HomeMy WebLinkAboutStrickland, Robert 76718CAMA / ❑ DREDGE O FILL
N . 76718 A B /c D
ENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue El Partial Relssue Date previous permit issued
94
As autflortzed by the State of North Carolina. Department of Environmental Quality % I /
and the Coastal Resour Commission in an a of envir ental concern pursuant to I SA NCAC !
L t/' ❑Rules attached.
Applicant Name ,- '�f° f L ' �i Project Location: County C CYO
Phone # T//- f %IT U —
Authorized Agent
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❑EW ❑PTA ;tMS ❑PTS
Affected
A
00EA
❑ HHF ❑ IH ❑ UBA ❑ WA
Affecte
PWS:
ORW:
PNA yes 1(01
Street Ad ej/State R d/ Lot #(s)
-G t 10-10 A l e / t—
Subdivision
City i ZIP
Phone# (_) R't rBasin
Adj. Wtr. Body 0 t `/ at man unk
Closest Maj. Win Body (A' J 4u0'
ll�pe of Project/ Activity
JobI
Pier (dmk) le
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(Note Local Planning jurisdiction) ONotes/ Special Conditions�
■ See note on back regarding River Basin rules,
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Agent or mn [ am
r lance statement on back of permit
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Applica onfee(s) Check#
AMA / ❑ DREDGE & FILL O
�. N . 76718 A B � D
GENERAL PERMIT Previous permit#
LAW [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As au orized by the State of North Carolina, Department of Environmental Quality '� H / G
and the Coastal Resour Co mission in anarof enviir. ental concern pursuant to I SA NCAC
j / ❑ Ruul�less" attached.
Applicant Name ' Pf I r/ C °� Project Location: County ey c'
City t c.«/�'IV State,/J-LZlP'�1-75-J y
Phone # FKV — VI —Mall
Authorized Agent
Affected ❑CW ❑EW El PTA Z?iS ❑PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
PWS:
ORW: es / no PNA yes / no
r
Type of Project/ Activity 6 to
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) _
Groin length
m er
p�
Bulkhead/ prap length
avg stance offshore V 1
max distance offshore -r
Basin, channel
—1--
Boat ramp
Boathouse/
Beach Bulldozing
Other t
Shoreline Length u o
Street Add(r�e,sss///11State Rpad/ Lot #(s)
Ly( `rla ✓t ail / Y
Subdivision
City ZIP
Phone # (_) R'v Basin �
Adj. Wtr. Body U at man Junkn
Closest Maj. Wtr. Body Gcth
(Scale: P )
^
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SAV: not sure yes nd � _ - I U E
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes ifio
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions"C'i
Agent or Applicant Printed Name
• I read compliance statement on backofpermit**
Q j��
oApplic.rX.Fee(p Check#
cL,,, � a
❑ See note on back regarding River Basin rules.
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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑Tar- Pamlico River Basin Buffer Rules ❑
❑ 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/ 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, Bartle, 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 Pander 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 ' Kd($617 (' I
property located at `f o i C4,JAi JwEL x�CLa C
(Address, Lot, lock, Road, atc1
on SOGutc 5o�.rtfp in .-,t-Ly JSbE N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatlory
✓ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must rill In description below or attach a site drawing)
D 10
f �roS6p rj(73 r,.JCa
46V \ a o t�-, Cie
WAIVER SECTION
T�k(5-C"
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.
(Prope ner Informat on),
1M
(Adjacent Propertv Owner Information)
City/state/zip
IkL'Uss�zy.a� Csfi r A.co
Telephone Number/email address rr
Date"
'Valid for one calendar year after signature' (Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to " T ur,6(L ('_ I LIc Klp NO 's
(Name of Property Owner)
property located at L4 o ( &(-A NNCL
(Address, Lot, Block, Road, etch
on ?u<_,�iL% ?uv,�0 , in { r_-h r n Y `,r 4= N.C.
(Waterbody) (CitylTown 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)
�.�LY klC-,p4
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.
(Prope ner Informat'on)
Telephone Number/email address
Ohre
ation)
p _
,4igna11n•e* %� L
Print or Type Name /
Mailing Address J
%U,J,
City/StatelZip / , G ✓y
/ / 4-`f �L
Telephone Number/email address
Date* --
(Revised Aug. 2014)
'Valid for one calendar year after signature"
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