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Home My WebLink AboutAllen, CharlesCAMA / DREDGE &FILL < ( No. 73989 A 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 — t ,( r'.- - and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -_ _'Rules attached. Applicant Name -__ Project Location: County Address _'� f , __ Street Address/ State Road/ Lot #(s) City Y E�-('� State ZIP - ` �.7 1� Phone # (-__) �• r �7� E-Mail Subdivisionu Authorized Agent City r ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (_ - ) -__ - River Basin _ ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body nat /man_ /unkn ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body - - - B C D Type of Project/ Activity (Scale• ,!li.;; ) Pier (dock) length ___T._-_r Fixed Platform(s) X 1— Floating Platform(s) I Finger pier(s) Groin length number I 1 Bulkhead/ Riprap length F j avg distance offshore_ max distance offshore Basin, channel i ! cubic yards Boat ramp i Boathouse/ Boatlift Beach Bulldozing i Other Ti- Shoreline Length -_ i SAV: not sure yes no F__ _;- .._.-- i._-.._-- -_.-- _ - Moratorium: n/a yes r' no , Photos: yes no 11_ I Waiver Attached: yes\ no A building permit may be required by: %Y �` t�'`�(' +, f 0 i ( See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) T ^ Notes/ Special Conditions ; { .1 (f� C'f`s Al!) VIJ -- Agent 4 Applicagt-Printed t4ampA f Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Printed Name 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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:2552-264-3723 (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 s Hurricane Florence and TS Michael Replacement/Repair Request Form Date of Request: Property Owner Name: Address of Property: Telephone Number: Type of Work: 2/NPr D/tL ��lfv�iiCi �l`- �GJ74, 32z- 407 -- V�Z63 d` cck) n 5 C" f Ti ko S S IG fS NOTE: • The Emergency CAMA General Permit 2500 is for repairs and replacement of water - dependent structures damaged because of Hurricane Florence and/or TS Michael. The replacement, reconstruction and maintenance excavation activities shall conform to current standards and rules. All work under the Emergency CAMA GP 2500 must be made in the same footprint of the previous structure with no additions, expansions, or enlargements. • If any portion of a structure being replaced is within the 15' setback of the riparian line or access area, signatures of the adjacent riparian property owner(s) must be obtained acknowledging the notification and waiver. of •the setback on the forms provided by DCM. • Any maintenance excavation or dredging requires signatures of the adjacent riparian property owner(s) on the notification forms provided by DCM. Signature: