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HomeMy WebLinkAbout73801A_Haddad, Morgann & Griffin_20191016LAMA / DREDGE & FILL GENERAL PERMIT ew `Modification Complete Reissue []Partial Reissue No. 73801 Previous permit # Date previous permit issued O B C D 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_TH , Z Rules attached. Applicant Name gJ rk 11 A 'i a 4 Project Location: County Address a/41 A, % 2_ Street Address/ State Road/ Lot #(s) City_Fr d S c o State ZIP Tr : s- Phone # (3�j20(sr 99 s5 E-Mail n C 8 Authorized Agent N j ,, � Affected ❑ CW i�W &JPTA n,ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ORW: yes / -ho D PNA yes / no \ Subdivision 6r n a City Phone # (- )_ p River Basin %4-r Ak Adj. Wtr. Body I a So n '(nat \man_ un Closest Maj. Wtr. Body /0a ^ S� -- ■■■■■ ■■■■■rl/■■mmonw■n■■■■■■■■ ■■ - -■■■■■■i■ ■■�■M■■■N■■■■■■■ ■■■■■■ ■■■■■■■e■■■■■■■■!!IIM r■■7■■�■■■■■■■■11■■■■■ IN ■■■■■■■■■■■■■ ■■tll■■1111■■I■■■■1■■■■■■■■■■■■■■ ■■■ ■■■■■■■■■■■mII■■1111■■I■■■■■■■■■e■■■■■■ MEN ■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■1 ■■1 ■■■■■■■■■�■■■■■■■ • - - ■■■■■■■�: _�:;��.a:�=��l�l llrr� rruiirnrii�■� �w�a��: � �.��■�e��s��■ ■■C���_ �::���s��s���llllnlllrlll�l�ull�!���■ai��lii�itFs■ii�cFi■■■■ ■■�� -■ar�c�e■■I�■■■■1�I;1a�e�ll���■■■■■■■■■■ergs■1►I!.�■■■ ■■1■ �Jllrl 110 ■■F�1f�1►■1���1■� ■ ■■■■■■■ ■ ■■■ ■■■■f�■■■ ■ ■■■ ■■i■�ii■■�i■®�■■■�ii�i�rlMMil■■■■ MEN ■iii®iiiiMEN =0 kyw�w Z A_17clzli� Agent or�App—cant Printed Name Signature ease read compliance statement on back of permit ';�� n--, -'- i 95� PerLtfficer's Printed Name Sig; a ure i // r / Issuing Date z /s/2a Expiration Date Application Fee(s) Check # 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 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Own Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: Pc Box -7LIJ- �:Frj s CC) , N e- L�q3b 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. 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 notlre. CorresY?nder:ce-;hruf. be marled to 401 S. G-Ttin St., &e 300, Elizabeth City, NC, 27909. DCM represer;tati.es car. 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, boat ramp, 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 sign the appropriate blank below.) (Property Owner Information) IVI q an 4 • •- Name i ox Mailing Address _i • I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Ad_j cent Property Owner nformation) Signature R0be�*Z 1 o f- tOLLe C�., I Print or Type Name G'o 6"�, 5-2� I �� n, /\lc- Z77-Lo Mailing Address 5 o I lc q C a U s e, CjC' Lees6,,vy, , -14-? 48 City/State/Zip 304- & 7 D l� annhajd- ►Mail. cow Telephone N ber/ IEmail Address Date *Valid for one calendar year after signature* City/State/Zip r-73a-491-5 '6 5holl� �( b`��'ms � Telephone Number/Email Address / co Date * 111�-M Revised 2017 ■ Complete items 1, 2, and 3. A. Signature ■ Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailpiece, • eceived by or on the front if space permits. 1. Article Addressed to: 3-e✓n / C e 3 a 5', yn y Gcrrle D. Is If W ti0�� 0 ❑ Agent ❑ Addresse C. Date of Deliver from item 1? ❑ Yes iqs below: ❑ No 3. Service Type `— El Priority Mail Express® ll I'IIIII I'll III I I i I I II (III II Iil III Il I I II l III ❑ Adult Signature ❑Registered Mailr"' ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restrict rtified Mail® Delivery 9590 9403 0758 5196 5558 74 Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise �- Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation* ... ail ElSignature Confirmation 7 017 3380 0000 5543 7 6 18 ail Restricted Delivery q Restricted Delivery �C C:-,— 3ft11 A -Al Onu Dent 7�1)n_n�- nnn_an�'a n., ..+;.. De+.— Dew i- UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 Sender: Please print your name, address, and ZIP+4® in this box* Nerfox l . #e&dad Po Boy 7yo Fri SC a NG a-7q 3l0 - Q7yc� USPS TRACKING# olw— I 'low T41101i111►i11IIII �iiii+Ii'I'libII'IIHl+I 9590 94030758 5196 5558 74 1co r` m -31 u, Ln 0 0 0 0 o� Co m m r` 0 r% = COASTAL MANAGEMENT :RTY OWNER NOTIFICATION/WAIVER FORM RECEIPT REQUESTED or HAND DELIVERED reet #, Street or Road, City & County) Agent's phone *: Mailing Address: PO Sox 7 q,)- Yi S c r /V C- 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 pro osing. A description or drawing, with dimensions, must be provided with this letter. f I have no objections to this proposal. I have objections to this 1 p p 1 proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Manaaement (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DGM represeWatives 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, boat ramp, 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 sign the appropriate blank below.) (Property Owner Information) sign ure Prini or Type Name Pry Btw `7qO Mailing Address ?EL;-5C br IV C c)-/7 3 � I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Adjacent Property Owner Information) Signature Print or Type Name �— Mailing ddress" M City/State/Zip Telephone Numberl .mail Address 7-15- go19 Date 'Valid for one calendar year after signature* City/State/Zip Odle Telephone Number/Email Address Date * Revised 2017 This map is prepared from data used for the 50168 Treasure CT inventory of the real Frisco NC, 27936 • �l7 property for tax Parcel: 011917000 r purposes. Primary information sources such Pin: 051607589125 as recorded deeds, plats, wills, and other primary public records should be consulted for verification of the information contained in this map. .p Owners: Haddad, Griffin M - Primary Owner Haddad, MorgarnL - Primary Owner Building Value: $145,700 Land Value: $174,000 Misc Value: $0 Total Value: $319,700 Tax District: Frisco Subdivision: Brigands Bay Lot BLK-Sec: Lot: 430 Blk: Sec: Property Use: Residential Building Type: Traditional Year Built: 1994 7 �ww��..�,.-.�.,,� w..._ ,� �-�; � ,� ,� � `""'` ""�'' .ter--�^�,�--.�� _ _ .. -�. m _ - �.�, ...� �. ...., � ,.._ � �- � .,,. fii �. �... �. ti � ` • �' NC Division of Coastal Mgt, Habitat Impact Computer Street Applicant:��A9 Date: / V // (e // q Permit #: 73 CY L 4 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) D Q^ C� Dredge ElFill ElBoth ❑ Other O j <q 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 ❑ 252-308-2808 1-888-4RCOAST .. revised. 0210310