HomeMy WebLinkAboutBrewer, DouglasLI CAMA / LL DREDGE & FILL 1 9 78919 A B C D
GENERAL PERMIT Previous permit#
UNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous ermit issued
As authorized by the State of North Carolina, Department of Envir nmehfflI Quality
and the Coastal Resources Commission in an area ofenvironmenta concern pursuant to I SA NCAC D'
1 l �'-"�-�,. Toles attached.
Applicant Name \ `,' } i � : ( l t� ( i� -\ Project Location: Count j ( L
Phone #
Authorized Agent
Affected ❑ CW
AEC(s): 00EA
'❑ PWS
ORW: yes / ne
E EW SjJPTA
n HHF EZIH
i PNA yes /
❑ES ❑PTS
❑ UBA ❑ N/A
I Street Address/ State,Road/ Lot #(s)
Subdivj ion
City' `I( �,( '�) C. ZIP
Phone River Basin _
Adj. Wtr. Body '. �: I (nat /man _/unkn)
Closest Maj. Wtr. Body --
Type of Project/ Activity
(Scales.,. - )
F,r, ,
Fixed
Float
Finge
Groir
Bulk(
Basin
Boat
Boad
Bead
Othe
Shore
SAV:
Mora
Phoa
Waiv
A bui
( Note Local rianningjunsaicuon)
Notes/ Special Conditions
j rn, D .( un
" Please read
Fee(s)
i
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
nul I and void.
This permit must be on the project site and accessible to the permit officerwhen 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
400 Commerce Ave
Morehead City, INC 28557
252-808-2808/ 1-888ARCOAST
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 Pender Counties)
httP:Hportal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
D502��
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City & bounty)
Agent's Name #: IQA(1Y 0'C,&,)tom(- Mailing Address: I-1`05
Agent'sphone#: 0�5,� �(0T4'�(p`1., W%i�S -QL2�):Snit7
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.
✓ 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. Contact information for DCM offices is
available athtto://www.nccoastalmanapement.netlweb/cm/staff-listing orby calling 1-888-4RCOAST.
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, boat ramp, breakwater, boathouse, or lift 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 WA Information)
Signature
Print or Ty Name
L'I1;�10�5 PI
Mailing Address
_W ; 1Sm, 1J C, a�1Y�i(o
City/State2ip
a� ;)- -a(.0 (A -a
Telephone Number/Email Address
V I' -I IzoZ,L)
Date I
tan Pr11 r er Information)
M-�
Signature
_fie✓Zk�J��..✓`
Print or Type Name
1,?-(n &bL)/y ►2d
Mailing Address
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City/Statelzip I
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Telephone Number/Email Address
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Date
(Revi 1y)CITY
Y .,
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City & County)
Agent's Name #: #omyoy (7 r.L?e�l
Agent's phone #: as a'a[0C1 c� CQ11
Mailing Address: L120
\Snn t IQC-
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.
V I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is beingproposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at httn://www.nccoastaimanagement.net/web/cm/staff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection ff you have been notified by Certified Mail.
WAIVER SECTION
understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
,X� I do not wish to waive the 15' setback requirement.
(Property ner nformation)
Sfgnatur
1,),po,. C,s
r�vJer
Print or T e Name
t-6o1,�) P)OIQIP
,) PI
Mailing Address
v ;\sN-� IIQC/a1
�SCiLP
City/State/Zip
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Telephone Number / Email Address
Date
(Riparian roperty Owner information)
r
S nature
Print or Type Name
a41S aA-9L,E ACy+rt s j?J� _
Mailing Address
City/StatelZip
9/9-L14- 0893 RECEIVED
Telephone Number/Email Address
A�.29'Lo.2o MAR 04
Date
(Revis .Nhq CITY
P/,° p�aj
RECEIVED
MAR 0 4 '102o
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