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HomeMy WebLinkAbout73805A_Marcello, Barbara_20190703`j,,CAMA / --DREDGE &FILL GENERAL PERMIT New --]Modification ❑Complete Reissue ❑Partial Reissue No. 73 805 (-A-) B C D Previous permit # 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 1 H V Rules attached. Applicant Name �a f ba rG g1ct .ro— e c) Project Location: County Cann E� Address I CC�S.. V%,Se t Fty - . Street Address/ State Road/ Lot #(s) City­tt, ,o StateNQ_ ZIP a -lQl l O 9 S-1, I SPA Ave - Phone # ("S� 33(0 - Lj 10 I E-Mail ML rrC 0 i 2 1 00 ma, I Subdivision 7,ti'\ E c1 Authorized Agent City �1 a tM. G� E ZIP ;2 7 L� Affected ❑ CW NEW g[ PTA ❑ ES ❑ PTS Phone # ( ) River Basin , 0iC, n ElOEA ❑ HHF ElIH ❑ UBA El N/A AEC(s): Adj. Wtr. Body S f u c 1�,;,e r gat Iman /unkn) ❑ PWS: ORW: yes / no j PNA yes K o) Closest Maj. Wtr. Body Type of Project/ Activity \ ' `> 3 rnrn t is{ i (Scale: ( 30 ) Pier (dock) length - Fixed Platform(s) Floating Platform(s) _ Finger pier(s) j Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel — - — cubic yards Boat ramp Boathouse/ Boatlift _ h. Beach Bulldozing Other 3 i i Shoreline Length /' Z SAV: not sure yes no Moratorium: yes no Photos: es no Waiver Attached: yes ,po - I � A building permit may be required by: Qa m�Er inn a..� •t ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit 3aw.`"' ►o�q Application Fee(s) Check # ❑ See note on back regarding River Basin rules. Cn.:�YN 1 CS ; O f\}(C'E PermitOfficees Printed Name Signature -'/31/1 11/3/ Issuing Date Expiration Date NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: barbQrct Otarcello Permit#: o5 Date: jpp I / �'I Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Vn0.��OW bcrfts�r Dredge ElFill [IBoth ❑ Other ❑ �S� �k 3 4 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaImanaaement.net revised:02/03/10 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to `r ,,. rce l 's (Name of Property Owner) property located at j— (Project Site: Address, Lot, Block, Road, etc.) � !(f Y )# V in ��%lYY1C �ni N.C. on its i i^ (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) 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. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) 0",� Signature Print or Type Name k6l S rJ50_-F- Aye (Adjacent Prope Owner Information) :i- Mailing Address /\4L t.1 City/State/Zip( VV)!ZWe 11 o k116 7 q,> W- 2-61 am.MTN - col Print or Type Name Mailing Address Citv/State/Zip ' Telephone Number/Email Address Telephone Number/Email Address DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to t 1"�Yr'1 �i�Ce' lC 's property located at vle• (Name of Property Owner) (Project Site: Address, Lot, Block, Road, etc.) on 15 -0'G41 YQ- in S;::�O.YYIduJ N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) �wvN 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. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) �gnature MN:� �Yvl-� I l o Print or Type Name 1/tyq 6v"eT-JPqe Mailing Address City/State/Zip mcitr�-//o /�10 Telephone Number/Email Address / '%9 Jl � (Adjacent Property Owner Information) 4f V Signature' Puy1 S� Print or Type Name i 0­7 Sk st et Mailing Address G-nAi►^ PJC :79)1 City/State/Zip (�6Q— Telephone Number/Email Address -I R- 1� Date Date* 'Valid for one calendar year after signature' 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. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) �gnature MN:� �Yvl-� I l o Print or Type Name 1/tyq 6v"eT-JPqe Mailing Address City/State/Zip mcitr�-//o /�10 Telephone Number/Email Address / '%9 Jl � (Adjacent Property Owner Information) 4f V Signature' Puy1 S� Print or Type Name i 0­7 Sk st et Mailing Address G-nAi►^ PJC :79)1 City/State/Zip (�6Q— Telephone Number/Email Address -I R- 1� Date Date* 'Valid for one calendar year after signature' � � I.-- - v -;'--7mlwmmw� 109 Sunset Ave July 15, 2019 Streets Streets / Addresses Parcels � Main Roads a County Boundary 0 0.005 0,01 1:733 0,02 mi 0 0.0075 0.015 0.03 km Esr� HERE, Garmh, (c) Open StreetMap contributors, and the GIS user commurity Source: Esq DigitalGbbe, GeoEye, Earthstar Geographies, CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community / o � 2019 �O. `ery s :�l Fr � f1' •�tt5 r. 1 r �A- v u