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HomeMy WebLinkAbout75420_William Stacy_20200109 ter,A. . CAMA/ . DREDGE & FILL � - QJ D 6 03 /, �5 No. 75420 A B C D GENERAL PERMIT Previous permit# At 1 A �� `_.New 4.iModification !Complete Reissue IIPartial Reissue Date previous permit issued N /,el, As authonzed by the State of North Carolina,Department of Environmental Quality 1 and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC tD )1-/ ' / -- v J . prillules attached. Applicant Name ')I L-(-I AM 47-1:\c)/ Project Location: County A-z,4 c>FD 7 /D . Address I Ca- Doi" 1C v i F.t) l.A'h-►-r Street Address/State Road/Lot#(s) eV-i-- SiZ /-11 City bike t -i,..I A-r t rJ State e`l ZIP 2---`?'9 i i ea Z t ✓ i E ►.) LA-r--•-E Phone#(5'2.o)k3--O Z75 E-Mail Subdivision 2,1--1-1 t. ' w �/1-f-)7 4-77O\.i. Authorized Agent ,,, City A,..45;4JI 'J4rVr -) ZIP 27,S I Affected ii Cw 'W XPTA ❑ES ❑PTS Phone# ( ) River Basin' - G�1M L',--e) OEA ❑HHF ❑IH L I UBA ❑N/A AEC(s): Adj.Wtr. Body % 2r}40 62-G-rX '(na /man /unkn) .+PWS: ^ . - Closest Maj.Wtr. Body '"" -4" L'v t1� ORW: yes / no PNA yes / n). r Type of Project/Activity ,dpdg c:o-r jr .rc -r- S - `"7 .--, - , . r- P',U (Scale: / So / ) Pier(dock)length Fixed Platform(s) _ i Floating Platform(s) j IE� I I Finger pier(s) S 1r /c I . Groin length _ i j ! l / number I ,,01-rS 4'�". 'T'� a I- _ i C. 41;Bulkhead/Riprap length I - i c-,C c �h j - avg distance offshore I j • max distance offshore I Basin,channel `, ( et""- -4\ --- " -^ 'cubic yards r { =- Boat ramp f � �:Y1'7!"1"" / )-2.' A Boathouse/Boatlift — I ^ /1!g .�AH $ + , ___,L7 .- Beach Bulldozin i I O Other I I l Rty- i Shoreline Len , j- /$.(Z ` I I _, i ►zt r,h ,, SAV: ( not sure yes no -- i -- -I lL a.-`�61, , . , , Moratorium: n/a yes (`-no j - Photos: Yes ��" -- 1 _1L „�1(J A Waiver Attached: yes __no i I A building permit may be required by: 't,S (0• '. LSee note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions LD T 1-1 -eLes"-r,1 /'t-L_ 1 A-)V-1r) -N/7 c As-0 f--1 h -5 -L I Z t(-d T-� 17�-_ vc, t,?/ -) -r i �-0 o�k.3 . Avot /- s1 LiLa-1 t P PD i�r,3. fi --' '4 r, � 1Q - 'ST-one v rk-A.,M.,n-, Ft-t.L)v...) \ S CS(.) r f• 1.4.4 -5 s 11- L --j-1.,L`-„(-1)-' C T\ )`'s.<t�l' 4- x 1 ,j�i 't ( -C\v\A:1 e t f`r't-t-iR P ri^-.1 i-r - P00.1 1.1 l a Pt -1-1 j Arn ot.1 q.->PQ 0 LAL, "iZ CL4,-1 0 C.Y) • S-{u C V Agent or Applicant Printed Name Permit Officer's Printed Na e - i c. Signature **Please read compliance stateme on back of permit** Signature--- �� L.,11V `� ..Zvi "7 3")-L.+ j I .20 _ N'4,-/ `�yv Application Fee(s) Check# Issuing Date Expiration Date r 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, anda written statement or certified mail return receipt has been obtained from the riparian d • 2) P adjacentP 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 (252-946-648I) or the Wilmington Regional Office(9 I 0-796-72 15)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- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves: Camden, Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates,Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 I, Pamlico Plantation Rules and Regulations Manual Procedure Number: R&R 30.1.4 mie: Architectural Modification Form Date of Issue: 16 January 2013 PPPOA Architectural Committee 150 Clubhouse Circle Washington, NC 27889 This form is used when you wish to make changes or additions on occupied lots and existing structures. This includes structural changes,exterior repainting,tree removal etc. Please refer to the Covenants for specific restrictions. tri Owners: Di R (—hevl I S' r Lot Number: Address: /011 (�oc.k'(J)'e-w Lan e Telephone: ..?0 r 5/8'3-//O11 2 7 S We request the following: A orJ O� �X i s 4 i-1 cO GK Cc �,ti p y igQ f;.- c; ;1.✓ppib I ,-, `fie r�r 4�4 Jthe_ /haefroil.. The_ -�',1-,JP ) pc, IA)0,i,1 b` 5 T-ea t'' X /S Pdd'1— /O g C SA cal v1 i n `1-Ae rTvv i.JiL14 Attach any applicable documents to support your request(but not limited to) sketches, site plans, color chips, etc. For treeremoval re uests, mark each tree or group of trees to be removed with a red band. 6/(/w.�2;. // /y/j 1710•ie Owner's Signature Date 52O 18'3 -0275 Architectural Committee Action: Approved: ` Disapproved: Date: Distribution: ❑ Owner ❑ Architectural Committee ❑ Office Page_1_of_1_ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on , in , 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) 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (P operty Own- In .rmation) (Adjacent Property Owner Information) ,4!,„ Si ;ti• S' atuYe o.P�� '-� cliS po cozr&on P in or', p- am: Lrinnt o e Naee j/ '✓i 4K --4/ si 7�2 Qjress r _ N a,28Qp City/ t lZ" City/bap. ALks.fiQ,t( elephone Number/email address Telephone Number/email address Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature* I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on , in , 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) 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.) I do wish to waive the 15' setback requirement.q ent. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) /4(64,../ Signature Si qt rr Print or Type Name Pre .r T am Mailing Address o�q dry ' C ai vsi City/State/Zip Cityggs . Telephone Number/email address Telephone Nu ber/email address 'mow/�y q Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature* Y - . --r ".- • ' ' • " t • _, ,'4,•.- - . i , __ . - • -;- , • ; t . 1 , 1 ,- , ' 1 ' • 1-- ; . • -•-; --, 1 ; _ \ : : :.--i-t-i - •-• • 1 • ' .. , • I I i i • * 1... ,i, ; , i . • I • ' . ;.. ; _ ;__ ..,-.. _ • i .. ...• _XII. 1.- I $ i • . • ' • ,A - ; - : .. -•-i- -. .. ..- .. ---1-i---I; ' -:.-' ..a.‘..,!'-4__1..... .. • .7. '. '.1 .;.. , .. . ..... 1 '. • • • H. t . , i . , ..1,... t 11 ; .• .1 —;:. •I--- 1...•s•-T, ,,,,1_--4,-• ':,••---111---• - - ---•; 1•;•--t••, • —k •1, •-4.--. L r ..' '- -I-- - , - 12 , '..•• ,•' ' • . 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Habitat Name Choose One includes any Excludes any total includes Excludes any • anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impactamcuntL temp impacts) amount) OP CI,1 2 Dredge El Fill❑ Both ❑ Other 0 1-� ,f tr4 - Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both 0 Other ❑ Dredge❑ Fill El Both ❑ Other El Dredge❑ Fill❑ Both ❑ Other ❑ . Dredge El Fill El Both ❑ Other ❑ Dredge❑ Fill El Both El Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other El Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both El Other ❑ Dredge❑ Fill❑ Both El Other ❑ • Dredge❑ Fill❑ Both ❑ Other ❑ •