The URL can be used to link to this page

Home My WebLink About73706A_David Watson_20190606i CAIVIA / ElDREDGE & FILL NO. 73706 B C D 9;�ENERAL PERMIT Previous permit #_ New ❑Modification []Complete Reissue ❑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 (i% ii t / Z(JD �Ileo Rules attached. Applicant Name �/t✓f/)n� Project Location: County�y1r�u�t Address 1 t S Z &Me- &Oe /l /�V City / l�/2� f�✓r� State lVe ZIP Z7 % i� Phone # (M VI-7 59D a E-Mail Authorized Agent Affected E CW AEC(s): 00EA ❑ PWS ORW: yes /- no) D(EW OPTA ❑ HHF ❑ IH PNA yes /(29 Type of Project/ Activity (/) �- ❑ES ❑PTS ❑ UBA ❑ N/A t°3� l Z 1(1 Z' l5�)g72rF� Pier �} Fixe Float Fing croi Bulk Basi Boat Boat Beac Oth Shor SAV: Mor Phot Street Address/ State Road/ Lot #(s) / S-Z (uyf 6 A62-ICH I'MJZ2- Subdivision LUytG 6&E 4c/i �tCty�l�U/lvPNl S Nf[k ZIP /��9`Jf�� Phone # ( ) �'f't U` River Basin 1'45rllpjrdtue Adj. Wtr. Body /aMtt b4 -Px& Man /unkn) Closest Maj. Wtr. Body S(JZlrt/VJ i 0 i! i (Scale: / ' 11torium: ��...�CC.MEMNON ■■. Platform s �� CO■■= C �C. ■■■■ ■ ■hill = ■ �liO■■■■■■■■■■■■■■■■■ ■■■■■■■■■■O■■■■■■■■ ■11■■■■■■■■■■■■■■■ml■ ■■■■I,{AfGl?�/l►it�1!'/!O■■■■■■■ M■■■■O■■■■■■■■■■I■■■■m■■■■■■■■■Orl■■■! ■■■■■ ■ ■■■■■■■■I■O■■Cr%�!I■!■■f?i12,>7'ililr'Y�lii■ m■■■■■■■ ■■■■■■IwMI■■■■m■■■■■sl:iM moos ■■■■■!■■■■■■■■■■■IIE■!�■■■m■■■■■!■■■ OMENS SINA cubic yards_■O�mta, OWN IMERNMEME ME ■■■i ■■■ - ■m■O■Ot31■■■I ■m■■� ■sl�o■ O�� I�� 1MmMMMM M iCC■■■■C ■■■■ ■■■ ■■■ �LI® i■■ ■m■Moor iG ■■■�ME i■, sON ■m■■■OsaiOOl■Il11li Emil L!I■O■I�O■■11�1Jr7/!►.!F1�RI I�b1■ialFlr,1'T7M■E ■■■■■ ail■MlFilul? 01ol%M■i■■O ,,N�W. MENNEEMESSIM 118■■ u ' '■■■■Ni■■i■I1MISM to NINE ■..■■■■11 ■■■■■ line Length at■■■■ N■■■■■■■■■■■Awi■■N■Iu� Ns■■■■■ ■■Y■■■■■■■■■ .■ no notsure �INMIN lME MU ENE 13INIMMEM:NONE yes no ■m■ ■m■Y I�m■■■■■■■■■■■O■■■■M■■O■■■■■■ Wa 'Yttq-�i9.!l6vtA 'l>f/!Ac jtvyi A bui ing permit may be required by: AI(-) I ( Note Local Planning Jurisdiction) Notes/ Special Conditions FA read compliance statement on back of permit" Application Fee(s) ❑ See note on back regarding River Basin rules. L yIV $J f t/h ;-7YIS PermitOffcer's Printed Name Signature - JG tV (if Y 2v/'i # ►20/% Issuing Date Eklairation Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Address of Property: Agent's Name #: Agent's phone #: A:Z, a2p it - 310 l eeT4 Mailing Address: 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. VI have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you mustnotify 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 sign the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature VJvl L ® � rint or Type Name Mailing AddrR s Ale City/State/Zip Telephone Number/Email Address � -,R!9 - / 9 Date 'Valid for one calendar year after signature* (Adjacent Property Owner Information) Sig •e er yi Print or Type/Name IM JZ Mailing Address ff i-7 R T- City/State/Zip 7m- 3 6 5 - ,;fU is Telephone Number / Email Address /a _ 7— v Date* Revised 2017 MC 4- r� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Address of Property: i-A L-8A,5;h L IJ r Pedlo,mod Bel LQf 7 G 94 (Lot or Str et #, Street or Road, City & County) Agent's Name #: Ly✓1.2 AqXr7 15 Mailing Address:l�/ 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 develo ment they are proposing KASW f r� r�tt� if�i �ti"slogs must be brovided.vltit tt t� ✓' V I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you mustnotify 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 sign the appropriate blank below.) (Property Owner Information) Signature / �dvrd L �.tJ� �� ti J ✓ Print or Type Name 4�9a 6D,— — M/ailing�A%d�dre s Ie-z City/State/Zip s?- 59�3 Telep one Number/Email Address Date I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Adjacen Property O r nformation) Signatur - c]��i0ANWF- Print or Type Name 58a( C u5,QU6 tAt✓A[k hk Ma�ili�g Address MaGiOtA ill Vk City/State/Zip rui149q-oQ(13 q Ai,�OMsfi.eo+,A- ephone Number/Emall Address to--�-fig Date* *Valid for one calendar year after signature` Revised 2017 r MMM ME N 1�r DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to <?y1 c� 1��St�n s property located at /J (Project Site: Addr ss, Lo Blo/ck, Road, etc.) on Z& eC4 <_IC/ �t7G4e1 �i , in Aa d N.C. (Waterbody) Agent's Name #: Agent's phone #: (City/Town and/or County) Mailing Address: He/She has described to me as shown below the, development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AN DEVELOPMENT R6/01;jc=e y /5itr- /> ,00n 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 olection if you have been notified by Certified Mail. (Property Owner Information) Signature I 1 P9Y) Cl- Print or Type Name i,"a Ma/iliinngAdddrress City/State/Zip Telephone Number/Email Address .!5� -AI/-/ r Date *Valid for one calendar year after signature* dja ent Pr perty Owner Information) Akl Signature* Print or Type Name ) o 7 6Gc,4NoV1oA) ye. Mailing Address ?/jl C�V City/StatelZip c2?S2 — &/9— '71,3 y�' Telepho e Number/Email Address DY* Revised Jan.2017 9 u O C: 0 C\j 4m NC Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: /�i4 ✓� ✓,v Permit #: Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both Cl Other s Dredge ❑ Fill ❑ Both ❑ Other / 511 rT� Dredge ❑ fill Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 25'L=80�-'?S;SA 11 I-86'Sa Icn437 !4 revisz•A! 02'GaN 0,