HomeMy WebLinkAbout73819A_Moring, Scott & Donna_20190828_ACAMA / ❑ DREDGE & FILL = No. 73819 � B C D
GENERAL PERMIT Previous permit#
IINew -JModification ❑Complete Reissue El 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 } avJ
fl Rules attached.
Applicant Name St <, V Mu r ,
Address 140 1R _,, Qo
City C%,"q.i. ( k State pt ZIP �_4ciJ5
Phone # (Is-j) -444- Li 1iy E-Mail
Authorized Agent
❑ CW
)d EW
A PTA ❑ ES ❑ PTS
Affected
AEC(s): C' OEA
❑ HHF
❑ IH ❑ UBA ❑ N/A
PWS:
ORW: yes /(!Co:)
PNA
yes /
Project Location: County l v f r.� c K
Street Address/ State Road/ Lot #(s) I 1-1y f20 ... pp.:, f
Subdivision --
City ('",e. �- ( K ZIP ) �4 g.;K
Phone # ( ) River Basin A. +.' K
Adj. Wtr. Body Su �.� cl el�man /unkn)
Closest Maj. Wtr. Body ell V,r • } r- I (_ So ✓' d
Type of Project/ Activity f
--Vi'-'5ock) length
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Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
td,00 . 00 �I S 3
Application Fee(s) Check #
Permit r `sPriDt1,Jd Nance
i
nature
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 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/ 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
NC Division of Coastal Mgt. Habitat impact Computer Sheet
Applicant: Mo ✓ �� S �,rr
Date:
Permit* q 3 K) ``7 A'
Describe beI4 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)
O w
Dredge ❑ Fill ❑ Both ❑ Other
15q
Cl
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 ❑
a�(0
s CA
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 02/03/10
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner: S
Address of Property: ���6� �ll �EJCILAI-1-1fiA41Kv- a,4 %
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
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 ^^ the attached drawing the development
they are proposing. A description or drawing, wii
I have no objections to this proposal.
4
If you have objections to what is being proposed, O 63 L} I f C. tent
(DCM) in writing within 10 days of receipt of this i is.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DC, a ?64-
3901. No response is considered the same as no flail.
WAIVEF
I understand that a pier, dock, mooring pilings, n
must be set back a minimum distance of 15' frc ly
me. (If you wish to waive the setback, you mug
I do wish to waive the 15' setb<
12 K, I do not wish to waive the 15'
(Property Owner Information) ( ent perty Owner Information)
ICY2,LZ ,,,I '1� - s-<--
Signature Signature *
S ciz, l Y I Q r rJ_
Print or ype
Mailing Address
L�rrlf,AL�����
City/State ip
7S7- �a� - 4110
Telephone Number / Email Address
"t= vle,
Date
*V lid for one calendar year after signature*
Rol S-e-
Print or Type Name
P. y,6ax
Mailing Address
A,,t o \/ b C, V Z 2,71i S-7-
City/State/Zip n
2-s3-- 333--5)y�� rV.roua y mA . c4m,
Telephone Number/Email Address
L��Date* -� /
Revised Jan. 2017
16' -0"
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mop\%6 LOT
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PFOP05�P NSW PIMP & [BOAT LIFT
140 VOMM PT, CUI?ITIW, NC, 27929
5, MOf?IN6 PPIOpFpTY
12' -6"
MORING PIER' S
"MY SUMMER PROJECT"
Agents
Agents pnnre
I hereby certify that I own property adjacent to the above referenced property. The iindividuaii
appWq 1br this peirA bas descnbed ra wm_ as`sham m the alached drawmgffie.eves
they are proposing. A description or drawiM with dimensions must be provided with this letter.
• i.t a.a ,.• a..�. _� a :. t. 3 �>.,: a.. � •; ,��a. a a,. t.�,.::.. , �
/f�roufaaere to iul�at,ffi �
(DCMj 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 DCU 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 a pier, dock, mamwq pdwigs, fit rwq�, breakyaW, baaftxze, fi , or,700
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. (if you wish tag way the setback, you t the aqproKIate uric bow.)
f do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number / Email Address
Date
`Valid for one calendar year after signature*
(Adjacent Property Owner Information)
Signature* �--�
V l�l VCA" c1 (�; (-U Q42 Yt
Print or Type Name
Mailing Address
QC
a�I�zi
City/State/Zip
--? <� 7-- Cp 1 S -- �(
Telephone Number / Email Address
Date
Revised Jan. 2017
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FF0F05�b &
1-40 pOMM FT, CUPNITUCK, NC, 27929
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12' -6"
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