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Home My WebLink About47406D - KellyElCAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # PNew ❑Modification ❑Complete Reissue []Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Address L- -- .G City—-,— State ZIP Phone # (`) ' -� ' , ! Fax # (_) Authorized Agent --1 Affected ID CW ❑ EW _LPTA ; ES ` PTS AEC(s): DI OEA ❑ HHF EllH USA N/A E PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Issuing Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # (�) River Basin Adj. Wtr. Body (nat /man Closest Mai. Wtr. Body Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) Groi Bulk Basin Othe Shor SAY: Sand Mo Phot Waivery i A building permit may be required by: Notes/ Special Conditions n See note on back regarding River Basin rules. Finge ; - -- -- - - — r pier(s) n length number head/ Fiiprap length avg distance offshore max distance offshore channel cubic yards ramp house/ Boatlift I I i I i I h Bulldozing i I i eline Length I not sure yes no bags: not sure yes no I I ratorium: n/a yes no I os: yes no I ( I Attached: es or Applicant Printed Nacre Permit Officer's Signature Signature Please read compliance statement on back of permit Application Feels) Check #" �i Date Expiration Date Local Planning Jurisdiction Rover File Name or Applicant Printed Nacre Permit Officer's Signature Signature Please read compliance statement on back of permit Application Feels) Check #" �i Date Expiration Date Local Planning Jurisdiction Rover File Name 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 Quality. Contact the Division of Water Quality 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 Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 -below New River Inlet- and Pender Counties) Revised 06/29/05 MONITORING &COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE LOCATION: PHONE: DATE OF INSPECTION L PERMIT # FIELD REP. 1 Y COMPLETE: 1) Do the sured dimensions of the development differ from those indicated in the permit and workplat? YES/110jcircle one]. COMMENT: 2) SEDIMENTATIO EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? O [circle one] COMMENT: 3) FUTURE MO ING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES/ ircle one]. COMMENT: /iyft) ,]CAMA/ ,E DREDGE & FILL i 3ENERAL PERMIT Previous permit# .New LModification IiComplete Reissue —,__Partial Reissue Date previous permit issued rized by the State of North Carolina,Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC H • ) $ 'Rules attached. t Name c' '-'t U \L-L t_- f Project Location: County ? `) --) E \L- ` 1-Z$ ,u \-\C L Nam-.- ' k\... Street Address/State Road/Lot#(s) .A L...S. cd i State 0 C ZIP 27) U I -,c..... 0'1 2 ‘.. \_\ 1 (AF1-1 1 - \ Fax#( ) Subdivision ed Agent 1�C L.--7. t City 1 J P S,-N s L- jc�r-\c \ \ zip Zg 1.- 1 1 ❑CW EW L PTA ❑ES ❑PTS Phone# ( ) River Basin_►\?L. ❑OEA ❑HHF ❑IH ❑UBA ❑N/A -- Adj.Wtr. Body ,,-\..)Ni•-5 (--►41-N,:.) t'. L (nat ❑PWS: ❑FC: yes /�n� PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body 1'' St\LL '�j��-. a r Project/Activity y tam L %-.J (Scale: 1 ck)length i(s) t { ier(s) I ngth - T mbar 1 d/Riprap length distance offshore IX distance offshore cannel Z X (GC 4 —7_ 4 b L—v+/ 1 i I . bic yards 1 }......... '_._ Ise/Boadift ulldozing 4 t p T 1 —_ a- - r -- e Length r t _ r not sure yes no i ;s: not sure yes no t — I _ �.______ l •cum: n/a yes no T yes no • ; Attached: n0.yes I� �_.--- / -i DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ame of Individual Applying For Permit: l{ SITirLe idress of Property: /0 5 77 ✓� (Lot or Street#, Street or Road) (City and County) iereby certify that I own property adjacent to the above-referenced property. The individual plying for this permit has described to me as shown on the attached drawing the development they proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. you have objections to what is being proposed, please write the Division of Coastal anagement, 127. Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-3900 thin 10 days of receipt of this notice. No response is considered the same as no objection if u have been notified by Certified Mail. WAIVER SECTION tnderstand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be bak a minimum distance of 15' from my area of riparian access-unless waived by me. (If u 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. y` w. l '/A.k /L 'iS O 4.. in Name Date AAA DL_V ISJQN OF COASTAL MANAGEMENT ADJ&CENT RIP A P OPERTY Ow NOTIFICA I1ON/WAIVER FORM Name of Individual Applying For Permit: k_,.'2 .5 7 Address of Property: LOS , 'Tr v (Lot or Street#,Street or Road) (City and County) 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,should be provided with this letter. t/ I have no objections to this proposal. If you have objections to what is being 'imposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilasi ggton, NC 7.8405 or call 910-395-3900 within 10 days of receipt of this notice No response Is considered the same as so objection if you have been notified by Certified Mail. Al�v slitoly I understand that a pier,dock, mooring pldings,breakwater,boat house or boat lift roust be set bok a minimum distance of 15'from my area of riparian access-unless waived by me. (If you wish to waive the setback,yos 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. t • b(), 4 , Sign Name Date , I ' . :5 o Q,1 A-a.)d- 04,1 'II-hp - -4.9.1.;- ) : 1 1 , . _... ._ . ... __ • eat U a.� Via':- -_ _ - �-1'-- _. .... . I Cr) a? 1 i. . i ; _ . I , 1 I- t 050 . �c -1�, 5 �at5 -e..__ _ ___. . et O1 d�?4S: . i • _. . 1 I •F ,