location. .
�,I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
Qndfvigl_yal: go Irir-ol r>��i►>f Noll lih'd"arlptlon_below or attach a srfe 0� �91
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 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� I do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
Name
t.[11 k IT
"Valid for one calendar year after signature"
(Adjacent Property Owner Information)
Signature
.Xe
Print or Type Name
tt23 RE)(rL6
ilittgAddress
City/s
tate zi.p
91D _22_22PA" o0 U
Telephone Number/email address
Dat
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that i own property adjacent to S' 's
me of p - Owner)
property located at
ddress, Lo oa , etc.)
o , in , N.C.
aterbody) _ (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
p►+gQc�tsfng:de�lopfrent m# tilhn dAsr�lpff`oh-6e�oKr Qr,ettac�#t:-d�1C4+/ingj
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 15' from my area of riparian access unless waived by
me.
-(if
fyyou wish to waive the setback, you must initial the appropriate blank below.)
Y I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Adjacent PIpperty Owner Information)
P ' t or pe !Name/ �
T41ephotfe Number/email address
q?,/At
Date*
(Revised Aug. 2014)
"Valid for one calendar year after signature'
Y r- e � cc .�
AMA / REDGE & FILL - I 3 J g C � D
RAL P MIT Previous permit # -1l'O
❑Modification mplete Reissue ❑Partial Reissue Date previous permit issued '7 l
As auth ed by the State of North Carolina, Department of Environmental Quality /,/ a �(/ U
and the Coastal Resource Commission in an area of environmental concern pursuant to I SA NCAC
!_ ules attached.
Applicant Name_ N Project Location: County___'
Address I ! vU it tr t/ �rtS Street Address/ State Road/ Lot/#(s)
City t 2 3 Stat _ ZIP
Phone # ( ) E-!-
Authorized Agent G 0 rqm _- �' 1
❑ Cw
[7W
F' PTA ❑ ES ❑ PTS
Affected
❑ OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
AEC(s):
❑ PWS:
ORW:
yes / no
PNA
yes / no
Type of Project/ Activity /00'
Pier (
Fixed
Floati
Finge
Groir
Bulkh
Basin
Boat
Boats
Bead
Othe
Shon
SAY:
Mor
Phot
Wa
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or `pl cant Printed f!ilJl.r� 3
Si ale w* Please read compliance statement on back of permit
—*•
--- b
catlon Fee(s) Check #
Subdivisi n_
City �C' ZIP
Phone # (_ _) River Basin
Adj. Wtr. Body r/ `e� 6-T-r na man unkn
Closest Maj. Wtr. Body —
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(Scale: / � +J
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❑ See note on back regarding River Basin rules.
Permit ce rinted Name
Sign
Issuing D E iration Date
a
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
landowners).
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 howto complywith these buffer rules.
Division of Coastal Management Offices
Mdrehead 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
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Faits 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perqulmans
Counties)
http://portal.ncdenr.org/weib/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 7106/17
NC Division of Coastal Management 6 4 C 3 A B(Z D
Cashier's Official Receipt
-tt� �oSS F USSFLW5 W*Ca" W Ztfki tf, n�
too -cc) -tom `ot s'-s UIrVbUX\an cef--*-5VaM
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7 c -� 7 G
Permit No.: � !% � z la ��� 1 � '" � Check No.: `
Applicant's Name: Co nty:
Project Address:
Please retain receipt for your records as proof of payment for permit issued.
Signature tge&Applicant: L Date:
Signature of Field Representativ Date:
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? AMA /-e6REDGE & FILL N? 70382 A B C D
GENERAL PERMIT Previous permit#
_LoKew ❑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 ommission in an are of environmental concern pursuant to 15A NCAC C
/�ot C Mules attached.
Applicant Name trT
'+ it f �r /� v t _�-�- Project Location: County
Address t- `,, -!t y Street Address/ State JRoad/ Lot #(s)
City_ _ fir' State --ZIP Y� _ > -1 •,'/I r. ���:. / �"
Phone # (, ) E-Mail Subdivisio
Authorized Agent 11, i 'r �: t -Jeer... t`7 City e �r� ZIP
Affected ❑ Cw PM ❑ ES ❑ PTS Phone # ( ) River Basin t
AEC(s): ❑ oea ❑ HHF ❑ IFI ❑ uiaa ❑ N/A Adj. Wtr. Body at �i t tC
man unkn
ORW: yes PNA yes
"1 no Closest Maj. Wtr. Body `V
L
Type of Project/ Activity �• i
(Scale: 1 )
or
Fixe
Float
Fing
Groi
Bulkl
Basin
Boat
Boat
Beac
Od,
Shor
SAV:
Mod
Ph
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special ConditiT--tT
�Ocll G w e
Agent or Applicant g"rijited Flame
G•1 � �G,� �,r � l r
tignature "Please read compliance statement on back of permit"
l
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
4,
PermitOfficer's P nt
Signature `
Issuing Date
L/i—
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 [)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 Ll Other:
F 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 complywith 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
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.nccoastalmanagement,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: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender Counties)
Revised OW27/ 14