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)
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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*
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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
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