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HomeMy WebLinkAbout76878A_Cornell, Michael_20200903�n ✓ �ICAMA / DREDGE & FILL N9 76878 A B V C D 9�ENERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue El 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 j `l L, Rules attached. Applicant Name ;,:_ L, j e Address ),6 c City State „)G ZIP ')- 7'1-0`l Phone # ( ) E-Mail 11M� e' C". 1 Authorized Agent Affected ❑ CW E/EW ❑+PTA ❑ ES ❑ PTS AEC(s): ElOEA ElHHF C IH ❑ UBA ❑ N/A ❑ PWS: vnVV. Yes /. nu r"Yes l — Project Location: County Street Address/ State Road/ Lot #(s) I t i it e Subdivision 1 it I I -- City Cr, it, aac 1z ZIP Phone # ( ) River Basin J, c,K Adj. Wtr. BodyCG li . 1 nat knan unkn Closest Maj. Wtr. Body CCJi }Gt S4 c1 IF ��■■��■■®1'■■■■■■AMEN ■■®■mom miliziNINNINININ Filli no E 0 AE■ ■■■"0310 EN■■■■■■■■ - ■■■■■ Ali■■I I■■��■■Ir■■■■t/■�■■■■■■■■■■ _ ■ice■■■■■■'■1■■■ ■■■■■ Wl■■■ I■■I�i■■1■■■■■■■�■■■■■■■■■■ ■■■■ ■■■■■■ ■1■■■ ■■�■■■■■ MI■■■ 1■■■i■I■■■■■■■�■■■■■■■■■■ I■■NNO■,I■■■ri■■■�■■■■■■■■■■ M. ■�� .. ■ �■1 ■■■■■■■■ '■I■■ ■■■■■ ■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■ - �■■■■■■��■■■■■■■■fin■■■■�■�■� ONE NNE MENEM MENNEN NMI' MEN Folt. � ■ ■■■fir ■■■■ ■ ■ / ! 1 &- AC l Agent or Ap icant Printed Name X / . Signature e* Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Printed Name Signature C) / .3 / -,1.0 I / -51 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 1) 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: 252-247-3330 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 Untitled Map Write a description for your map. 47" NSi 136 E Canvasback Dr fteo. '. .40-4 Ik —w—A Art. Ow �e Earth v w LTrrw*v-fL*-.iI�4wz DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Michael Cornell Address of Property: 136 E. Canvasback Drive Currituck (Lot or Street #, Street or Road, City & County) Agent's Name #: N/A Mailing Address: Agent's phone #: 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 dt ti<11241r► -ar drrrobne_ with .W - ........... �_ ,`.�__ X 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 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. -0t kh wive the 15, setback requirement. (Property Owner Information) Mi6hael C7 CoVileu Sig -nature Michael G. Cornell Print or Type Name 136 East C nv-k TIT;,.` Mailing Address C rrituck NC 7,7929 City/StatelZip 722-18001 corn limgl�a)gma 1 com Telephone Number / Email Address 8/30/2020 I)ate -- *Valid for one calendar year after signature' (Adjac t Property Own Information) .S' nature*' Scott tee Print or Type Name 138 F. (Canvas Mailing Address City/State/Zio 757-407-4563 Telephone Number/Email Address 8/30/2020 Date * Revised Jan. 2017 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Michael Cornell Address of Property: 136 East Canvasback Drive Currituck (Lot or Street #, Street or Road, City & County) Agent's Name #: N/A Agent's phone #: Mailing Address: 1 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. X 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 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 noted by certified Mail. R 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. X I do not wish to waive the 15' setback requirement. (Property Owner Information) Michael G Comea Signature Michael G..Cornell Print or Type Name 136 East Canvasback Driv Mailing Address Currituck N.0 27929 City/State/Zip 722-1800 /cornellmg.l@gmail.com Telephone Number/Email Address 8/30/2020 Dare `Valid for one calendar year after signature' (Adjacent,.Property Owner Information) Signatur^e Samuel F. Brinson Print or Type Name 134 F. Canvag Mailing Address City/State/Zip 336-703-8610 Telephone Number/Email Address 8/30/2020 Date" Revised Jan. 2017 r j Y mom '�` `