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Home My WebLink About73886A_Gannon, Patricia & Cornelius_20191016Q CAMA / X DREDGE & FILL GENERAL PERMIT XNew -Modification ❑Complete Reissue ❑Partial Reissue No. 73886 F << 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�' �U c, FX Rules attached. Applicant Name �gi rC,Ca (I CnjAe1,uS Q'Anon Address S � -�1 ' M)OVY'D- ' U I Y"e,4 Ct r � CityH Ct LA CU State NC ZIP Phone # (,,,SZ) H-13' 033-1 E-Mail Authorized Agent f h � r 0, G, '0 _Z Affected ❑ CW [, EW ® PTA ® ES M PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ORW: yes / no. ' PNA yes / no�) Project Location: County Lk4 i Q Street Address/ State Road/ Lot #(s) (Y104A-cr U o,EWIrA 91 Subdivision n1,, It s r V 'n 4 1 r d City II1(ir1ACC) ZIP a'--; Phone # ( ) River Basin 1,111, 91('04 l K IC Adj. Wtr. Body I_`CO rOhC. SO4�n.C� 'iat�/man /unkn) Closest Maj. Wtr. Body 2a „44 SoL r � 1 ■■■■■■■il■■■■■■■R �■■ail■■■■■■■■■■■■■■■�r;1■■ INMENE ■■■■■ ■■■■■■■■■■�■■■■■■■■■�■■■■■!!!■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■jl■'�■■■■■■■ M. EMEMENEEMEMMEMOMME PAN MEN OEM ■��tl■■■■■■■■■■■■■■■.l�1A■■ilk■■■■ ■■■■■ i■�i■��i�■■■■■■■■■■■■■■ll�IEi■!�■III■■■■ - '■N!■A■■■!■■■■!■■■■■!■!■��!■■!�■■■■■■■�■fir ■■■■■ • ■ENNE■■&!■i■■■■ ■■■■■■■■■■■■■W■■■■ ■■■ ON Agent or Applicant Printed Name tr Signature ""Please read compliance statement on back of permit ee bLl60 1 Application Fee(s) Check # Permit Off er's 'nted Name i Signatur 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 [)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 ,__J Neuse River Basin Buffer Rules E Other: 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: �q� Y 1 C � n CCi f ne l ��S ��: i� n Permit #: ri - 888G "') Date: t C1 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact tem im acts im act amount tempimpacts)_amount Dredge ❑ Fill ® Both ❑ Other ❑ 02 00 5,4 LCiW'ti�� Dredge ❑ Fill ❑ Both ® Other ❑ goo Ck" Dredge ❑ Fill ❑ Both 91 Other ❑ cc, 4 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 :: 1-888.4RCOA5T :: www.nccoastaimanagement.net revised: 02/03/10 Name of Property Owner Requesting Permit: �,rt r n C (, ( -aLL J:� Mailing Address: J Phone Number: 33 / Email Address: yyj I certify that I have authorized ► 1� t� YiL'G�. S Agent I 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 t in "05, Ye— County. 1 furthermore certify that 1 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: Signatur 0t0 r'NP,�Gil11aa Print or Type Name Title ( ' f Date i� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED -MALL- - RETURN RECEIPT REQUESTFD or HAND DELIVERED Name of Property Owner. 1 i 1� r 1_� f ) 1,4%t t Address of Property; 3 lv'q�j'el''..C� (lot or Street #, Street or Road, City & County) AgenYe Name* f k1 v� d/�`, Mailing Address /fit C Agent's phone #;; G„t -' 2- 2 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 drawingthe development they are proposing. A description or drawing. with dimensions must be provided with this letter. el - I have no objections to this proposal. I have objections to this proposal. If you have objections to what Is being proposed, you must notffy the Division of Coastal Management (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. DCM mpresentadv+ss can also be contacted at (252) 264-3901. No response is considered the saute 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 grain must be set back a minimum distance of 1 5' from my area of riparian access unless waitedb me. (If you wish to -,give the setback, you most sign the appropriate blank below, I do not wish to waive the 15' setback (Property Owner Punt or Type Name DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: lile, �; �2a Address of Property: (Lot or Street it, Street or Road, City &,County) Agent's Name#: ti I' 1!et J Mailing Address: IV( Agent's phone #: 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. have no objections to this proposal. I have objections to this piopo,,& 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 401 S. Griffin St., Ste 300,, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection it you have been notified bar 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Ptoperty Owner In tl Met Pnnt or / ype Name -7 --) Marling Address -4 1 21 4 Ilk 46 , IL Air n. 4 j !- � f, W.. ik 4 a h e }R Y } i.l" i ,f �^�' 1. ti. •',' � { by This map is prepared from data used for the 333 Mother Vineyard RD Owners: Gannon, Patricia -Primary Tax District: Manteo Out �` 1 Off• inventory of the real Manteo NC, 27954 Owner Subdivision: Mother Vineyard Section 1 J " purposes. ionPrimary sources such g ry Property �• Parcel: 027209000 Gannon, Cornelius -Prima Owner Lot BLK-Sec: Lot: 23 Blk: Sec: 1 - t•r+ _ as recorded deeds, plats Prn:988012776082 BLandValue:$ 26,3000 BuildngType: Trraditi Traditional er; wills, and other primary ` Misc Value: $17,900 Year Built:2002 public records should be 1iw Total Value: $752,900 \ytconsulted for verification L 5 of the information A fA Ao (D -1k (Y) (Y) CID ir Ir ol 41 Kkara �� 1(� �a�a�� :� `� \ J ��\� _. l