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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 Gy-L tr,i/d e NC_ a7��S33 City/Statelzip I Z5Z-71-7'`1ULfa ��c61VED Telephone Number/Email Address Mpg 04 2D20 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 asa--ato4 -aco`7 7 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 ®GM -NCH® CITY Wl, vo C4K f-1 6P��3 c I4,L.5 �,(YL�