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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 � / `" ` and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC r Rules attached. / 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: ) ■■■■■■■■■■�Ir.:��■■■■■ 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 ■■■■mmmmmmmmmmmmmmMMMMMMMMEMMMM ■■■■■■■■■■■■■■■■■■■■■■■®■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 1:5tA 11 /12/2019, 9:25:46 AM 0 0 0.01 0.01 Address Points perquimans_nc_misc perquimans_nc_lot perquimans_nc_acres perquimans_nc_easement 0 Imagery2016 0 0.01 0.01 0.02 km Esri. HERE, Garmin, (c) OpenStreetMap contributors, and t community perquimans_nc_dims Pe 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 Return to Proper Card Or Search Results 0 W'q W1.00.00 0 a 0 OW rf W 4* .0, 0 0 C; C 04 0 tj (!a W 0 0 W! . .. . . . . . . . . 1�1 1� -! ". 9 9 1 9 a 9 000. 000 1 n I It MMM - - — — - — — - -0 W �4 I iy. 0 0 P4 CA id ty. 0 or. 114 13� it O WV 10 v0 PR U 0 CA Z 44 to 1-4 W �4 W C4 1 1 Oat ..J 1% U 0 50f CD 94 0 tj o Q z 2 .4 2� 134 > ad ki a4 HOLIDAY ISLAND V4, 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 I r 1 rn CN i T r � r � Q 14 J' � P w,c