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Home My WebLink About78514A_Elliott, Calvin & Cynthia_20200218CAMA / ❑ DREDGE & FILL N9 78514 CA) B C D -. GENERAL PERMIT Previous permit# ❑New :_Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 7 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I f Fx] Rules attached. Applicant Name CGJ v , 0. )4 ,c C'_I ), o -1-4- Address I r' f P,n4 7c;-n� k c City State I ( ZIP 'Z Phone # (3� 110 E-Mail Authorized Agent Affected ❑ CW ❑ EW 53 PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA ❑ PWS: ORW: yes / no PNA yes / no Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/Boatlift Beach Bulldozing Other Shoreline Length '% ' �I SAV: not sure yes no Moratorium: n/a yes no Photos: yes ) no Waiver Attached: yes %nn§ Project Location: County ; o i i , Street Address/ State Road/ Lot #(s) r! L� 3 o' a rnS t ` K)nr44,, Subdivision '_� v , CxJ_Ae kOl _e 2 City I for 01 ZIP .2 -- 1q q Phone # River Basin (7 r. o 1 c, r k Adj. Wtr. Body 4) G' (r}F sr , ��. C�' (►lat /man /unkn) Closest Maj. Wtr. Bo� MO■■■■■■■1"!l�Y1M!6ltiiiiii■��i■�■■■■iGi� ,..■..�� ...'■Mill ■■■:::OM M■■■■:� ail■ ■■■■iiBE: ■�/■�i A building permit may be required by: P r ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit a'CD- � Application Fee(s) Check # ❑ See note on back regarding River Basin rules. PermitOflic s �tName Signature L6 /ZC' 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/ 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 Complete items 1, 2, and 3. Print your name and address on the reverse so that we can return the card to you. I Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: A. ❑ Agent C. Date of Deliver D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered Mail ❑ Adult Signature Restricted Delivery ❑RegisterRed Mail Restrict ❑ Certified Mail® Delivery 9590 9402 4511.8278 7073 38 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for o rWI-----i Delivery Merchandise ;7 2 Article Number /Trancf ' *-- - , rt.— R—triMwl nwuua,,, ❑ Sianature Confumatlon* 7p18 0680 0000 7627 5805 -ARi 1 .Iidv 9n15 PRN 7.t;sn-nq-nnn-sns.q USPS TRACING # %Edi 9590 9402 45' 8278 7073 38 United States Postal Service RTFC: , R'C279 c Nov 2019 I%irliJii�i�ff;;��i�il�l1�► First -Class Mail Postage & FeejPaid USPS 1111 Permit No. G-1 • Sender: Please print your name, address, and ZIP+4® in this box* II►0-T 17��),'n-f c( 1 -f-(OfC, C a-)cr Q Q p `n HE�! '0Fcc or-w-MMUMMIM •' P F4I N CeNfied Mall Fee ru $ 'J3 a r%- Extra Services & Fees peckbox. add tee ❑ Rebm Readpt ( lrh $ p ❑ Rmum Receipt (ae&ow4 $ p ❑ C ffad Mall ReWlcrted Damy $ o ❑ adult sly O. Regrind $ p ❑ adult sWurtu a ReslneW D*nry a - -' p Postage ca.15 $ .-0 Total Postage and Fees _ p s cp Sent To �� p Sf iii and ApE o p0 sour�,.�- i. )" --------- :COASTAL MANAGEMENT . E. 7CEIPT OWNER NOTIFICATIONIWAIVER FORM eCeiveC JE y� REQUESTED or HAND DELIVERED Gi i 2 J 2iiJ 10 POOM 161, Hem CM- EC CZyzL s CoiLrT ir+-fora NC- a lc q 10/08/2019 i #, Street or Road, City & County) Mailing Address: 114 fine, -Potn-1 PJ--------------------------------- r ------ Htr4-6cl NG a 79+4 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. 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 401 S. Griffin St., Ste 300, 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 1 understand that a pier, dock, mooring pilings, boat ramp, o i = 1 �. (D o D must be set back a minimum distance of 15' from my area ] o v, �=- n0 �v m 3 me. (If you wish to waive the setback, you must sign the a W o z o '�' ` ' V` S a - o L—J Q c0 07 N 3 - I do wish to wain -1 C o (DCD � � 0 V O- p 3 3 Er' �= = s �, o do to -- �` _ 7- I c Q 0 N C not wish �, �,� w a, zo m rn 77Z)c w Cn 00 Vo Q- N in o Owner Information) (Adjz o o h m c-� = J Y � ° s 7(pjerty c Er 3 c< i� C Signature Signa ` in f Ln M Y M13Q ICvF111-off— Print or Type Namd Print o 0 o m m a n co � _ r 1 » rn (n (" _ _� -< N (p Md n� D l 1_J I ri �D 1.1T - °> > E � ro m m C G m m .w D C LI Mailing Address Maili m ® w ° N W D nn CD < City/State/Zip Cityl o m a pVahoo a� �� Telephone Num r / Email Address Tele, ° 0 D o o s ,� o o a Kam � 7CM,a ❑ ❑ ❑❑ Date Date' v x z c o D D o y • Valid for one calendar year after signature 3 3 g im N_ N -�O a CD* - • • 5 l o) i m < N J rp J � I V Redeiv woe `�� C►' 2 �. 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