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HomeMy WebLinkAboutDorman, Joer f) L PERMIT Previous permit a �fcGv ?Mtadification # %Complete Reissue. .!Partial Reissue Date prr�viot�s IaertrtEt ssi}eti As authorized by the State: of Marti? CsrOna, Departmerst of Quality ,and the Coastal Resources G:ammisslart in, an area of ervironsnentai concent pursuant to I SA htCAC Applicant *lame ' ' f Project Location! County �f �� t�->���i x! StretPt1�dcftess/Stara goad/ ,rat (s) ;`�9 1'1�i Address_. Clay irk,State tq— Phone #Subdivision 11 y � A},,tl�t t Ized Agent_.. - City !'.r t F •k s _ _ ' tt 3I 1 Rivr r Basin £W W * tk 2 PTa Phone ( f a t Affected rOEA ;H I Ctt rJIlk T dj, Vt _ Rody -� .�,i r p + 3 ._ r trot tin rsair r, , AEC`(s): PWS Closest Maj. Wtr, #;^dy .. 0RW,- yQs nO i PNA yes r (E" ) Type of Project/Activity � � �� �� � ._. r ,L f�.. �' _f.r �t .:1t } ; t, �'� (Scale: d r�ir r eti} k. length i r=tq:,tiiGg Yi;rtfc�s•rri43 °" � „�'� ' � t�j 4 s.`t �(. - number — - nrtih,Adi Hipra wig fis€'in e Offsho' _ I t F, {3�GSEI4ItFt(N1Gi - 1 ik r`_. yr Cubic frrris _ 1 .1 E3easft Bs it#Ozi �, k .. , Omer '`� f ! t r SAY: .. t ,r�ct i+r r n;a }e itA} f F € A t ui3 iirg f Ntrt�st rr aF ;at t c{vir cs' ; Ste note on btc* arding River Basin rzrle� _ Note Local P#ann ;g lurifdice,ti rG'. t " otesf Speciai Cotid flan'i F I _ s t' -- r t1�kr'_ . !" n gz.,t rr� Jt�t i .xt� l� s'�iC+, *�:arrtz � Prsm�rt;Otces s �rirst�r3 £tarns? ��Y Simr e �i _ ft i'.w C nip, i? �t 'tcsr� 4wty ti iCic tzfp t111ft i j+j n zttre i ; ks�sns a sxst (sj t tuarkJfi iss irn r to xOlr,AtsonL' x., Pis T; mi W, OP 4. 01T 4;1.,��- A1kA_e.r_'l`T, i�� " Ilk TXW All, -W m 1 F�lv ir sygy jam, J - i� AE M4v 44 MN Oft A , T NEWS! ZU91Y q-t� :r,� 97j A, L• l,fv r — - .. — , , 11 1 , r x&- a All i T!� OP a, I 'No ORT _7� 1 1_�� j, L"' WIT y �iv Aj -W JJ its _*Ir 4`1 mi 51 PO %of- W TJ U NE M WX fQ Me; W_o.il �R IN1 , 1— , VIA IZ- 14ts e Tk . i ;W111, P si 'A.; P 7 ml � ARM _4.L:j Any T 41, -All AL 4',� Ll _-'a, kr A X A qg pi T' Lux ILL Sk3 Nip, ii W d ` CAMA / ❑ DREDGE & FILL No. 76382 A B Qc D G N E RAL PERMIT Previous permit # ew ❑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 o Zf� -1 / Rules attached. Applicant Names �! ��CM � Project Location: County_ allow Address 1000 V, V Street Address/ State Road/ Lot #(s) Q Ci!1 r State, CZIP Phone # () g ✓ E-Mail Subdivision Authorized Agent City .lS2�% ZIP Affected ❑ CW -EW �A �S ❑ PTS Phone # ( ) River Basin j ►'� AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body n man unkn ❑ PWS: ORW: yes no PNA yes / no Closest Maj. Wtr. Body Type of Project/ Activity 12 Pier (dock) length Fixed Platform(s) 74 7C Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length i avg distance offshore max distance offshore Basin, channel cubic yards Boat Beach B Ildozin 1 - Other ! - Shoreline Length SAV: not sure yes no Moratorium: n/a yes n Photos: yes Waiver Attached: yes n A building permit may be required by: ( Note Local Planning Jurisdiction), Notes/ Special Conditions, '02 VV Agent o ppli t Printed ame Sig ature ** Phase read compliance statement on back of permit" oo. -- - - 4�_�33 Application Fee(s) Check # MOO (Scale: ) ❑ See note on back regarding River Basin rules. A E C 011/'I e, lI Permit Officer's Printed Name 1-11 Signat re g Iss ing to xpir tion 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 3,z�ey (A I rJo. aoR V►nel.rj 's iJ3 I_ ` (Name of Property Owner)✓ property located at gp1 C rl 4 kcore 5 d r^ (Address, Lot, Block, Ro d, etc.) on 6t-o c a- . in Si�11 Ara 5 bNs toc N.C. (Waterbody) (City/Town and/or County) 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) Cam' r u ,L 1, WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. P Owner Information) Signcatit Print or Type Nape / � (ova - 2- Mailing Address _�)J N, City/State/Zrp C)t°' sit- Vls�z Telephone lyurn4er 40 o Date (Adjacent Property Owner Information) Sig ature s se4 j -5. c 1-1141 -;--n Print or Type Nape e W 9 APR 15 2020 (Revise 611812012) 6CM-MHD CITY � 1. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �or.M '. A4NA �d aRmA�1 s (Name of Property Owner property located at Cwl C�naaw ��lc Stnoas� ttt. 5r4'eAL4c (Address, Lot, Block, Road. etc.) on6((Wa C /Zek, e- 'in- Ne A�5 O n! S (a w N.C. (Waterbody) (City/Town and/or County) 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) _ Q 0kz 00 f JAIVER SECTION I understand that a pier, dock, mooring pilings, 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. rm ci nuru J -CI-4�b1ZWa1-J Print or Type Namd ine, Maili Address � (( �� v 7 IJ.*J N� C, c� J 3 V City/Staip �C c, yq ! � S y Telephone N mbe --r A41��90"0 Dare t Pr9perty Owner Information) Print or Type Name Mailing Address City/State/Zip , 93 % Z, -3 7C.J Telephone Number RECEIVED Duce (RevisecAPIR81?51 Uz0 DCM-mw CITY A { is � r� \ ~33 I 1, i t v % Y. PNo 4 J a ns, wUcWajA 'Ajewwns SILIJ Uf U0fj8UJJOjUJ bUlojid 'UOI e alcan obtaut as hue GNeW Jo U ll!M IME) WI01UI tflLl bo)d 10 GS83 ay) Lit sluawlstifpe Aoilod jo so'lia ajoldwoo jol'.IOAOMC)q 'ODIOAUI ajoiqaA junpe 04 JGJOJ Gse@ld 'Gle,11"Me A.IPI.uwf)S SILIJ L11 pap!Ao-id 1.101113LUJOIL11 13LIioijd ay; @New ol pats; seq A- fUOIUOAUI S,JOUVed 6uipejj_ of sBuolaq 813140A S911231PILli — VI, E �(r' il" --9.1 RECEIVED APR 15 2020 DCM-MHD CITY F E'a"an- S "al, i.1 t e— O!M! Sh,lich", — Plibli, Int", Sho"Imu—— ("be, t — oTHER PERNIVISNIAN'HERE.Q11RED: I '111a k. p-mr., ndrer than the CANfA minor dcrele;nnent Permit, indu;lim .hat not ittl w. 111)l jJag Wawi- Well. Septic Tank icl: ether sa.lam waste ii-t—It Ysienaj� fillikang. Fl,,n will, fician" :.nd An Ciindallaliiig. ll—Utwo 111all Eal-gY Clole—liiill- HA WN1,11 od-,. (11-1, ME], your L-A P—uit officer il a ..... , int"roialwo. GFNFRAJ. )INFORMA11ON LAND OWNER - MA11,1N, RESS JcaJA A . . ... . ..... ............ locc, -eaag- Zian3 ipoml, %c.TllORJ' 'D AGENT 1-aill .... ...... .... . ity . ...... . zip'-- Ilimle . ........ LOCAIJON OF PROJEUI: (Add—,, 't—, man and/1" (fi—uon' to 'ite; n; e w-llwad!—Imi —teftdyj .... . ... . .............. fil 101p I TON OF ROJECT: (I It p oI—ed—i.01111m, ind Lore d,stluba;,—) ,11T. OF I -OTlPAR El, i4ila" teet ilROPOSI'D USE; k,%k1,.;,i1;! iK- r-) MI'd?; I.lml;y L) ) I 1.d vilki'vild D Oil!" Lj CONT T-ETE EITHER (1) OR (2) BELOW (C-1-1y.- L."d Pe —if Officer if),. 'rhi'l, lFc.1,10" 11) OCEAN HAZARD AECs: TOTAL FLOOR AREA OF PROPOSED STRUCTUFRE: squz:', r `1111 1-lad", li ;aLz space, parking ei ... tell above ground level, inn -con litinncd q--e elmited about ,, Uad el but afli, sp,—) ') COASTAL SUORELINE AEC,: SIZE OF BUILDING FOO-1 PR HAND 01 HER IMPERVIQUis OR IC-11 I ,-j PON SURFACES squire all n— illa, Id, .. ma'( vparrs, ew thatarethe appli,iii1ill, Al:(. Attaen yam caleula;ma, —11, the pan ea dra,iag) i1rXIE. S I ORNIAVATERM ANAL E* NIF.NI'P ERNI Y['- Is the proulet 1-aledin anarca sulli-tit ll j.Naae Nla,mg--ul P,loit i—i,d by the Nf: Dil-�,,n of Mme,fl and Lwai R--lcc, (DPM!Y)' YI I NO We STAMMENT OF OWNERSHIP: I diland—igoed, a. applicant I., a LAMA tom, d ... Ilipaicat nerve eaher the owner A properly it -a AEC11 alitlanind to act a, a,, ag,ila fill J—la's,sufapplying, fur CANIAminia dmelopulcul pe:n it. ccru&y that the pr-a hst,, 1-d.-- oil ti- appl—lioll ha., a —11;zlcai, iat,,eq In tile ,ill p,,,j--,yd,s,,ibed thia-eiii. I hisuil—,t b,- dennbed as. (lhe,k.,n,! 14the \ I . A -O'l� l Air Deed ,mic 5 05 Page '7'F Z -5-1 at the0 C,a R"-uy .1, Deeds. Appli'mit is as I"i, t" th" dr, ------ bat,wa, in . .... .. .. County. if ,,lima nu,re,t..arch ns written contract or terse, ssiein bdmv ar use a separate she,& � attach m fL•is appliculion. NO'TI E1C.V1'lON OFADJACEN'r RIPARIAN PROPER1 Y OWNERS: I fiamm thi-il, 1:dll.,iag pm."nis we urine,, of properties a. djoining this p.,p;iry. I Abin, that I have giecn ACT UAL NOTICE to each of them 1.11—liag toy i,ali.L t. develop this pop,,Iy ,ad to apply f., it CAMA pia-rait. 'N (Addire" cl,)Lj,c Ic (2. (31 1 . .. ..... t4l ACK-NOWLEDGEAWNTS: be lai—p; iblc 'Oo a,:.,, aid el 1—diag. I ,kno,% Use (hm [h, 11lcr'111- OJ-11cci !!a, "splai—I ,, Bil rill PM il:U- 1"I'aacli"i" llernaa—eltily;bai i*llu gant, pernas,;wo to Di-,i- ofCommid Nfilo.,,,a—at mslE ih, Local Permit 011i— and their',,coats to late, un da,aiiae—ilai-ed hinds i. eii-letion with e,ahwitig int 11.11 to this p-laiv aplill"au.n. r -1*1 '1z This the day oAf�4\. 20. . ........ .... . ... ...... . ... . . . 1-11--or oha- a CAMA peo,w appli—M)" i "aa. This qpplkali- n"I I'll: g of mh,;;? .......... th,• ha.4-1 ihi.—ppliodnn• din ;hc 0—;', Ila--fAr.c vofi­ 1". 'irl­,:­ii�,.jj-j, , C,ft' , m"ll, is th, h—lil, "ad h, "'n idug r A h. !j1-1lilfi fl—hwih oft "It"licanoa fib'd h-11111, lie it,! i, "i—,— ma?n h . .....t be is,— k Ov% h,,,, is— di-ed . ..... �, " W - we , vwifafi- ,,l ....... la"".4"piRgma, i and adaumis,,ain! at I RECEIVED APR 15 2020 DCM-MHD cry �._ �� �� d�