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HomeMy WebLinkAbout74086_Long Tran_20190919 0 - -is , CAMA / DREDGE & FILL - D-# EOtt15to No. 74086 , GENERAL PERMIT Previous permit # A N fa ° New Modification Complete Reissue Partial Reissue Date previous permit issued Al /4 As authorized by the State of North Carolina, Department of Environmental Quality `v`� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC IZtRules attached. Applicant Name "Q°�� T' / Project Location: County 3E'3-v1--012-1- Address /69.J -� '' ' --''`---) - ,,,e • Street Address/State Road/Lot#(s) o 7 / 5A: _. 7 -',-. City 3,47---�' State " 1 C ZIP S /4.93 �a 2'' / , Phone # (=y''(2) 5 `d' Z/='3 E-Mail __ _ Subdivision '3A y v.C LA-) - Authorized Agent 14140-7 y $'',-' - City Cy`-''7-' _ ZIP eW NIEW .IPTA DES ❑PTS Phone # ( ) _ River Basin' '' -2 - ,--1 iJ Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A 2 AEC(s): Adj.Wtr. Body/f''"14-'10 �'t "� c(r an /unkn) ❑PWS: Closest Maj.Wtr. Body L'''Vv ORW: yes / no PNA yes / no:.) Type of Project/Activity/sv .T e' Pit/ . ? -": c- x 16 p,..--T•-Pw-"' X. / b _ t is'vr fry /I 1-2r /--. L,,.--1( U 1 , . ,-� Ld n r—, ;_I; (Scale: 1 Z O ' ) / Pier(dock)length�v -�' 6 ' �I-'�.r�-� L/ f�'f' Fixed Platform(s)/6 Y , h. I T-- r , 0 . , —6 Floating Platform(s) ____.- X J6 Finger pier(s)5 y,4 , V I//(Q E ar..., 6rer� a4vt i —t Groin length . number J 4 Bulkhead/Riprap length d + ' /h avg distance offshore i - _ - . 1 _. / /j. Y/Z I/ 1 . ; max distance offshore ,3,...," r 1 - x/ r 6. I P/e.g. . �/+ Basin,channel_ L s-✓,f-r-. 1'J l i ' cubic yards j Boat ramp / Boathouse/Boatlift 7/? > 1- 1 1 ,51,,,►.-)`A . f Ill, 7 Beach Bulldozing _ I _ 1 f-�r'Z� S 1 ' , �. • RECEIVED Other lJ-� b — - —_ _ SEP 2 l 2019 / j Shoreline Length La t i SAV: not sur yes no _....... -I- .. _._, 1 ._......—� _ �_ _ — Moratorium: n/a yes I ( 17 Photos: no --_ L i 7� ,) �l -vl I p Waiver Attached: A building permit may be required by: , P'y/rtkAl`r ePG ' , See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions ' '/ '_�1 P"y . - r--alli /oO -771, r7---L ,.,._-f c,,,/•1 vM ,.4Y7 z ' wrY� / t . if,//7/, ' ` '`� /cam y E-t/;7 JP Agent or Applicant Printed Name / Permit Officer's Printed Name f I ��� Signature "'Please read compli ce statement on back of permit a'* Sign�'Signature'J i �' 'C�-�° ,_5 _.3 Y --La/ .1 / 1 . 1-0 2- 0 • Application Fee(s) Check# 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,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(910-796-72 15)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 Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan, Currituck, Onslow-South of New River Inlet- Dare, Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of PropertyOwner Requesting Permit: L4)6,k, `�`'^ q 9 Mailing Address: Le4B 9 iz R el li ..- i'l t•ic -251108 Phone Number: �4'0 - gtA" - Z I a 3 Email Address: lOz5 t'rA h • 'f.:th "\crOr1 Sul '1 1147.44 I , CO" I certify that I have authorized j u L 1-(. 44' 11&•K ( 1 fS diC 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 16413 ollUt-tJ 6 12,w C. �--6 U , in County. l 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. Property Owner Information: Signature L h ✓vim Print or Ty, e Name Title Date This certification is valid through I I I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 37 'c e44. ,.I 's / Q (Name rc,ogerty Owner) property located at ! 4! ,g,..97(L1 L-J (Address, Lot, Block, RD., etc on /' L,/ed 17 r'C. , in / A-frj li-- , N.C. IUaterbody) (CitylTown and/or County) The applican s described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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 t waive the setback, you must initial the appropriate blank below.) i AK:wish to waive the 15' setback requirement. Ike- do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature, '-I Si41-":....id. / // lath7r� l� iiiiL:� Pri t or Type Name t Print7/yam N e Y 4:41:,,-,-.3 ;7(--/ Maili dress Mailin• ;•• - s Cit /State/Zi p City/ ate i Telephone Number Telephone Nkm r ?//y Date Date Revised 6/18/2012) 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on , in , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above Iocati n. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 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. (Property Owner Information) (Adjacent Property Owner Information) Signature Si nature L., ` (Gin �11 S 5� -Tkv`(47k-5 Print or Type Namq. Print or Type Name ,, n /44‘11-4A)*) , </ I Mailing ddress\ G o Mailing Address / City/State/Zip 2...tto t ooy���O 3 City/State/Zipf O5 Telephone NumberS/ l Telephone Number Date Date (Revised 6/18/2012) NC'Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: L evj[ T ,J Date: /q 6EP7'Er13EYL 20I 9' General Permit#: 4 Describe below the HABITAT disturbances for the application. All values should match he name,and units of measurement found in your Habitat code sheet TOTAL Sq. Ft FINAL Sq. Ft. TOTAL Feet I FINAL Feet (Applied for. (Anticipatedfiral (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or lem p restoration or temp impact temp impacts) impact amount) temp impacts) amount) L4/4T - Dredge❑ Fill❑ Both ❑ Other lib 4,3D1, ,/ 3e30 f f - Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ 1 I 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 Cl