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Home My WebLink About73887A_Engelhardt, Dean_20190910❑CAMA / — DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue El Partial Reissue No. 73887 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 rn n Wiles attached. Applicant Name J/t an t, � a Project Location: County / r U Address /� 3 C� ri .5 -jN,4 Ci7- Street Address/ State Road/ Lot #(s) 8- City H vS+ t. r- State ZIP C �- Phone # no"7 v _ a I E-Mail Authorized Agent J ❑ CW *" PTA ❑ ES ❑ PTS Affected AEC(s): ElOEA ❑ HHF ElIH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no B C D Subdivision A Le evx C r (e_ ' 4-. -E; � � City- 41,z, 4 -� rA ZIP 27 9 V V Phone # ( ) River Basin v S c Adj. Wtr. Body )/e m q R D k (--(n! iman /unkn) Closest Maj. Wtr. Body U-„o M lz ■�INEEME ■■■■■N®OR. E111■■1■P. r�;��l■■■■■■■■so - ■■■■►i%NOON■■Li■■ii■■I■■■iw i�iiia�ilii■■■■■\■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■I■■■■■■■■■■■■■ M. ■■■■■■■■■■■■■■■■■■■■■■INNEENNEEMENEEN Caw/�■■■■■■■�■■■■■■■■■■■ ■ ■I ■■■■■■■■■■■■■ ' OWEOONEONiNAME ■®■■■_■ NONE ■NNE 0 ��■�i�ia . ■■■■■■■■ ■■®■■■■■■■■�i■■■■■■■■■■RMUS Agent or Applicant P 'rated Name Signature "Please read compliance statement on back of permit" Zf2 -->a yin7 Application Fee(s) Check # Perm Officer's Printed Name Sign rg/ 1 O 0 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 - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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:Hportal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date f�-3 � —� 1 Name of Property Owner Applying for Permit: Mailing Address: � U �\ynF k,�� w A `-)C J—)9 `tom I certify that I have authorized (agent) u',( )�� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)L20—A 1 � , at (my property located at) This certification is valid thru (date) / 30—/ of CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: -- Address of Property: (Lot or Agent's Name #: Agent's phone #: , Street or Road, City & Mailing Address: y 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. V/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 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. WAIVER SECTION i understand that a pier, dock, mooring pilings, 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 initial the appropriate blank below.) _ _.. __- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (P y OwneUInfor ation Signature Print or Type Nam Add g ress A I - AICa 7� 4'Yq City/State/Zip uQ Telephone Number Dat ----- ----- (Adlagent n1Property O ner Information) ,1� Signature )4-v , ,d A .—AxcI[St,A Print or Type Name I + l_EK11Scac Mailing Address City/State/Zip -�N D gl.)-)_o zit j Telephone Number C9, Date Revised 611812012 CERTIFIED MAIL. • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM fq-imr.: cat Orojwily Owner: M 4e le- -+ Lei we -ex l�Ctcir ?�;a; of Prr�rtr:rty: tout.*-, (Lot or Sire , k Street or Road. City & County) A(lr nt's Name 11: Agent'F, phrmo I lwrobv (,criity lfwt i own propr:rh/ adjacent to the above; referenced property- The individual applying fear this permit has described to me as shown on the attached drawing, the development they ,arr, proposing. A description or drawing, with dimensions, must be provided with this letter. 1 lwv: oo nhiertiow. to III hrox»a1. I have of joctiorts to this proposal. ids liv o7 D g qry f,`i If you hi-rlle o1Z.iectionS to what is being proposed, you must notify the Division of Coastal Management (P. CM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. i)CMrepresentatives can also be contacted at (252.)264-390 t_ No r�onse is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION r.tnr9carst:.►nd that ,t pie r, dock, mooring pilings, breakwater, boathouse:, lift, or groin must be Set back. a n:nnimum distance (A 15' from my area of riparian access unless waived by eau; (It you wi:31`1 to waivc the setback, you must initial the appropriate blank below.) I +ire wish to wmvf� tire! 15' setback requirement. sh YM i do not wito wvoig(! the: 16' setback requirervent. (P op(! to (')w fir" ratio f f7 j A�(l c (A acent Proia Ow r lr)formation) .1'fkrtrrltu'c� el A- r t k t i d------- Print or Type Name Mailing Addre. • City'Statip _24.1- 7&7-_37.37 Tcrlephone Number 1)(.It 9/1/1 ife✓iS;(J ti itJ;.- 1A l� a CAMA / DREDGE &FILL GENERAL PERMIT _'New Modification JComplete Reissue -'Partial Reissue A Previous permit # Date previous permit issued C D As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC If J? Rules attached. y / Applicant Name / Je.°j Al J [f � iUC �,�l.f ri`y�/r Project Location: County �?tiig, 14l � 1 / I/ C 'l j/_- Address___/T CT3t t) State_ ZIP -?. 71i4/Y Phone # _E-Mail Authorized Agent , r; > t j . lot rfG7 Street Address/ State Road/ Lot #(s) /I �S lh l <p is c z '_77 Subdivision l r _".) y i, 7-1;` UiV ZIP Affected ❑ CW I ( PTA ❑ ES ❑ PTS Phone # ( ) River Basin ❑ OEA i_ HHF ❑ IH ElUBA El N/A �J , AEC(s): Adj. Wtr. Body__ fu,'%%l��% { a�C&=natYman /unkn) ❑ PWS: ORW: yes /-'tio PNA yes /i Closest Maj. Wtr. Body�(�Uftf f' i VU - . v .. Agent or Applicant Printed Name Signature t *�` Please read compliance statement on back of permit ** t.' Appli n Fee(s) Check # 1 --;-1 I_1iA r iV -i t 11 Permit Officers Printed Name( Signature Aj Issuing Date Gpiratton Date Rin> r Untitled Map Write a description for your map. 4 -7 � � t• .t `� -`a_� ��+R; E� � .,ram' � �� ,�j �i` i r.. fir, � � _• �� !� �; f \ w • 1 2019-09-10 i V 2019-09-10 2019-09-10 2019-09-10 'ts 2019-09-10 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: �� Q (� w r� '� Permit #: % 3 g S % Date: 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) Dredge ❑ Fill ❑ Both ❑ Other p. 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.nccaastai ana8e encnet revised- 02.103110