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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 — rf:,P fi (Scale: / � +J ■■■■■■■■■■■ ■■■■■■■ ■■■ MEMO ■M■■■■■■■� ■ ■ M■■■■■■ ■ENE■�N� M■ME■EM ME MEN Mii■M■EMMM ME■E■ ! ME■■■■■■� M■MN■M ® ■■MN■■ ■MMM■■■ ■MOM=■■M■ ■■I!!�MMM■� ■EMMEMEM ®� ■NEON ■■■■■ ® FIN M■MEN ■M■■■sN /IM ON, Il l MMMMM � i�lam ■rsfi■ IN ■■A MA ■V�■M■ ■�M ■■■■■■■■■ ■■■■■ �■■ ME ■ ■WE M ■!M■1will EEM■■MMM MEN ►■■ mom Off IN 1ME �� �iI■■■ 1.■N��■ M ■E■■E�EM��E■■■■M MEN 4r� OEM■■■ ■M■HMEENMM NN■■■■■■■■■ ■■ ■MMEE■■��■ N■MM■■■■■I M■ENM■■ ■MEN u■ EM■MOM■■ ■ ■ ME■■■■MME■■ M■N■E■! ■■■■ OEM■ .....■■■.■ ■.■.MMMMM M�M■NNE■ INN MM■E MMEN M■MEOEM .■■■■■■■■.■. ■■■MEN ■■ EN■E■■ ■■N■NMEEME ■■■■■■M■E■NM■NNENE OEM■M■ ■MN■M■■■■�■�MENNEN■■ mom ME MEMO■■■ ..NNONEOME �:■�� N■M■M■■ ME ME■ EMOEN ONE MMSEMEN MMMEM N :HMEM■N■■lNMN■EN■M �...■■■■E■■ ..'ENE ■:: N ®M■:::: . � (� ■ ■■■■NNE SEEM MEM■■M IM■M■■■■■■ ENE NN ■N■ ■OHM q■ ■■ ■■■■■■■ ■■■■■ MEME ❑ 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 Received From: 'U eaya $ LI DO • clD 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: E 2 a) O N i lC 2t a) bA .2 ca m 3 — o L o s= a� a� n E O o cu O � aD a E la N +O+ L U 4) 00 N O to v CO E ' = J z z O � Co 'OD N UA ca m m — m a� L N L N In Y � � Y O UA bA b-0 co m m m m m N � d L L L cn N cn > >, > O O O u bA Uc m m m d N L L L N N fn a) d N N N O O O Al ? 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 wafv ■■■■■■■■■■■■■■■■■■■■�■f1■Er�■nE■■■�■�■ ■■■■■■■■■■■■■■■■■■■EEilf�lll�l�!!lE ' iiE■■OOMMA■ r1■■■■►,IM■■■■■■■■.■■■■�■■■■ ■■■ ■■■■■■■■■ ONO ■■■.7■■■■■■■■■■■■EM■■■ OMEN ■C ...... 3 s!�:I::::: . = NONE■ : ::::::■: ❑..........o.. ::C ■NNE . ■■IMEM ��:®� ................ .: ■EEO OEM ■ N■■NEEEEE■■EEOME■1A■■O ::a■EN■■E■..■■E■■■EE■.E. N1s.u■■E ■■11■E■■■■.■■■■■■■■■■■EMON00laiEEE ■■■ ■�'.■■■■�■■■■�■■MEM■■WFAMW E■.■■ ■�■■■■EN►, EE■E■■NEON■■ EApiraWA-1IE:ENEE■■ EEN■■■EEEWE■E■EE■■■E ■■E■■E■ ■EEE■■ENNEEEE■■■EEO■C 1110 ■ENE■■ mom Ell E■EE■E■E■G' ��/!y�IEE�ONEE■■■■■■■E■■ MEMENI ■ !!E � r,�f► 1ni►�9"�1!HE■EOMEE■■NEEE MMMMMMMMMMMAAM �� mum ��rN■NE■ i.EE■E■■E■EEEE■ line Length_- ME M not sure Yes ' O■■NEC E■EEEE■E■■■N■ ww aid' ■OMEN■%■■E s: yes ,�" C ■E■ ■E■■E■E■EEE:� 1MENEM11MA,:■E:.. P. MENE OEEENEEN■EEN■E 0E 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