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HomeMy WebLinkAboutTate, Traci65 CAMA / DREDGE & FILL` -'N A B C D 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 I SA NCAC Rules attached. Applicant Name _ _ _ _ Project Location: County Address Street Address/ State Road/ Lot #(s) City _ _ _ State ZIP Phone # ( ) E-Mail Authorized Agent ❑ CW ElEW ❑ PTA Affected AEC(s): ❑ OEA ElHHF ElIH ❑ PWS: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Agent or Appli t L rinted Namef >� ' Z 'Q Signature` lease re d compliance statement on back of permit- ,r` Application Fee(s) Check# Subdivision City Phone # ( ) Adj. Wtr. Body Closest Maj. Wtr. Body__ ZIP River Basin E - --•.- t'1''"'77 fnat /man /unkn PermitOfficer s Printed Name r �_ SignatW/e� 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 (252-946-648 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 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 A'*A MCDE-HR Nib Carolina Department of Environment and Natural Resour,Pat MCCMfy __ Division of Coastal Management Braxton C Da Gov r Qirector vis DOOM R. tf' Val Date 4j*�< applicant dame__ �----" Address CAMA Permits necessary to install or construct (activity) JAW - at (location) on is valid thru (date) 1 «Z Col o°ing i ME Ao C( Is i I ul CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Traci M Tate Address of Property- 322 Main Street Vandemere, North Carolina (Lot or Street #, StWet or Road, City & County) 7 Agent's Name #: MailingAddress: Agent's phone #: 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 posing. A description or drawing with dimensions must be provided with this letter. 1 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. Contact information for DCM offices is available at httn•//www.nccoastalmanogement.net/web/cm/staff-listing or by calling 1-888-4RCOAST. ,,,.. 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, boat ramp, breakwater, boathouse, or lift 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. Owner Inforration) (Riparian Property Owner Information) � Wei Si lalur•e Sign alrn�e Traci M. Tate Max Dare Print or Fy-pe Name Mailing Address 14313 Derby Ridge Ct. City/State/Zip Midlothian, Virginia 23113 Telephone Number/ Email Address 919-741-9328 tdusenbury@halconcompanies.com Date Print or Type Name Mailing Address 360Main street City/St a te/Zip Vanslemere, North Carolina Telephone Number/Email Address 601-504-3744 max@durasip.com Date (Revised Aug. 2014) a CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: � � M �11 �1 3Z Z t (Lot or Street #, Street or Road, City & County) Agent's Name #: �f L i Mailing Address: _ Q Agent's phone #: ( icy �� 1 /„l�cl �: U,� t /?A� 9 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. A description or drawing, with dimensions, must be provided with this letter. 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. Contact information for DCM offices is available at http://www.nccoastaimanagement.netlweb/cm/staff-listing or by calling 1-888-4RCOAST. 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, boat ramp, breakwater, boathouse, or lift 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) ,�� '011�x Signature Print or Type Name JKi arian Property Owner Information) Signature Ca M a i e.. f, rItA 2% .k4(�L wl Print or Type Name Mailing Address Mailing Address City/State/Zip fdUSeo City/State/Zip ) a Teleph ne Number/Enhail Address -Telephone Number/Email Address -1—(,o ~I� `7/� 113 Date Date 61 (Revised Aug. 2014)