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HomeMy WebLinkAbout73824A_Turek, Donald_20190812QCAMA / DkIEOGE & FILL No. 73824 A B C D O GENERAL PERMIT Previous permit# ew 'Modification ❑Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ` Z and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC i Rules attached. Applicant Name e .i •- 1d -?r S � 4 c y T,-, r Project Location: County P e r q cA, Address 1 o '% Q i� S (< <'� Street Address/ State Road/ Lot #(s) /� Cityc tf V� �d State tic ZIP -2 9 y y / b 7 (,.)e bi -54, Phone # (25-2):>J -$$$ 7 E-Mail Subdivision Awthe2 52 - 2 (—y - i 2 D 2- I /V city ZIP 2-7y Y y Affected ❑ CW ;PTA ❑ ES ElPTS Phone # (- ) River Basin S4< v s n i<:, ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A AEC(s): Adj. Wtr. Body Q AC e SN (nat an unkn [I PWS: ORW: / no�) PNA / Closest Maj. Wtr. Body!a -"C I - S � " A d yes yes no) Type of Project/ Activity L` � s 4-r ` c $ J )e S �� Q r / ` .r 1 �/ P/� -41 _rl r (Scale: Pier (dock) leno*h Fixed Platforn Floating Platfc Finger pier(s) Groin length number Bulkhead/ Rip avg dista max dist Basin, channel cubic yai Boat ramp Boathouse/ Bo Beach Bulldog Other Shoreline Len SAV: n Moratorium: Photos: Waiver Attach A building permit ma;be by: IOC-'( �� +v��•� s G� ( Note Local Planning jurisdiction) Notes/ Special Conditions Signafuree Please read or�r pliarfceistatement on bac o-f permit" Application Fee(s) Check # ❑ See note on back regarding River Basin rules. V a irn< cc,f V V r- Permit Officer's Printed Name Sign ture % 2— 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 I) 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, certifythat 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 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/ 1-888-41RCOAST 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 ❑DREDGE & FILL lid 71476 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 15A NCAC %N W] Rules attached. Applicant Name_ T�, NAIL L ''` -i 14L" Address L''~ �`• /' City / State Ail ZIP 7 % X Phone# (�-55,-, : r&Z E-Mail Authorized Agent Sz -2 (,<(-3 (.f zr a o 2-1 o /t Affected ❑ CW 'LV EW A PTA AES ❑ PTS AEC(s): ElOEA El HHF [IIH ❑ UBA ElN/A ❑ PWS: ORW: yes MA yes Type of Project/ Activity ?i IJ,„1AT l ile7 Project Location: County Street Address/ State Road/ Lot Al Subdivision City ZIP../i< Phone # River Basin��;t�7c(t jy�+Ile Adj. Wtr. Body 44"e&P /man /unkn) Closest Mai. Wtr. Body U<L/ I � Z n-��'Xlzl j z. 71t:llES F if. Pier (dock) length Fixed Platform(s) J�■�fi�ilfl■■■pl■■r7,7ifZ�lL�!■tJi�...�a■■■ii■■■■■■■■ Floating Platform(s) ■■�:■■li Finger pier(s)__ ■�1�1■LJ(t?■iir■■■■■i■■■■■N■■■■■■■■■■■ Groin length number Bulkhead/• ...length■■■■Lyi�F;iii�l1■■®■■■■■■■■■■■■■■■■■■■■■■■■■■ offshoreavg distance max distance offshore— Basin,■■■11rilYltl■■H■■■■■■■■■■■■■1iliil111iir■ri■■■ ■■■■!■fAE�I■■�■■■■■■■■■N■■■■■■■■■■■■■■■ ■■■■■11r/!�I■■■■■■■■■■■■■�.7■■■■■■■■■i��1■■■ ■■■!!�I�■■�l�l■ice■■■■■■■■�■■■■■■■■■■■■■■■ cubic yards Boat ramp ■■■t1i�■■�I■1�i®■■■■■■■■■�■■■■■L■■■■■■■■■ ■H■■li■■fl�iE:7■■■■■■■■■■■■■■■■■■■f�i■■■■■■■ K■■■■1�■■�I�iE;�iB■■■■■■■■■�■■■N■■■■■■■■■■ Beach Bulldozing Other■■■■li■■f11�1■■■■■■■■■■■■■�■■■■■■■■■■■■■■■ Shoreline Length Moratorium: &a� yes noPhotos: no Waiver Attached: . ■■■■\II■ly�f�l■■0■■■■■■■■■H■■■■■■■■■■■■■■■ ■■■EN ■■II■■�I�1■■®■■■■■■■■■®■■■■■■■■■■ /R■1i��■■��tll��■(III■■■�■■f�■■■I�■■■■■■■ A1"'t►L•';laY■■■■■®II!■■i{�fil1■■■■■li■■■1�■■■■■■■ r�lw■wnt�i■■■■■rt�■���nn■■■i■■�■■■n■s�nn■■■ ■■■■llfl !i�11�■■■■i■■■■■■■1�■■■■■i■■■■■ A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions S?or-J F\L 1-'7 V- ( U 2 E�-c r✓�iG,/<[L7�N S �I See note on back regarding River Basin rules. Agent or Applicant Printed Name Signaturer "Please read compliance statement on back of permit" Appli tion Fee(s) Check # t if'�f A-( I'/(G J /7f/ PermitOffi er's Printed Narrp Signature Issuing Date Expiration Date pac.K you" P i r vvFr�t,A�c, a+F2Q'(, LIFT PLLur/ 1 5' F2 (Ir--- PtE rc- DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Project Address: _1 0 Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & County) Mailing Address: 9 ?9 yIy 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. I 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. Correspondence should be mailed to 401 S. Griffin St., Ste 300, 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. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 sign the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Applicant/Property Owner Information) Signature ��C f f-&, Print or Type Name ailing_ dress ,� I City/State/Zip Te phone Number/Email Address n 6—(43/5 D to 'Valid for one calendar year after signature* (Adjacent Property Owner Information) � r Sign zte Print or Type Name ( 03 �zbh t,� Mailing Address ��Lz � \ . inL a r) City/StatelZip 7Tellphone Number / Email /Address OU Date Revised 2017 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: y Project Address: Agent's Name #: Agent's phone #: o"-� : � >tree-�_ 87q'� (Lot or Street #, Street or Road, City & County) Mailing Address: 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. I 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. Correspondence should be mailed to 401 S. Griffin St., Ste 300, 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. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 sign the appropriate blank below.) (Applicant/Property Owner Information) Signature a r1aicc Ure Print or Type Name bICJ ' Mg Ad ss .r-cl �- �q qG/ City/State/Zip �bq - 3L I D Telephone Number/ Email Address rJv Date I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Adjacen a ner Information) 40'al Print or Type N me Mailing Address z� C y tate/Zip Telephone Number/Email Address d Date *Valid for one calendar year after signature* Revised 2017 1 • w All IIY�1.111'11YYx�F r � .: - � �::.:�= �.`=ate- �.-�,::_��'• _- 2019-08-12 Q19-08-12