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HomeMy WebLinkAboutMcGinnis Pt POA�CAMA / DREDGE & FILL NO. 73236 A B C D GENERAL PERMIT Previous permit # t-jNew -- Modification El 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 ii`i > t'` ! _ ZIP Affected Cw EW PTA - ES _ PTs Phone # ( ) River Basin _ _-_�• AEC(s): OEA HHF IH —. UBA N/A Adj. Wtr. Body_ (nat /man /unkn) PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body A i Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Printed Name f7 1� i 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: 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 - 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 RECEIVED SEP 2 9 2018 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Dft99FflMt 1 own property adjacent to Gt,Lt l 5 4- Q LUl/l.0 S. 55s►7 i4fis /J (Name of Property Owner) property located at 1�0-nL-n G'o) (Address, Lot, Block, Road, etc.) on in "X U L5-h "J N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above Il at r\kJ 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) ILAe2 n �v1fz � 4),l � �� s ucc�tttrn- �� L�llil l %=J � i-p, LLGt� �C LJ .. �- (N +z5cf3LIO �&vw 6L�4- gyp, daq Jerk- &&L WAIVER SECTION 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.) -XAJW I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Snature Sig'gature iT t,b d Y a 4, fi 16t k kri l- l t✓/J �iG' ,bncf Z), Print or Type Name Print or TyW N m ldegry,4- 3f(�-C gum e er Am Mailing Address Mai g ANress ro a-i a n d oil IV C 2 K S S % Ail/Y.<- City/State/Zip I Cityly te/Zip ys 1216-239-19'aj��s-/'hevul) 9—X/6—,?m Telephone Number � Tel hon�,Alumt�el� 1 4,Q�S�t ` LJ I `3 � Ii r S� Date Date (Revised 611812012) RECEIVED SEP 2 g 2Q18 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT DCM-�Hpby�,� certify that I own property adjacent to _/%e #1h H cs f- �l/lYl/r /,� S*Irl- c's G: (Name of Property Owner) property located at / /Za,� , 4L4eLIJA r jJa4ca 2V /n 3 /'-/yy73 97OUaJ on /CC, BSc r (Address, Lot, Block, Road, etc.) �.�.�( , in 7PLAe l/s-z.v t . n,,f-ia A� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. iJ 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) C d + r d o► . ( a z IL- cL- L'4- 4--L" . %tea sty bN` 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. (Property Owner Information) (Adjacent Property O�fner Information) /Alto aktc & ad Sti. Si ature Signature ��ol2pN Hl/Y7��ri>'v, �'�-J�clsU/i`Hi� � f'1il3/�r�IV Print or Type Name Pr/nt or Type Name 0'0 e-&n ). - 0 /1-e omm6-ee.��c . Yzn 1(0 - F ac R-tff, Mailing Address Mailing Address INveL,P 4 /UC- 'LM4ILL 14fAt) r4-1 AJC Ciitt,vy/State/Zip City/State/Zip q,lb._ 2'A9 -/54/-7 [C�y►s- dry// °//ry - �8y lS S s i h/icc� Telephone Number Telephone Number Date Date (Revised 611812012)