HomeMy WebLinkAboutJones, CliffCAMA, / -_l DREDGE & FILL o. 76309 A B 0 D
GENERAL PERMIT Previous permit # �`y�
ew DModificatian OComplete Reissue GPartial 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 I SA NCAC
r tes attached.
Applicant Name_ �_ Project Location: County _ O_ .Q�✓---____.._._
Address--.�_ Street Address/ State Road! Lot #(s)
- -- - -- �—
wl
City_ �/� _eccy _ State -ZIP-_--
Phone # (1j0) 07 E_M 7 _____ Subdivision
Authorized Agent City ZIP--
Affected hJ eW �� A i7 ES 0 PT5 Phone # (,) _ _ River Basin w . , -e714
AEC(s}: ❑ °� r HHF r fH USA [ WA Adj. Wtr. Body.(/- — +a _..L lnkn)
U Pws:
ORW: yes /� PNA / no Closest Maj. Wtr. Body
Type of Project/ Activity
I
Pier (dock) len X-V/
Fixed
Floati
Finger
Groin
Bulkh
Basin,
Y
Boat r
Boath
Beach
Other
Shorel
SAV:
Morat
Photo
(Scale. .�-
Platforms _ —..
ng Platfortn(s)
number
ead/
avg
max
Cubic
-
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—
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t
length
=
Nprap length
s{��`
distance offshore
distance offshore_
channel
t 3
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t
ywdS
amp
�_ :.
...._
ouse/ Boadift �/
Bulldozing
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t
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Length
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,
ine aG_t1._. _.
not sure yes no
orium: n/a yes
s: yes
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f
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Waiver Attached. es no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions a,
F_--i See note on back regarding River Basin rulm.
- .tea _ --_------- _ _ __.._.�_
or Applicant Printed Name Permit Officer's
tore **Please read compliance statement on back of permits"° Signature `
plicatton Feels) Check # Issu ng Da a Ex ration Date
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W .,� CAMA / ❑ DREDGE & FILL � �� NO. 76309 A B D
GENERAL 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 ® '7 1 & //2�
• r les attached.
Applicant Name Project Location: County 61
Address 116Vefrm. Laie Street Address/ State Road/ Lot #(s)
City
Phone # (710)
Authorized Agei
Affected ❑ CW -t'EW PITA
AEC(s): ❑ OEA ❑ HHF El
'H
❑ PWS:
ORW: yes /6�) PNA a/ no
Type of Project/ Activity OOZE
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
Boathouse/ Boatlift /
moratorium: n/a yes �
Photos: yes
Waiver Attached: e
no —�
A building permit may be required by:
( Note Local Planning jurisdiction) n
Notes/ Special Conditions .1�!1 9
❑ ES ❑ PTS
❑ UBA ❑ N/A
Subdivision
City ZIP J
Phone # () t River Basin W r
Adj. Wtr. Body na /� man /unkn
Closest Maj. Wtr. Body /
(Scale: I
❑ See note on back regarding River �Basin mules.
/ I rM e �i�R )I
— AYL
1 J -e
e t or Applicant Printed Name Permit Officer's
nature ** Please read compliance statement on back of permit Signature /��/�j�
• 0, 4�7.�� / C�V /,
pplication Fee(s) Check # Issu ng Da a ExF
ration 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 complywith 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
L'a
T ORI TION FO AMA P RMIT AP' LICATI N
T All N
Name of Property Owner Requesting Permit:
Mailing Address: f / 6
,.vow
Phone Number:
Email Address:
C�l'�'>`;�►nc � f ,,via % G�r�
I certify that 1 have authorized -a-
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: _Er�x1v11V6 �G,o1�i�o_ �' F
Of &1511)NG �t7ocl,, ZZ5 5!f 6 76' 7, SO
at my property located at 441VIec �4- e;'
in 01V5L01J County.
i furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
ignature
- :: r�
Print or Type Name
Date
Title
y This certification is valid through
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT s
I hereby certify that I own property adjacent to (Name of Property Owner)
property located at f`1 �NF
(Address, Lot, Block, Road, etc.) N.C.
on _ ' lVF � , ���� in (City/Town andlor County}
(Waterbody)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
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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.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature Signature
C� /Fic .SoNFS�L�NI7A Sin�K
Print or Type Name Pant or Type Name
//A Address LnN&-wEL'-d ' rdN _
Mailing Address "--'�- —
�", Mailing Address
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Telephone Number/email address - �? - /43/
Telephone Number/email address
f�ntc of • Q (0 - tj
Date+
°Valid for one calendar year after signature" (RevtSed Aug. 2014)
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�DJACIENT �Ipp►RIAN PROPERTY M&ERWATEM
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! hereby certify that I own property adjacent toy'' ootyrner)(�mePr
property located at / 9 iiWfa I N
(Address, Lot, lock,Road etc.) , N.C.
on Vt� �� f.�1! in
"� (Cityl%wn andior County)
(Waterbody)
The applicant,has described to me, as shown below, the development proposed at the above
Inc ti �'(...�
-_ I have no objection to this proposal.
1 Z
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
('individual proposing development must fill In description below or attach a sfte drawing)
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°® MIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 16 from my area of riparian access unless waived by
me. (If you wisJ3 to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15 setback requirement. 60�
l do not wish to waive the 15' setback requirement.
(IPrope ne I onnation) (Adjacent Property Owner Information)
SignatuW Signature
e.ZiAc
Print or Type Name Print or Type Name
gg Y6z'w Ln_N( Z N,�P G C i .
Meiling Address Mailing Address
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Telephone 1p�umber/email aftess T4/ephone RV mbar ema as
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