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Home My WebLink About75612A_Hewitt, Carlton_20191001`LAMA / _V DREDGE & FILL GENERAL PERMIT New -Modification ElComplete Reissue ❑Partial Reissue No. 75612 B c D 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 I SA NCAC i [94ules attached. Applicant Name n✓ 1 ICU,I4t Address 12C.) �p.0 1 n[i G /V City x>NJ c , S I- ie S Statef% zip CM Phone # (-75;) '51Q - 000 E-Mail f, % la dc�C Sic�S CCA- Authorized Agent ) i ftI'Zc--PP �M /ke 4ky- L t�yr' Affected Ll Cw ❑ EW A ❑ ES OPTS AEC(s): OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ` 1 Agent or Ap?l cant Printed Na r 4 Signatu Please recoQliance statement on back of permit . Application Fee(s) Check # Project Location: County a& Street Address/ State Road/ Lot #(s) l 9 Subdivision SW-4e city `>-,G�il��r S%r`ie S ZIP Phone # River Basin &U Adj. Wtr. Body n - C I e nat man unkn ['IncPct Mai Wtr Rnr♦v l f. r i 1 4 (..0 k7` L A 4 RcL (' Per 'tOfficer's Printed Name Signature )(:tl/O I / 1 `) Issuing Date _ Expiration 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 (910-796-7215) 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 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: r'' r e'l .. .7.r...t Mailing address: A 2.0 j a64 Telephone Number: 7 57 S)fl Cb 61-o I certify that I have authorized JCS'A &A'U Gw� c-.c_. (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of 9.4. vi G 'tW 4'ou� at my property located at 9 c'► This certification is valid through (Property Owner Information) ynature C&Z& 0010/TT Print or Tppe Dime <. P/A T jUe, co, owner or trustee for property m / // / 20/ (Ise)5)n--aCO10 Telephone Number a,r 1 d-fCiSionS- 0-00— Email Address (date). CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM Name of Property Owner: (ca&ag,- Address of Property: 99 (Lot or Street #, Agent's Name #: te., QtLu Agent's phone #: Q7 5 2 '-M �5 12 (J 3 or Road, City & County) Mailing Address: k6.iLQ.0 r4 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. K 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. Contact information for DCM offices is available at httpJ/Www.nccoastalmanagement neflweb/cm/staff listing or by calling 1-888-4RCOAST. 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, or lift 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) �� Signature Ca i' Print or Type Name / 2 o % .,1 / / l�)/ /Vl= LcL,2e- Marling Address' d'�or IUC 29gy City/State2ip (75'1)510 ( Qr l(�Cieut</ynf•�°� Telephone Number/ Email Address _09-/1- 2O/9 Lkite -- (Ri nan Property O. er Inf mation) Si ature Print or Type Name ` 170 Mailing Address 5-,47 �te Yn s tl VeS, NC z 19Y7 City/State2ip 7�i-9#-7637 Telephone Plumber/Email Address y1Zol? Date (Revised Aug. 2014) CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: Cdt ,s dJ "Zi6i Address of Property: Ci 1 JC1, &AZL" 0- �- 66-6J � .�, ,n r� DC." (Q (Lot or Street #, Street or Road, City & County) Agent's Name #: �'u (4—* • Mailing Address: )? a✓ (�r,�[,! Agent's phone #: O5a kIi3 12((S WazZo ► )c 2795y 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. _7 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. Contact information for DCM offices is available athttp://www.nccoastalmana_qement.netlweblcmlstaff-listin or by calling 1-888-4RCOAST. 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, or lift 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 Ow ation) Signature C' r i2 L uGw — l r Print or Type Nameal i 'L0 -T-Cc ( ( i rIQ L-4AJL Mailing AddtOM �&,Vkft,-O✓V� S�wrQs BUG 2�yi City/StateI4 A -T5:1 �-) 0 D(ol t) Co / (0�fecKi S can, Telephone Number / Email Address Dale (Riparian Property Owner Information) nature 'tin GtJ� cG, -�,- Print or Type //Name Ma�,illin/Jo g Address l li)W j , A 1176"1 City/State/Zip � % �'m rt��tl2N7® l��u �.cvyn Telephone Number/ Email Address q z1/zvr9 Date (Revised Aug. 2014) NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: C'J)-�e(" ( (..�rPermit#: 7J(: Q A 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) 5 Dredge ❑ Fill ❑ Both d Other ❑ S� S Sty Dredge ❑ Fill ❑ Both Ef Other ❑ �1 --t� Dredge ❑ Fill ❑ Both dother ❑ S r` 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 ., 9.883-4RCi AST .. wvw.nccoasialrnay. McAt.� t revised.OZP'3r: y, `3:. c, r R A +I t�, _ fir •�i + *Y �' l 4 j,r �. it •6 - i - � u if 7 + f 4 . O. .b x'. ^ i•,�h ^r r~ f' •4 ,,, "� y+a..'� a, p3,�i. 1.: d '.J'"'L x, ••'".t .J .s ^� d• vT'. ..�r.Yo _ •;a �� yt�`f/'w4� i }_��I �y, 'II Ssrr i i v« ,jf• t �.� { ¢ .ems a � s,. a�;::•�' _ T Ab^. �... i "r.! -S'. ,i i ,� , _. f' h,. _ � ♦ �.�','#`•�. i •Fy '.. -, y +.n. S .,`i �7 "{' . .;'' �'*' .. ,rf;f 'i f)• ,C' rt . '� J��'Y'' �" II qv - a gaye d' •4 } J t A '�' �r . This map is prepared I!h from data used for the 99 S Dogwood TRL Owners: Hewitt, Carlton D -Primary Tax District: Southern Shores inventory of the real Southern Shores NC, 27949 Owner Subdivision: So/sh 114-117 126,127 200- 11 'e sy �j property for tax Parcel:022296000 202 `� b purposes. Primary nformation sources such Pin: 986710266371 Building Value: $0 Lot BLK-Sec: Lot: 7 Blk: 115 Sec as recorded deeds, plats, wills, and other primary lrr _� public records should be consulted for verification of the information Land Value: $145,400 Property Use: Vacant Land (Private) Misc Value: $0 Building Type: Total Value: $145,400 Year Built: � �CtO F—AMPw Iris \1