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)
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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)