HomeMy WebLinkAbout75678A_Weeks, Jr., Theodore G._20191119f— /t- [/
-. ❑ CAMA / n DREDGE & FILL
No. 75678 A B C D
GENERAL PERMIT
Previous permit#
QNew ❑Modification El Complete Reissue []Partial Reissue
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
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and the Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC r
Rules attached.
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Applicant Name rX e� J. r z G W e kL Tr
Project Location: CountyQ (" I v, ', ,u, c, „ S
Address �,,z a � ,, �G y
Street Address/ State Road/ Lot #(s) p SR / y Z 7 , Cash
City State N c- ZIP 2 "7 Y %
Phone # � ��- '" E-Mail —
Subdivision 1 dr, y ---7- s /� ^
Authorized Agent '—
City i Q c 4 - r zip
Affected ❑ CW ❑EW OPTA NfS RPTS
Phone # ( ) _ River Basin Q.S yo ^
AEC(s): ❑ OEA ❑ HHF IH ❑ UBA ❑ N/A
Adj. Wtr. Body AlkV o-t � J4 U1 n nat man unkn
❑ PWS:
ORW: yes / no PNA yes / no
Closest Maj. Wtr. Body a ^
Type of Project/ Activity C
Pier
FixeI
Floa
Fing
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV
Mon
Phot
Wain
i
(Scale: )
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w•_■■■■■■■■■■■■■■err
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■/:L�Tiii�iariiG33i�■I�iIIO�ii171iTi�iir■■■■■■■■■■
I Bulldozing
■■■■■■■■■■■■■■■■■■■■■■■■■►iR�F�llln=■■■■■
■:M■U:■:■:=■■■::::■W0011:■■■:-:
■:■3E■
Jine Length
not sure yes
■C!!■i■■■■■■■fil�rT�1�■C�7■�■■■■■■■■■■■■■rG�1_!
NA■■H■■■■■■■■
■■■■■■■■■■■■■■■■M■K■■■■
yes
■■■■M■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■
no
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■■■■■■■■■■■■■■■■■■■■■■■®■r_
A building permit may be required by: r Q < v , c ,,-r Co �. n
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name j
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
YVairnc <�_o- (y r
PermitOffrcer's Printed Name
Signature
/1� 3 /��2�
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/ 1-888ARCOAST 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
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to o'Py �2 C L��t� s J a s
(Name of Property wner)
property located at I oL ,0; a C_Q u) P- wu ,�•C
Address, Lot, Block, Road, etc.)
on /ALc3r—r"4 e 5c -, in vlox , N.C.
(Waterbody)(City/Town and/or County)
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)
f � �
A i.., i3 � M,AA L � 4
V_Lz.R
C1.ARt1
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' fa of riparian access unless waived by
me. (If you wish to waive the setback, you mu t initial t appropriate blank below.)
ckll I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
� Le3��, 0��
Signature
%
Ch ✓ i s-f%ae
JI Print
q T M I7,y l�no
Ma 'ding Ad ess y
tty/Stat�/Zip
�S�) 3 75' 303Z
Telepho a Nu er/email address
Date
(Adjacent Property Owner Information)
�r . 1
Signature
Print or Type Name
I I 1�'-�"
Mailing Address
�Jc- pro lU r -L-7
City/StatelZ'
(25Z) ft(;( -7�53
Telephone Number/email address
-z— z a"9
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _
property located at l2L> )- 0&-cl04 All"''"
N e
(Address, Lot, Block, Road, etc.)
on al.13 aAA in v z vn z�yv_s Co N.C.
(Waterbody) (City/Town and/or County)
;s
(Name of
Owner)
�J S rva. A
The appli nt has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must rill in description below or attach a site drawing)
Jr
WAIVER SECTION
-_T--1
C(-,4q2' I---
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15�fronjm
y area of riparian access unless waived by
me. (if you �wiiddshh to waive the setback, you#nust initial -the appropriate blank below.)
+ � )(' do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Ow er Information) (Adjacent Prope Owner Info ation)
Signature Signature * )
1�' (0 "L / DA tfi
Print or Type Nan a Print or Type Name
2(k 7 S ► -Ae? `S S ( -2--,:- #e 1.1 04X �i r✓ozr
Mailing Address C Mailing Address
ciwst e/Zi - 2� -� City/state�pr� .7� s3 i� �
Te�Number / email address Telephone Number / email address
J0
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
Perq u i ma ns G I S I-)C, � , �.z-� r� << /� 9 : z
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11 /12/2019, 9:25:46 AM 0 0 0.01 0.01
Address Points
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For tax purposes only. Not a legal document or survey. Perquimans nor State of NC assume any liability resulting from u;
11/12/2019 Perquirnans County, North Carolina - Property Values
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Every Reasonable Effort has been made to assure the Accuracy of these maps and associated data. Perquitrans County. North Carolina and Pearson Appraisal Assume no liability arising from use
of these Values or Data contained on this welisite. The values and property data is provided without warranty of any kind either expressed or implied, including, but not limited to, the implied
warrantees of merchantability and fitness for a particular purpose.
www.co.parquimans.nc.us/taxcards/index.php?mode=printcard&id=2315
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