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HomeMy WebLinkAbout73883A_Arrowhead Beach POA_20191015R CAMA / ❑ DREDGE & FILL No. 73883 GENERAL PERMIT Previous permit# A B C ° XJNew ❑Modification ❑Complete Reissue ❑Partial Reissue 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 7/ r r C� r /� p Rules attached. Applicant Name f Ir r c:)W � r-c, dt 61c<r h Prop. Q,,jA4,r_, j7,•,,,(.Project Location: County �'. _,,"-)a n Address Cam% S ja0lX Tr ( , Street Address/ State Road/ Lot #(s) City ("d -u c rn —State NQ ZIP ;fix 1 C) 4 �', �e k. 7 1 Phone # (1152) `(1 - H3tn3 E-Mail Subdivision ; �c_. , �A ecc,C h Authorized Agent Affected ❑ CW #* KI PTA ❑ ES ® PTS AEC(s): ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A .' j ❑ PWS: ORW: yes / (no PNA yes / no Type of Project/ Activity K (,, ; ` ILI' Pier a %b A 5 YZD Fixes Float Fingi Groi Bulk Basir Boat Boat Beac Othr Shor SAV Mor Phot Wah City <!t }-rZIP Phone # ( - ) River Basin Adj. Wtr. Body T rj ra n CAcg C (oat lman /unkn) Closest Maj. Wtr. Body 01("rr Yr^c r (E S'A, "J (Scale: I � u' ) Platform(s) ■■■■■■■■■■■■■■■■ M ■■■■■■■■■■■■■RME, .n Platform(s) ■■■■■■■■C�■11�i1i1■■�■■■■!!!�■■■■■■■■■■■�iJ■■ i length ■N■■■■■■■■■■■■■■■■■d■■■■■■■■■■■■■■■■■■■ ieaq/Jkiprap length av8 distance offshore 2- ■■■■■■■�■!A■■■■■■■■■■■■■■�■■■■■■■ ■■■■■ max distance offshore — ■N■■■1■■■!■■■■■■■■■■■■�■9■■■■■■■■■■■■■ ■■■■■■■■lili!■1■■■■■■■■■■��Ii1■■■i■-�7■■■■■■■I ■■■■■■�.■Leo■■■■■��■■�:■■■�■■■■■�■■■■■■■■■. cubic yards ramp ■■■■■■■■■■■■■■■■■■■■■�■■■■vI■■■■■■■■■■ ■■■■■■_.,�■■■■■■■R7■■■■■■■■■■■■■■■■ ■■■■■ -i Bulldozing �!■Ifs■■■I�■■■■■■�1■■tl■■i�■I�::1i�■■■■�■■■■ not sure yes . ��■■■■is■■■�i■■ilw■f■■il■■�■L1�■■■■l■,■aa ■■■■■I torium: n/a; yes no no . ■�■■■!■■■■H■i■■■■■■ A building permit may be required by: C� V� 0-.-a r C Uu r14 ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # ❑ See note on back regarding River Basin rules. Lytk-kc' 1`Cknr�l�rt PermitOff%gt's Printed Name Signature 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 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/ 1-888-411COAST 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 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) 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. HabitatImpactComputer Sheet Applicant: �e�:LC'� rv� Permit #: r7 Date: �0/l c� II �l 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 We-1*C Dredge ❑ Fill ❑ Both ❑ Other 159 L/Esjv Dredge ❑ Fill] Both ❑ Other ❑ Dredge ❑ Fill ❑ Both fg Other ❑ G Sti�c��tt SYtL � Dredge ❑ Fill ❑ Both ® Other ❑ ! 1 l'I T 'f t' -1 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 :: 1.888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to, s property located at (Name of Property Owner) on (Waterbody) (At)Clress, Lot, Block, Road, etc.) in (City/Town and/or County) N.C. The applicant has 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) 2&Y �d Ovid 54W^ f,e- 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 initial the appropriate blank below.) Ij 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 l y�2 •'�rc��i.� Signature Print or Type Name Print or Type Name r.�/� Mailing Address Mailin ,A�dress qrty/St te/Zrp 0ty/State2ip Telephone Number/email address - �'�o/1 �3 Telephone Number/email address Date Date* *Valid for one calendar year after signature* (Revised Aug. 2014) DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: �rnwhead 'Fx^ 1t K PM Address of Property: 2()` c4ylek 1'r (Lot or Street #, Street or Road, City & County) Agent's Name #: Agent's phone #: Mailing Address: 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 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 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.) I do wish to waive the 15' setback requirement. V I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature �c/ 4 c / 5 I'd l % Print or Type Name Mailing Address City/State/Zip Telephone Number/Email Address Date *Valid for one calendar year after signature" (Adjacent Property Owner Information) Signature * Print or Type Name Mailing Address City/State/Zip Telephone Number/Email Address Date Revised 2017 k 91 C.- 75, Raj ITT �► �¢ WWI _. IL .w s � kl 4 r _ . J J J YEsfl � U Y ~r U IIO 1� (f1 Jong1 Nbl(��N Essd (on! ( andi t' E se com un t Jl010u9 : P9"S Fr titled Ma te a description for your map. n '4� s _ 'Y . r. _• st•.."� �. ice41 _ i t .` •�Y < .^ _<+ M �� .w �� Kati„•. - . T" I yy 'fib ' • . r ati lb ,"tit" IL oAn` * ,,.` ✓: ♦: -} TAi-+• ..+'! as #i.•f ' qP .: , y. , . fir. <7. ..�. �.�` �%.: , .. •.,a '°'ita*� �t . .. .t + c r %" / M•'ti ':$ of } wM h i-0+ a `{ r _ f � � A'F� '�w,.ti a � ` *? • ✓ ' �,�'!' r . � x • r/♦ + t }'' f���� a •.�• � I �° - -�". ►- . �''" 4'_. �_- - ---- - — � - -- L �f cq4