The URL can be used to link to this page

Home My WebLink AboutSchultz, Douglas (2)®XCAMA / ❑ DREDGE & FILL ti No. 73458 A B ClE D GENERAL PERMIT Previous permit# Vew 27Modi0cation ❑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 15A NCAC ( VI J) ` 0' _ Rules attachedk Applicant Name L1r 10 " Project Location: Countyi Address _ r dif ixk_ I !1; r # Street Address/ State Road/ Lot #(s) City `State 1i., ZIP Phone # ( ) " ?'' < E-Mail Authorized Agent � ti 4 .� rryl ❑ CW ❑ EW ❑ PTA AES ❑ PTS Affected ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A AEC(s): ❑ PWS: ORW: yes /eno PNA yes / no Type of Project/ Activity \ ,',r ;" Pier i Fizec Float Finge Groii Bulkl Basin Boat Boatl Beac OthE Sher, SAM Mora Phot Waiv Subdivision J )Si City - ZIP Phone # ( ) --River `Basin i ( !/ Adj. Wtr. Body Q na , man u kn Closest Mal. Wtr. Body ii ( l S� 6_/.G%.- — (Scale: - /n J ) dock) length . uuaW�»Tra�a:.�s�., '..tit■`-� G ■■mile!■ r. ■ .ng Platform(s) ■ ■■■EEr�Mri�N■■NEE ME■■■■■■■■■■■ ■■■■■■ ■wE■M■MENWAa■■M■■■■M1• ENM- ME[i7�iMl■■■■■■■■■ ,N■■■■■■MM ■®f11Url1O.l■11■■■■■■■■■■ _ 1�■■■■■■ ■■ MEMMEM■■■MEE■■MMEN H■■■■■■■■■■ avg distance offshore e ■■■■■ /M■■M■■■■■■■■■■®■■■■■■■■■■■■■ max distance offshorei ■■■■■■■■■■■■■■■EENE■■■■■■■■■■■■■E� ■E1 ■: 11�i 1111111� : NMEMEM1111111'"11111 cubic yards�111111::1.11®MMEMEMENOMME11111111:11111 .■■■■■■t..■■N■■■■■■■■■■■.■.■■■■■.■■■.■■ .....■NW..�.��...a�1 1 111 ■■■■■■■11 ONE.....11111MMKION�. 111ME '1 0 111� MENIII 1� 11 ■i■i■1■�.+ ■■1■i■i■i■�i■■i■iM1iMlU■M■■o■9■1M■■fl■fDl■■■■■ ■■OMEN E ■�■1■ME ■ 1ONEEMER M EMMEMMEME ■E■■■■■ • ■■■■: MEMEMEEMENEMEM■MME■■■■■■OEM■■■■ MEN ■ notsure yes■■ME NIMMEMEMEMI EMEMEMEM torium: n/a yes noNME MEE MENNEN■ME Mom ■ME Mom EOE Mom EEEE■OEM -5: yes no-r C111111?1111�111111111�1111"E'1111110 Attached: ■■■E yes A building permit may be re !red by: ( Note Local Planning jurisdlttion ) / Notes/ Special Conditions 1 X See npte on back regarding Kiver basin rules. 0 Agent or Applicant Printed Name �`� / �'�f Permit Officer's Printed i• Sign tore a* Please read compliance statement on backof permit" Signatilre ��' c Application Fee(s) Check# Iss ng Dat 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 Iandowner(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 El 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 howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/I-888-4RCOAST Fax: 252-247-3330 (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) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (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 Pander Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 rtarrta ut r-ri4mriy UWner KequESgng Permit. J ;l} tr rl;, f }r. t-f 1.:. a Phone Number, L [mall Address: X? i_. tilt: -i -4 i 4t�Iii I+m+A- t I +_ €•1N, I certify that I have authmiZOd b�s , s i a n i:: ,,. n' i_I -_ . Agent r C+:I'trWMc to aty on my behalf for the purpn%ft of applying for and obtaining all GAMA permits rm(issary for U,* following pfolvsod development 4_� • „r„ ..__ S—_ M my property located at l l'`_. 5ii.i Y j ''b-""'' c. J <: s, r-r_,' County. t lur )t)mKmu mrthfy that f am aufll yield to grard. until do in fact grand ppmmssion to avimon of Cnavaf MonjixmirrWrIf Shaft, the Loral Perini Oflict'tr q/Kj limit ityenls to enter rift the afort)lfreolioned lanck5 Ni G rlmoc(o) 1•xdll oVerlvalrrrg iWaffnarm ralatm to this Pr+rrrut f�5filt(:;rlrrlrt. Property Owner IMormatlon: Print t:,' Typo Name Too" Uatc This oerification is vale. thtuugh _-='.�_,l__ j! 4 &Dj&q&T RSPARIAN PROPERTY QwNER 57�pij fxireby cer"I UW t cmvi propcity adjacent it, —{Nano of Property Ownarl p(aparty toceied at 1 l.,:a 50- e.;•-, r. _ --—._...� (Addross, Lot. Woft, Road, etc.I (Waterbod" (Clty/T n sndlodv or County( lbe ap,fizwll ilea descro s l to me, as slioYln tiC4aFl, the d&wrlolxnart proGos*d at tlx: aunve Iocallcr' _ I nave no CC-k!cWn to thrs proposal -- _ : hiye o}J1eClllins to t+lls propoeal. DIESCRIPTION ANDfOR DRAVANNO OF PROPOSED DEVELOPMENT fttdlvltluaf yraposing devWo/unenr inuef fill in doxcrlprlon Wow or IHfach a adle drvwndi '1'0.tr't_„.4+,C E f Isr,.j b Y R �- r }' : 'II Cti-rj � 0.��-y' {'Q '.-,w'Yn r� nw) q. r• Ze. '�-1 [, ii IJ,'N�✓s,'1 � '`' urde"tin:f ttla! a pw. doCY rnwl ing piivigs, t" ramp xoakwwer, Ixwtl',auxt•. htt. rr omn �niGl t•? 'At bai*, a rllltivmmn dWxgca of 15' tram 11y ama of rpwiwn occon Unisc3 warved 9y (r*!. Irf'Jau msM tc w•44% the srilbaCA, yw roust initiot the appropriate bank below: I rM W..611 to aui.,e the 15' siplNick mqulrernwihi. ao not wfsh to waive thn 15- cr:tow' . requrro.Tort. 11?rope4ty Owner Intofnistlon) l�,lnYtl!A'c ' �: ..'L .' 14.+=� :''•�'--Yip-1-� i I}5 !:. r;w:n�r.,•+e!J i,r,.,'•or lrr.'naY :n'Sa•,Yat` Crv, .,...,l .t;•<. •,11: i JC' iG ,valri to ois camiar ya-r arox r wdtur,�' (AdjaomK Property Ov nor Information) I nyaG,'vi4a I:U'nt)Ff •'P•nar' 9Jlrnrs T;iv,UW Aw 204, p (Address, t et, Block, Road. etc.) oa _jy 1`-IV'LM__ _ ql t II-, t-" i- lihI"r-1:I.1 NC. (Waletbody) (Cltylrown Iandror County) If he applicsrt hog dcseribad to me. as snirwn Lelnw, he dimclopn•ant prWosed at I" abunv ktaafinn I have ro obectaon to ttuS Propcvsal. I rave ot}ections to the propc-sal DESCRIPTION ANWOR DRAWING Of PROPOSED DEVELOPMENT (lndivldua) proposing development must fill in deacrtptlon below or eftach a site drawing) I+9 tt w K NJ le 10A WAIVER SECTION I understand them a p1w. dock moor:tg ohivds, gust lamp, breakwater, 6�.Whouse. hh, or gron must be set hack a minimum distance of 1 r; frorn nrd area of rparian aces unless waived by "I (If you' aln to'warve the selWck, you must inlilai tNa approprate blank belong', I do wish to waive the 15' !wtb.%!:k req.iirr:%T Rnt I do not wish to waiva this 15' Sett7a:.k reWirerrent. (Property Owner Information] l / 7f-tvd ct r frr Name fArhll`�,� A17�r1t'9ds ' C;UIy75ttNr.•flb i , `t i, fx u•,. T-e 1 -l1t (...t,i, L. r�ryr,l�:r,a ,4 x LL rr f erauv ad3y •ss Owner Information) ._�_'____ 1 t :�;�i .111 , F. ,k..ajt��.1 li• Mafinj A1:lkvas 78,t9t!Y],iit .41,r' unr ;' er�Y ,xS.iroz -- 1 zr� ,,, . II$N)Yldrf ALfA f4' Ili 'Vold to one cacadar yeor allee b,gnafu•e' i. _, �;�-