The URL can be used to link to this page

Home My WebLink About73690A_Kos, Ed_20190730'jCAMA /REDGE & FILL No. 73690 g 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 [WI Rules attached. Applicant Name Ec1 Kos Address-4 0 (o Pr t k A.,-t- City h)e "J cr"M e State E ZIP 19 4,). 0 Phone # ( (") '�H3- S JW E-Mail Authorized Agent >3 e R ,1 V b,-c CJ S Affected ❑ CW 4tw '4PTA X ES ❑ PTS AEC(s): ❑ OEA HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /, fio% PNA yes /, '6o? Project Location: County 0 „{r. }- Street Address/ State Road/ Lot #(s) ) ) b c( TC a I I� 0 L i ti 5,, Subdivision City co'(.)1\a ZIP a-4611—+ Phone # ( ) River Basin f. 91.)o +--, — l� Adj. Wtr. Body r, , t to k'rotir,, is 8.oy (natdffi/unkn) Closest Maj. Wtr. Body C L f • �'.b (- k S� q. Pier (dock) length if Fixed Platform(s) �■■■■■■■�■■■■■■■■■■■�■■■■■■■■■■ NIANNNNNNNNNNNNNN NNNNNNNN NNNNNNNNN' Floating Platform(s) Finger pier(s) Groin length number ea iprap length avg distance offshore_ max distance offshore_ Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Other Shoreline Length I o'D SAV: not sure yes no Moratorium: yes no —. Photos: yes no Waiver Attached: yes � A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions C c„I .'r . Tv C k ❑ See note on back regarding River Basin rules. on back of permit ** 4 I-400. U X -94'a. .PU5 3369I A dCPS Application Fee(s) 13 $'i0A ', 13V} h Check # Permit Officer " Name Sig ure / -0 -43,pbo l ct r /306 of 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/ 1-888-4RCOAST 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: Kwz> c� Date: Permit #: -3 �, 504 Describe be0y 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 im act 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) Dredge ❑ Fill Both ❑ Other ❑ Dredge ❑ Fill Both ❑ Other ❑ dv 00 •� Dredge ❑ Fill ❑ Both ❑ Other X --\ a-CX�6 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.nccoastaimanaa_ement.net revised:02t03110 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Jet,667el Lcs Mailing Address: (4 ?GAL' f w C�5- - i% 'l?Z C Phone Number: go q — Email Address: I certify that I have authorized La'—('e Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at T-'�-CJ Pc� inC,_,ti-A,�, k— County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Prope wner Information: 1 / Signature L. ClJrlu�� /SOS Print or Type Name I/ ✓A / Title 2-1( / ; -v/ 5 Date This certification is valid through `� / 2`{ /�2-61q ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that w6 can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: rl. UQ, e N ` (�ll�lri�j i7.0 t D ox i (-A.-;V A. X i ❑ Agent j5j Addresser B. Received by (Printed Name) I C.C. Date of Deliven i7 ��1C`w l r V D. Is delivery address different frohi item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express(D II I IIIII IIII III I i l I I II I I I III I I ❑ Adult Signature ❑Registered MaiIT'" ❑ Adult Signature Restricted Delivery O Registered Mail Restrict 9590 9402 4603 8278 9225 95 ❑ Certified Mal® Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Numhar /T—,*— +--- - ' 2881 7382 cn Delivery Restricted Delivery Mail El Signature ConfirmationT ❑ Signature Confirmation 7 015 3430 0000 Mail Restricted Delivery Restricted Delivery (over $500) PS Form 3811. July 2015 PSN 79sn-n2-nnn-gnss Domestic Return Receipl USPS TRACKING # 9590 9402'� 608278 9225 95 United States Postal Service • Sen Beach Bulkheads & Construction Santos Elmy 106 Pinecone Ct. Grandy NC 27939 252-207-6926 First -Class Mail Postage & Fees Paid USPS Permit No. G-10 I))I'IIIIIII'II""I)IIIIIIII"IIIIII',IIIIIIIII-II,II,II'III,II, in this box* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �5D �QS is (Name of Property Owner) property located at 3 , �D �1 T�V CJ R A (Lot, Block, Road, etc.) on Cam%AuCY- ��r\C� , in C�fo ,ko N.C. (Waterbody) (Town and/or County) Applicant's phone -16'r'Z Mailing Address: 16 (' {7>�!eCa'Xp Gt• He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) cxo'S \(V fA (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip !BO7-793 -S7C-c 06k.-M IX - 5C-� ( V"6V'5 (Riparian Property Owner Information) Signature Print or Type Name Tel hone Number Telephone Number a e Date Date r 6 .. r r� Y4 .�� l ��: �fi ,•. t � _'s � Y i <��v, 4 t, �. {� ' _ :.:rr� S. .. ,..1 _ ..i