HomeMy WebLinkAboutScott, Jim 77135CSCCAMA / DREDGE & FILL
N9 77135 A B (-�_ D
GENERAL PERMIT
Prcv4wPermit# .---
>_`fvew Modification -Complete Reissue _ Partial Reissue
Date Previous pettnit ISSted----.---'--
As autMrized by the State of North Carolina. Department of Environmental Quality
i ),
Q (1
and the Coastal Resources Commission in an area of emroe nmntal concem pursuant
to I SA NCAC
Rules atodxd.
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Applicant Ngame _ - _-__�.�___.._ ��- --.._____
Project Location_
County O,n s J.ow ---___ -
Address / Q 1�.�j
G_ Sit
Street AddreW State Road/ Lot #(s) — — -- --
_
�_rZP�j/�_
City �ijiCr . f4t�_. State
Phone # -
t7'/7 ) .1�� � --.L,-j(�jl EM-Mail -_.__..'.//—tt __ __
Subdivision
-----
._
Authonzed Agent -- 'f 11
City
23P
- - —
Affected .� "' ETA Es M
OEA - HHF [N USA -� WA
Phone # (
ir Basin
i/�t R nay -
kz _Lunkn)
AEC(s):
Adj. Wtr- Body
ti( --f' ,� _3
FWS:UMD
Closest Mal. Wtr. Body
ORW yes (; PNA yes
siR f •. A WO
Pwr dock)length-
Flat„a•) — �— —
Groin lc^6th
n,nlbw
wkhea4 %prep length
a g Gsn a offshore
max tteratu O fsk" /
Basin. dv"w
cubs yards..
Shoreline, Length9!i..
SAV: nnot sure Yes
Morato : W. yes
Photosyes n
Wy r Attached. F9 no
A building permit may be required
(Note Local Planning Junsdictiori
Rotes! Special Conditions _
-�OsSS J i - �► - --
e Pkase star ermR onbackofp--
APPI-'� n Feats • Check
,WICK VD�O�.y -A- illli`
See note on back regarding River Basin rules.
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�AMA / '� DREDGE a FILL ''t' 77135 A B (�T, a
GENERAL PERMIT Previow Permit
�e �sued____..��..----
ew Modircatw» ..: Complete Reissue__,Partial prevfotas perrtdt
As authorized by the State of North Carolina, Qepartinerst of Environmental Quality
and the Coastal Resources Commission in an area of tw1irOAMental Concern pursuant to I SA NCAC+: '_��" '
Applicant Npame» 't (Yl ,. 'Sic
Protect Location: County: Q f'i.J.... _...
Address f 0 ,7 , CStreet Address/ State Road( Lot #(s)
City_ h€ _ ..� State N lI
tci P o (6O.
Phone # tz)131,-42,;7& -Mad _ _ _.. __ "Subdivision _. _
Authorizod Agent _.. } {X�'' j f R �, . c.p !} City, ... ZIP
Affected WA
�'� .n."�Ta es P75 Phone # (. ) _
River BasinJt7
AEC(s)` OEA HHF IH URA WAAdj- Wt F; lr �n.(unkn)
PWS G°..-t .
ORW: yes PNR yes r
Closest Mal, Wt. Body
I
TYPe of Projects Activity
Ir 1
_ (Scale.'
her dadt7 k 1d,
Fi-wi
ch
.yN�.t�r�a�P
Klo
Shr ehm Ltmgrn
SW' rwt swe yeF
rtwatnhmt' rv`a yte _
..
Photm; Y-
Waiver Attached
may be requued b),:�_f
4�____ `
See note on back regardng River Balm roles,
A building permit i.=.i:Z.y
(Note cal e Loa Planning Jurisdiction
Notevf Special Conditions..
'`4�t evs' Yrsnced Nanea Pam+nONicer'S ((('1 t{f
x+xa •' P+ease O ar ce statement on back of permit
rx a:Fr_mr cr.*cta { ng L9 c F pirat;�are
WCAMA / ❑ DREDGE & FILL
N° 77135 A B � D
®GENERAL PERMIT Previous permit#
flew ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality .7 1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 8' / (� • j
R �les attached.
—��
Applicant Name 1 [M �%a� Project Location: County st ! 0 ✓
Address ! 03 �f7��X l tl t Ct 01,F2y I VPj Street Address/ State Road/ Lot #(s)
City 51)6a5 Fekty State N(�ZIP 9O 160
Phone # (W) 931 r;137Io, EE-,(Mail /1
Authorized Agent i AAA ILIA' IA P (20 4�c
Affected ❑ CW .kPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes f n PNA yes (rIP
Type of Project/ Activity
Subdivision
City ZIP
Phone # (_) River Basin
Adj. Wtr. Body a4WJcam, l at an unkn
Closest Mal. Wtr. Body
Pier (dock) length r
Fixed Platform(s)
i
Floating Platform(s)
Finger Fier(s) ---
Groin length
T
number
Bulkhead/ Riprap length T__
avg distance offshore — )
max distance offshore /
Basin, channel ' --' - --
cubic yards
Boat ramp � �
oathouse/ oatliR !g � � l
Beach "ozing_7
_ l t
Shoreline Length
SAM not sure yes Ali
Moratorium: n/a yes lJ
Photos: yes n
Waiver Attached: ® no
A building permit may be required by:01 c51 D j,'_/ 0.n�f
( Note Local Planning jurisdiction),
Notes/ Special Conditions �SI /x 1 %r) �/xC��M (•�LnJ.I c�
PermitOfficer's
IrV r
(Scale: 1 i ' 0 )
❑ See note on back regarding River Basin rules.
Signature Please read compliance statement on back of permit"-
.gm _61 0° nyq
Application Fee(s) Check #
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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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
AGENT AUTHORIZATION FOR CAMA. PERMIT APPLICATION
Name of Property Owner Requesting Permit: J� -
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: iQ k 60aj 1-1W
at my property located at _
in 6WS16 , County.
I furthermore certify that I 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.
Props Own r Info tion:
Signature
SSW
Print or Type Name
Title
I 1 -? l Zy
Date RECEIVED
AUG 0 7 2020
This certification is valid through I I DCM-MHD CITY
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ADJACENT RIPARIAN PROPERTY OWNER 5jATEMENT
I hereby certify that I own property adjacent to �, )im J G 0 l I 's
property located at `1 U:J._t_[)nKJ t j:Jl(.K ')rlpr t7-c) .jfr
(Address, Lot, Block, oad etc.)
on , in � r)f( S �2U , N.C.
(Waterbody) (City/Town and/ Coin'
The applicant has described to me, as shown below, the development proposed at the above
I
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must flit in description below or attach a site drawing)
WAIVER SECTION
1 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.
(Prop Own Infor a Ion) (Adjacent rope ner I ation)
Dale
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`Valid for one calendar year after signature" (Revised Aug. 2014)
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ADJACENT RIPARIAN PROPERTY OWNER ST-ATEMENT
I hereby certify that I own property adjacent to � 1 i m 5 C O IyI 's
' 1 (Name of roperty Owner)
property located at , (� J U 0- MJ l O i 1 ll3r� r
(Address, Lot, Block, �oad, etc.)
on Z(' Zy in 5 Fem l , , N.C.
(Waterbody) (City/Town ands/ r Ca ty)
The applicant has described to me, as shown below, the development proposed at the above
i o
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)
See ���EJ
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 o wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
Date
1 do not wish to waive the 15' setback requirement.
cmer InforJnatian)
oaw-
'Valid for one calendar year after signature"
ocen 00rtx Owner Information)
0-
or Type ame
k'Aoc/ � C 9 a--
ng / i d'Tss C y
siate/Za,, I
onp Number/email address
(Revised Aug. 2014)
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