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HomeMy WebLinkAbout73899A_Amicus Development, LLC_20191216'EiCAMA / DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue El Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality NO. 73899 ( A VB C D Previous permit # Date previous permit issued and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I n I t / J -- &Aules attached. Applicant Name A rn'r c -k -s e %> m n . L L C Project Location: County U , Address J , lj e7< .3 435 Street Address/ State Road/ Lot #(s) 1 t 4t 3 City r .. n V1 State N c ZIP IW3 C �� a �/ �= ` Phone # (�)?l� y 0 W T 4n Mail cxri G�Ner 4 C r (2 �rN Subdivision e n�At 1 �7 lv ����-+T-.4, = .. Authorized Agent ��gaN SI de C(sr� (CA-1- S t City l� e. �-F -Ccrd ZIP Zp ❑ CW ❑ EW I PTA ❑ ES XPTS 9�Phone # ( ) River Basin / f A N_ Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body 2 M C � V nat man /unkn ❑ PWS: Closest Maj. Wtr. Body VQ � PC I � r m J Q ORW: yes / rho, PNA yes /nod MENEM c+ . ■ will 1C Agent or Applicant Printed Narhe Signatur,Please read compliance statement on back of permit Application Fee(s) Check # R 4 G Permit Officer's Printed Name Si 1211� 11� Zrd Issuing Date Expiration ate 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 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 r] 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J/k lX y LLB s _(Name of Property Owner), property located at ���i OlenF Mall � Address, Lot, Block, oad, etc. on G � �L in Iv C a%c% `F , N.C. (Waterbody) (Ci (fTown and/or County) The applicant 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 fill in description below or attach a site drawing) � C) . � 1 6 A --L- LF 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' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) L/ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature L� C /M W-Ako rnVQ;�+UI A2 Pri t or T pe Name KoXn343S ' rling Address onry ,vim KC a7934o City/State/Zip-CO a� ^ 355-y(10io Telephone Number/ email address Date (Adjacent Property Owner Information) r aure Print ortype Name 1 5 L- l l /S cce C E-r M;ilihddre�� �f F CI /State/Zip I Telephon Nu ber/email aTelephon Nu /email add�ss I 9 i9 Date j *Valid for one calendar year after signature* (Revised Aug. 2014) .>� � - ;�. ., `�'� ��� VAS '. E -� � '�'` .. s: "� ., ,�, a. ,�". ye, yy ��#} 7[, {i� -�-,. .e� 4r � y i _.. ,w_ .. .. ,.. .. _.. ... .M ., it a .,ra..':.. ., .. �,.XI. fF: � ,.. a v ,. - wP •. ._ . ..y,.. . ,.. .: -. �.. _ � •'-.ae: t; . -� �.. _'' ��a:Id4 t...-y ..3�•. .. ... A c tt fu f r_ - f- �� ;' �y k _.C.y c' � -- - -• .. ry �j . ,'.,F F `... t'. - .. � '. _ ,, " - - . ., ., ti. `�{,. �`:' �.i �; N` - - .. _ `{ � , ... .. � �• .mot :.r,. .. .. � � -. .... . ,. .. Fly _: �'1''C yt v/ EZ � - - � � �'.' r � ' ' .. �... ♦r r y Y _ - �« � MFt .k: - As 1 4 ~~ � .. .. .. �Y�ia _ E a� ;- ` .•. . ��' .a tj 1 r� �T ..t �� ` , -,r. � _ ,: ...y ;,. <; . .: � ' `' '::# -rot,. a � 4. s' 14 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: A M c:✓.c l✓1yz54 L—G—C- Mailing Address: 3 4 -3 Ile LUC 2783 Phone Number: — 1J , `4 Email Address: i ' Co rYl 1 certify that 1 have authoriz cArs Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at r ny property located at L O t Y 3 O _ in ��rtli ✓►�.viCCounty. 1 furth� certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this t'roR�Y�'rner MfortAation: , Signs 1,e �VV r j ttpm (� . �+grnv Print or Type Name NEQ L4"' roe 1 Date t I This certification is valid through t 1 L 1 �_1 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at I_6i•1L,I (Address; Lot, Block, Road, etc.) on L , in N oI , NC o-27gL44 , 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 deseription below or attach a site drawing) 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' from my area of riparian access unless waived by me. (If y u wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) S' ature Signature* Pri t or Type Name Print or T pe Name IJb &x 34-3S i0 Lr6f �l�ng Address Ma'ling Ad ss City/ tate/Zip_ Cityl$tatelZip a5Q-, 355- Lf,(,oto J"C' Telephone Number/email address Telephone Number/email address Date Date* v _ ` 3 _ / G/ (Revised Aug. 2014) ;Valid for one calendar year after signature* 3 �7 3t'_ Ar , `s'x, 1a ai F_'�`# .r �/. i.^' .S' 1N ,z _d,},f#{Fa e�:� "��. .d:.''. .w %µ; w'l�' `� w::. 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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. perquimans.nc.us/taxcards/index. php?mode=printeard&id=2789 VA fu' f- 10/30/2019, 9:21:18 AM Address Points perquimans_nc_misc Perquimans GIS perquimans_nc_lot perquimans_nc_acres perquimans_nc_easement 0 Imagery2016 perquimans_nc_dims 1:2,257 0 0.01 0.03 0.06 mi 0 0.02 0.04 0.09 km Esri, HERE, Garmin, (c) OpenStreetMap contributors, and the GIS user community Perquimans GIS For tax purposes only. Not a legal document or survey. Perquimans nor State of NC assume any liability resulting from use of this map. 40' reef-7.10-30 9 2019-10-30 2019-10-30 Ae 2019-10-30 7:-,, WR Sr . 2019'*�12-16 2019-12-16 Lax �1,►, '{. a,'•' /: '. r} gyp t ",Mows-- `",..•, ' - c,� —1_2 —16 1' '�,.�tr 2 019 —12 —16