HomeMy WebLinkAbout73674A_Thornton, Jerry & Paula_20190717Authorized Agent
Affected ❑ CW HEW N PTA ®ES T PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /,no PNA yes / nod
CAMA / DREDGE & FILL No. 73674 B D
GENERAL PERMIT Previous permit #
ANew ❑Modification ❑Complete Reissue El 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/� ���J
ZI Rules attached.
Applicant Name eA-r k (C' n+
Address !
City _ ����h C'ijti State Ne ZIP 7�04
Project Location: County D Sfu o/Cc It
.
Street Address/ State Road/ Lot #(s) Lc I # J) (6
Phone # (7z17 j2"%�,' E-Mail i'— =� @ } '�� n�c�.l �� ' Subdivision
City C' 'I ZIP a '1 `y G f
Phone # ( ) River Basin Si to p) o, r\ k
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Adj. Wtr. Body �� C y_c O\ar 1(' 6at man /unkn)
Closest Maj. Wtr. Body 0 1 �(JKOir (E <
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No
MENEM
Agent or Applicant Printed Name
Signature* Please read compliance statement on back of permit
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Application Fee(s) Check #
Permit0fr is Printed Name
C1 "1 �t
Signatu
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/ 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
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to I kOr 1`1 bn 's
(Name of Property Owner)
property located at 1!-O� -bh*''"' ood r- C, f-C, VV ( -
(Project Site: Address, Lot, Block, Road, etc.)
on PC,e,i -A, '
(Waterbody)
Agent's Name #:
Agent's phone #:
(City/Town and/or County)
Mailing Address:
He/She 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing deve/ ment must fill in description below or attach a site drawing)
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07Co b14)
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 1367 US
17 South, 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 noted by Certified Mail
(Props Owner Informati ) /
Si ature Jr
Pint or Type Name
Mailing Address _
City/State/Zip
7S7 LI-7 761
G
4Z�
Tel phone Number / Email 4dhMss Jjijtw
,.(A-oja n Property Owner Information)
S gnature
Print or Type Name
-333 JFl41 �-Z 2�
Mailing Address
S U ✓v, r.n C Ic J ttr c C-, S C 02
City/StaterZip
,1 CTelephone Number / Email Address
1 7-h
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant �SeYn� ��`r' �u` r' Permit #:
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
Sh4�10 J�"
Dredge ❑ Fill ❑ Both Other ❑
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Dredge ❑ Fill® Both ❑ Other ❑
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Dredge ❑ Fill ❑ Both ® Other ❑
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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 :: 1.888-4RCOAST :: www.nccoastalmanaaement.net revised: 02/03/10
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
I hereby certify that I own property adjacent to Je"-N T��✓ n �� s
(Name of Property Owner)
property located at ao b r. c, i-- W ( -
(Project Site: Address, Lot, Block, Road, etc.)
on ,in N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #:
Agent's phone #:
Mailing Address:
He/She 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing devel ment must fill in description below or attach a site drawing)
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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 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No
response is considered the same as no obiection if you have been notified by Certifipd Mail
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Mailing Address
City/State/Zip
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Mailing Address
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City/State/Zip
Tel phone Number / Email d ss �jv w, . /Co Telephone Number / Email Address
Date Date*
`Valid for one calendar year after signature'
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