HomeMy WebLinkAboutIvey, Paul'CAMA / ❑ DREDGE & FILL NO. 73348 B'c? D
GENERAL PERMIT Previous permit# A C
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date prevjous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality '} ' ) , /
and the Coastal Resourtps Commission iq,an area of environmental concern pursuant to 15A NCAC 71�
❑ Rples attached.
�' i,+ 'C Project Location: Coun
Applicant Name 1 tY -
Address r Street Address/ State Road/ Lot #(s)
City
'" Stat ZIP
�
Phone # ( ) E-Mail Subdivision
Authorized Agent City ZIP ,� r
CW ❑ EW PTA ❑ ES ❑ PTS Phone # _ River Basin
Affected IH ❑ UBA ❑ N/A `; j ,
AEC(s): oEA ❑ HHF Adj. Wtr. Body -' (nat /man /unkn)
ORW: yes / no PNA yes / nod Closest Maj. Wtr. Body - -
Type of Project/ Activity
Pier (dock) length 6 Xlu L)
Fixed Platform(s) G X36
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/ oatlift
r
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no }--..-.....
Moratorium: n/a yes
Photos: yes no
-r -
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"
4lication Fee(s) Check #
(Scale. ' )
Pt �! ❑ See note on back regarding River Basin rules.
t
is A t-A'
Permit Officer's me
Signature
Issuing Doe ' / % Expirdtion 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:
J 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 complywith 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/ I-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico Tyrrell and Washington Counties)
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)
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
11 /28/2018
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Tracking Number: 70173380000034195133
On Time
Expected Delivery on
FRIDAY
9 NOVEMBER by
20180 8:OOPM (D
GV Delivered
November 9, 2018 at 11:36 am
Delivered, Front Desk/Reception/Mail Room
EMERALD ISLE, NC 28594
Text & Email Updates
Select what types of updates you'd like to receive and how. Send me a notification for:
Text Email
❑ ❑ All Below Updates
R���
❑ ❑ Expected Delivery Updates ) N
❑ ❑ Day of Delivery Updates Q
https://tools. usps. com/go/TrackConfirmActio n?tLa bets=70173380000034195133
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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❑ Agent
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D. Is delive(y address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
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❑ Registered Mailp—eSs®
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❑ Adult Signature Restricted Delivery
❑ Certified Mall@
❑ Registered Mail Restricted
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (Transfer from service laben from.
on Delivery Restricted Delivery
El Signature Confirmation""
❑ Signature Confirmation
7 017 3380 0000 3 419 5140
I Insured Mail
1 Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
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A. Signature ^
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B. Received by (Printed Name) C. D4te Qf Delivery
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D. Is delivery address different from item 1? L7 Ve—E
If YES, enter delivery address below: ❑ No
RECEIVE
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NOV 2 6 ZU16
3. Mail Express®
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❑ Adult Signature Restricted Delivery
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❑ Registered Mail Restricted
❑ Certified Mail®
Delivery
❑ Certified Mall Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Number (I_ia_ isfer from service label
❑ Collect on Delivery Restricted Delivery
❑ Signature ConfirmationTM
7 017 3380 0000 3 419 5133
Insured Mail
Insured Mall Restricted Delivery
❑ Signature Confirmation
Restricted Delivery
(over $500)
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Name of Property Owner:
--- 1A/Z S re- C,
Address of Property: / 3,7� SCYcu-tZ/r k ,4i o4,4 �5��, �•
(Lot or Street #, Street or Road, CVounty)
Agent's Name #: SX- nlm Mailing Address: /: - AQX-
Agent's phone � 7713 — (e' �? �/ 70.0 A e.4c, -el, 5 � *.5 hoc
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. % descr�tiori'or �iravvinU '+nrith i iTiensioils rust be providedyVit :this lGtter
4 ,/ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808-
2808. No response is considered the same as no objection if you have been notified by Certified Mail.
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.
V I do not wish to waive the 15' setback requirement.
(Property Owner Information)
i-0
gnature
PAa� rtu%s -.-ve
Print or TypeW ame
a /� v
Mailing Addr ss
% ity/State/Zip
&5;1) a�4/
Telephone Number
RECEIVED
/L/71/9---
Date / NOV 2 6 2019
j)CM-MHD CITY
(Adjacent Property Owner Info at'
lee
Signature
r,*Rl@ /(e a,)Ccdi4�l
Print or Type Name
/09 4ocl�►1�,4 LfJ,ve
Mailing Address
City/State/Zip
Telephone Number
/ 7111
Date
Revised 611812012
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at
Pouf-V4 Y - TU5
(Name of Pro er wner)
-�_! (Address, Lot . lock, Ro d, etc.) .�.
on 73a4u� J�t3Lt , in t'/� '. �J �S� �f R B, N.C.
v (Waterbody) (City/Town and/or County)
,Late gLea k li' .�',� ch ens �a �i�ft-Stc bad.
The applicant has described to me, as shXn below, the development proposed at the above
location.
I have no objection to this proposal.
FIN
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 drawin_g))
�;-41vrx e:l'
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5 ce Arr-4CJqPb .6Ae—k h
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.
- uo not wisn to waive the 15' setback requirement.
(rroperty owner Information)
u
Print or Type
3 0 C'
Mailing Addrn
City/StatelZip
Telephone Number RECEIVED
Date
NOV 2 6 2018
(Adjacent Property Owner Info n)
St ure
AAA It!E ivocreloqRei
Print or Type Name
�o�- Lo�vaL�r� �•� .
M A,ore
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City§tate/Zip _
Tone m e��^— 2-7
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Date
DCM-MHD CITY
(Revised 611812012)
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RECEIVED
NOV 2 6 2018
DCM-MHD CITY
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: &1944Do4nlws Zye
Mailing Address: BUG 5, /—/V -
/�
Phone Number:
Email Address: _ [�o `t� 1 u e �i 30 �a v,4tiao • e9or61
I certify that I have authorized iV d
Agent ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dusk i¢A)d hngf
Zs-
L. L1 Ar�k� Gill e r1� {7� J f11 LC/l" �� �a
at my property located at 7336 Sorc-(vCL Z)R • �i!JeiQ�l�! ..�S�e �'.
in P—County.
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:
Signatur
/
Print o Type Name
a L a�f 6 1 �C- -
Title
// 1 9' 1
Date
RECEIVED
Nov 2 6 201
®CM-MHD CITY
This certification is valid through IA� I :3 / 1 /ff