HomeMy WebLinkAboutGull Harbor Yacht Club 73323CCAMA DREDGE & FILL No. 73323 A B
GENERAL PERMIT Previous permit #_
New Modification - Complete Reissue —partial 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 Street Address/ State Road/ Lot #(s)_
City- State ZIP
Phone # E-Mail Subdivision
Authorized Agent City ZIP
Affected CW EW r] ES Ej PTS Phone # River Basin
AEC(s): OEA HHF I El UBA El N/A Adj. Wtr. Body (nat /man Junkn)
PWS:
ORW: yes no PNA yes no Closest Maj. Wtr. Body--
Type of Project/ Activity (Zi" LA'Z/
(Scale:
Iry Kim 51 Ow 11111
a No
WIN ME M
UK MEN -
OEM ■0■0
ME M■M
MEMO M ME
MMM
EM■EMM■MEM ME =I
MOMMEMEN IMIN NMI
cubic yards -
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing ,....__.._...-
Other
C D
. . ... .....
Shoreline Length
SAV: not sure yes no MLL ... .. .. .......
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Permit Officer's Printed Name
Signature Please read compliance statement on back of permit *'
Application Fee(s) Check #
Signature
Issuing Date
Expiration 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:
Tar - Pamlico River Basin Buffer Rules Other:
-1I 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 (252-946-648 I) 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)
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)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ 17
IV ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S 4 J Q c-- ` �`�J 's
t n� (�rpq of roperty Owner)
property located at I o ' \G��\�O� C� �'At'�.Y�() V
(Address, Lot, Block, Road, etc.)' rl
on b , in � �� , N.C.
(Waterbody) (City/Town and/or Coin ty)
The applicant has described to me, as shown below, the development proposed at the above
location.
_V---'_ 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)
RECEIVED
NOV 16 2018
DCM-MHD CITY
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 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
7perty Owner Information)
�S
S - nature
n N A A I'A-'euelrls 0 dJ
Print or ype Name
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Mailing Address
City/State/Zip
Telephone Number/email address
rzRTZ,
(Adjacent Property Owner Informati n)
Signature * 1 ` A
Pri t orr,:,-,Alame
M "ling Address
vJ `J `C
City/State/Z
Telephone Nudmber/email address
Date * H - '7 -'� 14
"Valid for one calendar year after signature"
(Revised Aug. 2014)
C r Qh A • C0 vb�
N
RECEIVED
NOV 16 2018
QDCM-MHD CITY
RECEIVED
NOV 16 2018
DCM-MHD CITY
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SL
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Lsi � e-- s
(Name of Property Owner)
property located at _��� �, �a�� ��,t bc� �
(Address, Lot, Block, Road, etc.)
on t`�c, �,, in N.C.
(Waterbody) ( ity/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
loc do
I have no objection to this proposal.
1 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)
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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.
(P operty Owner Information)
Sig ture
Lrn" P. f- -
Print or Type Xame
/'i> 6yLL. 14.4.etaQ DIC
Mailing Address
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City/State/Zip
Telephone Number
Date
rty S(wner Information)
Print or Type
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ailing Ad re sC�� NC
,✓1G
City/State/Zip -T-�
Telephone Number
Z-ZI el
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /Vd4e t j 404 z,15
property located at -21 y S ela P
of Property Owner)
I
(Address, Lot, Block, Road, etc.)
onQCArjin /tile-w Po leT N.C.
(Waterbody) (City/Town and/or County)
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
(Individual proposing development must fill in description below or attach a site drawing)
Pc'lbor olckrl-tL
DEC Q 5 cuia
WAIVER SECTION DCM-MHD CITY
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.
(P operty Owner Information)
Sig ature
Print or Type—Na—me
a -2 & 44 4-z- A441219 012 Jbk
Mailing Address
AtJX'w rbKi' ? 8.�70
City/Stat&Zip
Telephone Number
/02 -✓ -1w
rp-70741
(Adjacer t Property Owner Information)
or
Address
� .� .r - .✓ T ec - roc 2`,�
Telephone Number
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Date
(Revised 611812012)