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Home My WebLink About73845A_Koch, Richard_20190926-� CAMA / 'DREDGE & FILL -. GENERAL PERMIT C�Aew ❑Modification ❑Complete Reissue [-]Partial Reissue No. 73845 fmQ B c D Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality '' I and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 7-t-1 ules attached.'' ' Applicant Name t, C ; t a �� (� Project Location: County 01.0 (i' Address a(S y /V I0CX w coc l I r c, City s;c„4- ker } GT.> S State /C ZIP Phone # (aS �ril_-4L-l_- )q�& E-Mail Authorized Agent MC., � n Affected ❑ Cw ❑ EW Arm ❑ ES B/PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: -ORW: yes / no PNA yesi no Street Address/ State Road/ Lot #(s) '-.1 Tt Subdivision SG /S�, City ZIP Phone # River Basin G ILI C, Adj. Wtr. BodyG�\+MI CIYnat /man /unkn) Closest Maj. Wtr. BodyC 1, r r . 4(Y JCL ^A,A 1 .. M. MEN■■■■■■■■■®\I■■■■fr\■■■■■■\■■■■■■■■■■■ ■■ ■M. ■ ■■■■■■■■■■ ■�■■�a►��■■�■■■■■■■■■■■■■■■ �■■■■■■■■■�■I■■■■Q■■® ■■■■■■■■■■■■■e ■ ■■t■1■■■■®■■■■■■f''�■ ®_■■■L■■■■■ MEN ME EM ■■■■� I■■■■�■■■■�■■■■■�11■■■■■■■■■■■OMEN - m��D■■�■�■■■■�■■■:■■■■■ACC■■ :■■■■��so■■ • ■cam■■■■■i■■■ ■�■■■■■■■ ■■o[am r Zt, { �wI( lam( �,, , nt Aor-Applicant Printed Nkme i 1 re I., a smtement on back of permit Application Fee(s) Check # Rohe i + Coi he-f i; Pe it Prints .Name Signature i ?C-1`1 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 (910-796-7215) 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 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: 2� I certify that I have authorized (agent) j41 r! t S7T--0 — A,. l- T4%X- to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 4Lf -moo at (my property located at) This certification is valid thru (date) ___7 13 V -ram of 01 Property {honer Signature Date I certify that I have authorized (agent) j41 r! t S7T--0 — A,. l- T4%X- to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 4Lf -moo at (my property located at) This certification is valid thru (date) ___7 13 V -ram of 01 Property {honer Signature Date ack ■ ,Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we 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: �n 6,2 tA-)X C- Al A. Signature X ❑ Agent ❑ Addressee B. (Printed Na C. DAe of Delivery D. Is delive address different from item 1? O Yes If YES, enter delivery address below: ❑ No 6�rit n ,- 1�i y 1i4.33. Service Type 0 Priority Mail ExpressO Il II�I'I I'll I'I I IIIHI I I'll 11111111111111111 ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 4924 9032 1995 98 El Certified Mail® ❑ Certified Mail Restricted Delivery Ret very ❑ eturnum Receipt for ❑ coltert an Delivery n Delivery Restricted Delivery Merchandise ❑ Signature ConfirmationTM 2 j_ 2 g0160 D O B Q 9 4 �rrsarmt01a I Restricted Delivery 3394 ❑Signature Confirmation Restricted Delivery -_ I (over $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUEST ED hereby certify that I orm property adjacent to r r s (Name of Property Owner) t Property located at r J' r'v, , j�t�'t~ L.`.�a� •1 �'"�'L L (Address, Lot, Block, Road, etc_) on _ <f 17 i :: r ie in N.C. (Waterb-ody _ (Cityrown and/or County) Agent's Name Wailing Address: � -Zpz> Agenf's phone T: ' ..S ielShe has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND1OR DRAWING OF PROPOSED DEVELOPMENT (Individual Proposing development must fill in description below or attach a site drawing) If you have objections to what is beina proposed, you *St notify the L?ivision of Coastal lfllanagement (DCW) in writing within 48 days of receipt of this notice. Contact information' for OCM offices is available at www.nccoastalmange,m,ent neticonMct dcrn.,lum or by calling 9-888-4RCOASr. No rQ�nse is considered the same as no objection if you have been notified by Certiffled Mail. (Property Owner Information) ignature __ Print or T tyre game Mailing Address , Citylst-Itelzip Telephone ;Number ::ate (Riparian Property Owner information) Pent o • ype Name r£�^F '^``1 t.-F •.+k"4(1 ITT r Fr.'.^ r� lading Address n Citylstatefzip .11) • YRDb - Telephone Number 7 Date �' .4 �1 DIVISION OF COASTAL MANAGEMENT ADJACENT P..IDARIAN PROPER T Y OWNER MOTIFICA—nON FORM CERTIFIED PIiA lL - RE T URN RECEIPT jEOUj=B, =D l hereby certify that ; ovvr propert!i ad scent to:try 'i;, t e I C flame cf Property On net' :croparylocateda (Address, Lot, Black. Road, e,c.) an C::i17 7i.-tc' in I'Afaterbody) (CitylTo;;vr, andr'orCounty) gents Name Mailing Address:' .. Agents phojje He/She has described to me as shown br-4m the development heisre is proposing at that location, and l have no objections to the Proposal. DESCRIP i ION AND/OR DRAIN ING OF PROPOSED DEVE ------- —----- W ---- -- ;7r;c'i3�io`�r2i NT proposing development riust iili in description be;ow ores ac;7Ea site araye-r "o'-' `:atr2 os,ciic rs to t'•-i?at Is Leinc .ropased, u mist notlf ir, ,:_ ,�; to lthe Drlisior: or Doasra!!klarage;nen nr k�_.Ir r, -� ca;:s of 'ecom- of this notices Contact inrarn a; For, ,or DC/E: offices is J!Qi;able at WWW.nccoastzlf,-.,arrgement.neticortact d;ri;hru� or b=i ca111nc 'r-8c�8•�i;?CO�Sr. rlia spa, ns� a is eonsidemd the samme as rlo objesfion if You ;gave .aan notified by DertiFted Pz9aii- _I i' \ �, L 4d7?8r :7ifi3. �ilQ,i3 t Frrni or Type blame _____�• � to i �-t-ry.y Iz%V�.� � 3,017,n9r3GXdress �i�1S:�rer}p Dar----�-- � ". ,-' •' lg .Rip"-4 ip€- Prop , Our r irco matior�) I-ra' ret ?nnf or TsPO "Varre 2 ! 1 Maiti79 Add'reSs Crty/5;ate2rp ?-Jeph rUu r b � lr •�, r u R,v , • u w , ° . • k � e r p , .01 Xt 05.30 VWrIA .e M- „»,�" , O... `- v q r ti_ " . . : w 101.11 w ► �` �+ r r ", .,, b"moo. x t r• .'�,c'4'1_ , T5 w , , This map is prepared from data used for the 284 N Dogwood TRL inventory of the real Southern Shores NC, 27949 property for tax Parcel:013338000 r purposes. Primary Pin: 986813145617 information sources such as recorded deeds, plats, Z" wills, and other primary public records should be consulted for verification of the information Owners: Koch, Richard C Ttee - Tax District: Southern Shores Primary Owner Subdivision: So/sh Soundside Blk 109 Koch, Jane C Ttee - Primary Owner Lot BLK-Sec: Lot: 3 Blk: 109 Sec: Building Value: $262,400 Property Use: Residential Land Value: $161,900 Building Type: Ranch Misc Value: $0 Year Built: 1993 Total Value: $424,300 NC Division of Coastal 9t- Habitat impact Computer Sheet Applicant: 2� chOa d �`-Permit #: 7 3 '8q 5 0 ". 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 S Dredge ❑ Fill go' Both ❑ Other ❑ p�00 01'1`03 G L Dredge ❑ Fill p/ Both ❑ Other ❑ I C%G 0 Dredge ❑ Fill [� Both ❑ Other ❑ aQCjC?J Q Dredge ❑ Fill ❑ Both ❑ Other —1 ' 6 (yrDaCW Dredge ❑ Fill Cam` Both ❑ Other ❑ 3C)c,) 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 ❑ '��:�-Btt�-a#3�8 i-�"3�-��t��.::5""' ., r-r�*r�.�zt��a1�aa�,�s a�2�:r.,:Y;� r�•;is��, �'�ti3:� i� 4- �= f