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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 67U LJ 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 ul d u � o U v u s�3 SL a 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) ,hsfia/ I •,� �vo��— L-r 'f- 5�r P - 3G A--7— &u&-` A113 0Hw-W30 8M � 0 J30 a3Ai333a 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 /C4w Po-r-7- City/State/Zip Telephone Number Date rty S(wner Information) Print or Type �� ,pia. -pc✓. vim.' 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 V—l^ / 9 Date (Revised 611812012)