HomeMy WebLinkAboutFrizzelle, Benita 77380C❑ DREDGE & FILL N9 77380 A B " ) D
G NERAL PERMIT Previous permit#
Cr9New ❑Modification ' ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the`Coastal Re so ''es Commissi n in an area of environme Al concern pursuant to I SA NCAC
1, -Ruleched.
AppliFant Name r ` r i ! Project Location: County / t
Address a /(J !`U/ (f i r 4-
City 1. / r - StateAl' (I ZIPa
Phone )i E- ail
AuthorizedAr' gent ' t>'/ e- ✓e�
Affected 9& JVEW _--lffPrA El ES ❑PTS
AEC(s): OOEA ❑HHF ❑IH El USA ❑N/A
❑ PWS:
ORW: yes / no PNA yes / no
L f Street --e-�s7(State Road/ Lot # s)
Subdivision
City. f— ZIP 0 .j
Phone # (_) River Basin
Adj. Wtr. Body mil( J t'r"'/t dl�4oi r 45�at /man /unkn)
Closest Mal. Wtr. Body
r
■
NOON■■■
�.■■■■■■►�■■�aE■■■
-
NOON
NOON■
■■NONE■■■■■�
NOON■
....a�..�
■e...::�:....�
■■■��■■..MEo
■
0
.■�
MEN
MEN
:::::�•"••
MEN■■N■
��■
�a
■■■
■■■■■■■■ME
■■■N
■■■
■■■
■NON■■■
ON
■■N■
■■m■■N■
N■■NE
■N�■N■■■.NiMEE
■..■:■..�..■■..■...
MEMO
.■■.■.��
...■.■.■■NE.■...MEE
::::::0
:
M�::::�:::::�MEE
■■....■.■■ilkIMEEN.■E.
naN■■N■■
N■
.......N■.►SB.N.N■.:.■HONE■■■.■Ea
:.
....
..
....
■....
M - M.
C.1
ram. .■i.l®.
..,.
...
I.......
■■■■
MENEM ...
■■■■■■HE■
■■...■..
N■■ ■■■..
EMI
INN
:::
.' .'.■'.:'.'.'.ME
■�".0'0'.:'.'.'■
MEN
M
�i■■:CN:■■■
::N
ONE
,mN9::■::
I
Agent or Applicant Printed Name PermitOffj'
Signature "*Please read compliance statement on back of permit" Signature
Application Fee(s) Check# Issuing Date
6/1� �T/76/H
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 howto comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/I-888-4RCOAST
Fax: 252-247-3330
(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)
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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
.
�... _..!1,:.._..J__i1...,L..... .. Y:. . ._..:..----------,.,_.y.11s t gi
Phono Number:;
i'rnaaLAcldress: , IY
I certify thrtt 1 have authorirtad _ _._-- _.! !f _ .....
Agent) Contractor
to fad on my bcfialf, for the purpose of applying for and obtaining all LAMA permits
necessary for tiv! following proposed development: -4"?` 72 -77cG/ twivet li
at my properly located at
t furthermore Certify that t'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 aforemontioned lands in connection with evatuating information related to this
permit application:
Property Owner Information;
}
r
� '
Siyntafure
Print or Type Nome
Title
Date
r
ugh
This certification is valid lhrraugh
Vb� ,
C3
Sal,
. ,.a. .. , ... .
r
Ih {F�r J
_JA • '�','Tiles
e'. ''' "F' . _ ::� II _ `'' .;in JQ 4 [ V ACC J
' v.
'I
Q
rr ryr�� 1�p�rrr��
lT I -sr
j ,,. I sr
'u. j� � •r r i �r Q very � � , � � ., r• i I uxsr�cur n r� N .rp Ir
i .4-I 14,_ i- - r _ - .r ll .:
' ' S ti , - „_,. -- r _ '4' qua::=pig•` ; �..v u 11 {
Address of Property:
(Lot or Street tl, Street or Road, City .&'County)
Agent's Name #: r ✓f rzF d_ ' s` ^_. Mailing Address _ y�//� o c b p:RPc' T ,a'="op�
Agent'sphoneti:S�'�-a5/Sirfi' (iGsr� L`_'_`
I hereby certify that 1 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. & ded s rir tip crr dr c w'th im si s t e rovi led with thn letter.
{�
1have no objections to this proposal. �_ I have objections to this proposal.
Ifyou!rave objections to what Is being proposed, you mustnotity the Division of CoastalManagament
(DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices is
availableofhua:7lwww.nccoaStq i rgagWaent[ieliweblcmistaff istfnsiorbycallingt•8884RCOAST.
No response Is considered the same as no objection If you have been notified bXCertified Mail.
WAIVER SECTION
i understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 die wish to waive the 15' setback requirement.
O-1-9,_( {J I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Owner Information)
.
4
Sr mature .Srgnntu t �
Print or Type Name Print or Type Namo
c.- -' / 1 t
Mailing Address Mailing Address " h
City/(5�tatelCy (, a x� jl r >aa i t>� x CilylStratelZip h
Telophon4NumberlEmail Address TetophonoNumberI EmailAddross
f
Date- Dare
44444
�5 iI _ - ��rt �Ti w •; l �I♦1, L •~ _ '�I RI �i'
_ a
Jn
w
• - �J � i iii�����x► Ipi r r x �
r.MA •, .� IT ,inf.l .l I � d" - 11 -f y �.4i}. 44t
.-._ _ k
Yy�V
Ild +ill ,.>41!iV-!.: .tom J 321 1- _
n I - .S'Fi11RY INUR 11, �: j 1} 1, ' ! � .Fj `-' � . _,M � i, '
AI}79 cx I ir tip :I - if }IIIr +'.
{may i oT 1 - �. a y- F•
r! lil
f. 1�hevoi Irl r;1sSI' r Rt wf? �'ral� iR i, r��
�, ._ rr 1, i el '„ • I� �R L .. �,�I, I �'i�p 41 ab,rrr �,1��ba !. � I�a14.� J� I�x � "�:�"''�.I
":�•. �11' 15} yL „'-y I'd .;.f k'AR'rJr R m 1p,-- ..,
III l
IL
1a. '4, "` ~� YI.,�, ,-rNW.I& , - - •, r :il - - ��•. - •- I _ - •.�.jLc,-.�illls
- T
14
Q`
Cif
11
t=
=. '
y _ 1 ••
I - I
s
ps://mail.google,cofn/mail/u/O/