HomeMy WebLinkAbout75615A_Ross, Thomas_20191029f6AMA / E/DREDGE & FILL
GENERAL PERMIT
ew --Modification El Complete Reissue ❑Partial Reissue
L.
No. 75615 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 15A NCAC 77P llcxu 1, 7N• � c:U f '41 /Sc�a
[Rules attached.
Applicant Name ,. T,I l�u
Address (� 3 (,J i (� � � I- .
City [,rr; 4,,, k, StateA)C ZIP 0_39acl
Project Location: County r_r
Street Address/ State Road/ Lot #(s) I Cj_�
Phone # (a a) 1l� - � 'f E-Mail �i� r, �..5 �v� l?ew��,c I .Cc� Subdivision I � L j -> I�_ .,. , �
Authorized Agent
City (,It i+cx It zip
Affected ❑Cw Y& LZPTA CAS VIFTS Phone # ( "`-' ) River Basin 11- f K.
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A 1 i nat (m El PWS: nab kn
AEC(s): Adj. Wtr. Body < <; j �� u etc 1. `/(� )
% e o�S
Agent or App ' Printed Name
- Xf�/
>C
Signature *'* Please rea compliance statement on back of permit
,6CG . C�JCJ `1 r j q
Application Fee(s) Check #
Permit Officer'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 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
J
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 %��S �T. ��SS 's
(Name of Property Owner)
property located at
/j (Project Site: Address, Lot, Block, Road, etc.)
on /t u &,Wl-i > , in C. //2i�"%%Z/�'/� , N.C.
(Waterbody) (City/Town and/or County)
Agent's Name #: Mailing Address:
Agent's phone #:
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 development must fill in description below or attach a site drawing)
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 notiied by Certified Mail.
(Property wner Info atio
Signatur��e�� �1
Print or Type Name
Mailing Address
City/State/Zip
,25z - 2 3z -
Telephone Number/Email Address
Date
*Valid for one calendar year after signature*
(Adjacent Property Owner Information)
&g ature
51u—rll
Print or Type Name
/ 6, C�%' dui e e /1 J r:
Mailing Address
City/State/Zip Ju r7 , c e- (oei rm 6 moos e�eD5
(�57)7'7/-'Y67.7
Telephone Number/Email Address
Z
Date"
Revised Jan. 2017
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C
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 7yj�,O�. ��, /CUSS 's
(Name of Property Owner)
property located at rD_3 W11:>Gcd1! 2•e • ,
Cj
(Project Site: Address, Lot, Block, Road, etc.)
on 121Z/�Z/C� SUl/�Sr%� , in �c/%',�'/ �l/CfC -- 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 1 have no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
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.
(Property Owner Informa ion)
Signature
Print or Type Name
(Adjacent Property Owner Information)
Signature"
Al-gc2 F kE-Ex-)!E(L
Print or Type Name
Mailing Address Mailing Address
Coa.fl- r i g sic tic
City/State/Zip ��/_ City/StatelZip
<V" r�
Telephone Number/Email Address
&zL. Z/,%
Date
Telephone Number/Email Address
%o,-/Z'
Date*
*Valid for one calendar year after signature* Revised Jan.2017
PROPERTY
LINE
2.0
160 SQ FT OF SHADED
AREA OVER WATER
CANAL
oo.
n
EXISTING
BHD NEW BHD TO FOOT WALKWAY
BE 4 FOOT OVER WATER
—
CONSTRUCTED
2 FOOT
OUTBOARD OF
®
16X1
DECK/DOCK
4F00T
EXIST BHD
OVER THE
n
WATER
14 X 26 BOAT
BASIN 392 SQ
FT WITH BOAT gOATLIFT
HOUSE AND PILINGS
BOAT LIFT
ROSS BHD REPLACEMENT
103 WIDGEON DR
CURRITUCK
PROPERTY
64 SQ FT OF
SHADED AREA
OVER WATER
6"X6"
PILING
4"X6
WHA
MUDLI
esnu kMUUr- UNI-T, NU JIUC
SHEET WALLS)
PILE
;K/DOCK
JUND BOAT
3IN
BOAT
LIFT
U.S.
TOP BEAD
OUTS I&TO-OUTSIDE
S
I
O
BOA T'S CENTER
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This map should be used for general reference purposes only.
Currituck County assumes no legal liability for the information
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NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: 1
Date: I O (aq ) �q
Permit* �s 6 ( s
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
5 3
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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 ❑
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