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HomeMy WebLinkAbout75505A_Hepburn, David & Teresa_20200123V 9 v- -. . CAMA / ;DREDGE & FILL No. 75505 CN B C D GENERAL PERMIT Previous permit# iXNew -'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 15A NCAC 0 Rules attached. Applicant Name lin Q , d d _ff"5G j e J0 kA r �� Address IIU1J FrUnSky-e,,pt City ��er (�orei State_( ZIP 279 c/`l Phone # 95�) 36 Z 1(04 E-Mail Authorized Agent ir,�3 k Affected ❑ CW Z EW ® PTA Z ES ® PITS AEC(s): ElOEA ❑ HHF El IH ❑ USA ❑ N/A ❑ PWS: ORW: yes / ,no PNA yes / no) Project Location: County Street Address/ State Road/ Lot#(s) 1 `4 I I i 1I ,nj Subdivision city i-�r Ifurd ZIP �27cyq Phone # ( — ) River Basin VC, SG t, n1'0 A k Adj. Wtr. Body / F'r u u rn c b, I let semi (at man /unkn) Closest Maj. Wtr. Body I_l l :„ .' ( r /e '5ok., r_(t Type of Project/ Activity i i r W- _- r" el d U r wl (Scale: I~' Pier x Fixes Float Fingc Groi Bulk Basir Boat Boat Beac Oth( Shor SAV Mor Phot WaiN ■■■■■ail■■■■■■■•■■F;■IEII�■■■®■■■■■■�J■■■■ice■■ i length ■■���■�■■■�■ ��:��■■■■� NOON■ NOON■■®■■■ ■■■■w■■■■■■■ww■w■■■■■■■■■■■■■■■mow■■■ number ■■■■■N■■■■■!�■■■■■■■■�■■■■■■■■■liiN■■E avg distance offshore— C ■■■■�■■■�I■�■E ■■O■ww��■■�■■■■■■Ili■MOEOI�� max distance offshore 6 ■®■■■■OO■i�l■■■ ■■wENw■O■®■■■c�EOM��ME■■war! ■■■■OOaM■�■ OBE■■■■�■■Efi■S�OMME■�w�+y cubic yards ramp eiE�����iE■E■�■E■■O�niE�E■■Ni■■■■■ -iouse/Boatlift■EM■M■3�IE■i!■�N�i■■A�■■■■■i■I�IiR!�i ■�■■■iif �;��'ir" tii���rtlo3d�C.Zii:�'���ca�yr��►i.�iii�:�Eay(a,��l�+.'t�:" 7�Pltd�7 Bulldozing ■■■�1►i■■IJ�il7■■■iiiiii®��7�r�'�iR:�Eli■�1 ., ■®■■■■■� �i■®■ate®s:== _=MENEENONE■■■■ M���a��i w■■� ■OMEN■■■E■NONEE■■■EE■NNE -.line Length X 06 not sure • ENOMEE1r1■�■■ yes ■J■NEE■■■®■■■❑ ■MENIMEWFAIAW MENEEMEMW no EMENEWE no mr EMEREMEMENEMENEEMEENNEEM A building permit may be required by: er G u rm. a n S a( (x i ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) • Notes/ Special Conditions RnCr k 5 k c' II i�,,►�hv Wk4A_ _ Agent or Applicant Prin�tee { amee Q� V� Signature * ease read compliance statement on back of permit sCoo. - Application Fee(s) Check # A (� } PermitOffl 7'A nted Name . Signature jV 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/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-33 30 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 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date o 2 O Name of Property Owner Applying for Permit: V b u2tJ Mailing Address: HjaZ-j -JP70 �� , c�c 2--7 I certify that I have authorized (agent) �O �S�`i VV ore to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) fR>iAL_ V. at (my property located at) ((Q Q �ko �� �T -T2�Fa��1744+4- This certification is valid thru (date) Property Owner,S"ignature Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM c Name of Property Owner: u I T�Cf S�— Address of Property: w 6Fr.�- ti+ S�— qer1 44 �Jc 2 7 9 I I (Lot or Street #, Street or Road, City & County) Agent's Name #: &oII 6/ W Mailing Address: o7 Cy Agent's phone #: d )IJC-- i hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. 1 have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION i understand that a pier, dock, mooring pilings, 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.) I do wish to waive the 15' setback requirement. i do not wish to waive the 15' setback requirement. (Property Owner Information) Signature -Davl� � Teresrn— Print or Type N me U b N5-�- Mailing Address N C- `f Y City/State/Zip Telephone umb 1�720 Zo Date (Adjacent Property Owner Information) Sig ure X07M e- -5 L? Print or Type Name Mailing Address A n City/State/Zip aP-t - �,ez -lea iY-2 Telephone Number - Date Revised 611812012 ,�)Yjs 1 Ql , r0'd1l7' �01 �f 7e Ie� � I /+,40-)d ,VA(Iq d aN ) �� rs `,rya fS b —0? I-CrAg J- Jai, Jaj . 1�5 �--c CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Da o� ,e►'\ Address of Property: Fca"+ 5�rw + � e (+41 N L A7 �1 Y (Lot or}}Street #, Street or Road, City & County) Agent's Name #: Mailing Address: D PrQSS Agent's phone #: oS,�, 33 7 500 i hereby certify that i own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. C� I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US 17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION i understand that a pier, dock, mooring pilings, 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.) I do wish to waive the 15' setback requirement. i do not wish to waive the 15' setback requirement. (Property Owner Information) Signature �yicl 7e-re5a P60�►� Print or Type Name Mailing Address City/State2ip Telephone um7,,�uo �9 Date L(A,* ent Property Owner formation) I-- , Signatu G Prin orp Name Mailing Address City/State/Zip Telephone Number i /Q o1a 0 ,�2 o Date Revised 611812012 i f'fl-NAC�) - �C5 T►bN► �bI 440,id ,VjAn9 d?n -- — 1 Q ii — r , }�oEA, 4�Ja VA1)1,, ot­_- te 41 i VIA I Ak. Pft Js mm.m Y 47 n %r` 5uJ'f t i ! it (�,r � h �94v�• i � • � _ .. } - `�' • i'.' �i '�'° 'vim op yam! Perquimans U16 i n F,,l S4ywJI Ne Ile �. 1` .14:. � w c. A - %r j (.33 y `I /2020, 1:53:09 PM Address Points perquimans _nc_ lot perquimans_nc_ acres perquimans_nc_misc perquimans_nc_easement ® Imagery2016 perquimans_nc_dims 1-564 0 0 0.01 0.01 mi 0 0.01 0.01 0.02 km Esn. HERE, Oanmr, fci OpenStreetMap conttib,ltors, and the G;S community For tax purposes only. Not a legal document or survey. Perquimans nor State of NC assume any liability resulting from use of this I I r-A <�ll� h H-epbrn dodges 'l'i li& Front St q• c - Taw R y Google Earth 100 ft A N