HomeMy WebLinkAboutBarbee, Janice 77341C`- C%►MA / DREDGE & FILL W 77341 A B C D
E_RAL PERMIT Previous perm per
Daze previous permit issued
60ev� Modification .Complete Reissue Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an of envir mental concern pursuant to 1 SA NCAC
Applicant Name
I Ci ff Project Location: County_ V
Address Ertl Street Address/ State Road/ Lot #(fir
A� c/un r Sta _lok/
City-. "��q -
Phone # ��V)/_ E-M Subdivision /J= /y/v
Authorized Agent _ - _ ^V �'' _ Pho , _
City/vY►ri, f ZIP_�� ""
Phone # { _) River Basin _ A —
vy lE5 LP1S
Affected �w �a %man lutdm)
oEA H►fF IH UBA n WA Adj. Wtr. Body_— C` t {ref t
AEC(s): Pws: —
� Closest Maj. Witt. Body
ORW: yes / ry / PNA es/ no
Type o(ProjecU Activity (Scale:�_T )
Pier (dock) length
Fixed Platforms) !
,, j
p v l`t lam✓ /f /'
Floating Platform(s)
-
Finger pier(s)_
Groin length
number
Bulkhead/ Riprap length
avg distance offshore _
max distance offshore
Basin. channel --
cubic yards
Box ramp -
/2X�G
Boathouse/ Both([
Beach Bulldozing,.
Other
Shoreline Length -- - _-�
SAµ not sure yes no
Moratorium: n/a yes no I {'I
Photos: yes no V
Waiver Attached: yes no
a4a,�/ ti
A building permit may be required by: /
( Note Local Planning jurisdiction) 4f,
Notes/ Special Conditions a
(- i
See note orl back regarding River Basin rules.
6' c J b/C t
, f n
Permit Off r �Inted Nar_,�
Agent pplicant Printed Name _
SiAx
Sig as Please read compliance statement onL�-i —VD
J /(t ' ��_...� pica
P� C I niz
Check N
tion Fees)
MA / ❑ DREDGE & FILL N9 77341 A B D
L�JGENERAL PERMIT Previous permit# L/
095kew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality —7 //
and the Coastal Resources Commission in an a of envir nmental concern pursuant to I SA NCAC / ed.
❑ les attached.
Applicant Name `ems I� C < Gf Project Location: County (/✓1J�d V
Address Y2P 0.e %<t (// Street Address/ State Road/ Lot #(s
City J 4—C c/ u/t v. P State` � ZIP 2 g �v / V d R i (/-fir f✓Q�e
Phone # �(/)�� E-Majj Subdivision
Authorized Agent O '1 inOv i j City . sT�✓ ����r T ZIP
�W TA ❑ES ❑PTS Phone# () River Basin A�
Affected ❑ OEA 0 HHF ❑ UBA ❑ N/A ^ /
AEC(s): Adj. Wtr. Body / V-1 man unkn
no
� Closest Maj. Wtr. Body etr
ORW: yes / /
o / PNA es
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s) ' /� �f
Floating Platform(s) —
Finger pier(s)
Groin length
number —'---
Bulkhead/ Piprap length
avg distance offshore (.
max distance offshore
Basin, channel »— -
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
u
Other
L
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or Applicant
(Scale:
l41 2tiv>vtnK L,•
/ El See note 2 back regarding River Basin rules.
6
Sig ur 'rs`Please read compliance statement on back of permit
thohticn Fee(s) Check# Issuing
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
nullandvoid.
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
Iandowner(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/ 1-888-41RCOAST
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) ,
WilmingtonDistrict
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://porcal.ncdenr.org/web/cm/dcm-home
Revised 7/06/I7
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J A h i C e B G rlb's
(Name of Property Owner)
property located at _L p+ 4 R Iy e- Y w ea%/L Lan i ins
,�/ (Address, Lot, Block, Road, etc.)
on /Y $ty RV ram►^ , in ,J ntG s an V i � N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
to ation.
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)
— — — — -- s"M
11 - 1
'qk
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 Oyer Information)
lQ- g- ache?
Date
-.61-7-�QHIJ 1, rvG 4, l�
Print or Type,Vame
Mailing Address � �� �aS�
�rXSa/JVIL-L� �0
City/StatelZip Q,p-Q
-2 / & - J4l o 1176 r-Kq ® ��
Telephone Number/email address
10
Date *
(Revised Aug. 2014)
*Valid for one calendar year after signature*
..; �., . .
'r
. � �
��
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to —_loll 1
y (Name of Property Owner) G
property located at L D f ---
- _ I_V� 1 _)/1/� ��5..�_� �►�
(Address. Lot, Block, Roaa, e1c.) N.C.
(Waterbody) (CityrTown and/or County)
o applicant has described to me, as shown below, the development proposed at the above
I olio
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing dovolopmont must rill In description below or attach a sito drawing)
OC,1L
E'
r
c'
�j(1C) 1t1 G
WAIVER SECTION
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.
✓do not wish to waive the 15' setback requirement.
(Property Owner Informatlon)
Print
r,
mdo W •,um vaa
. ,,)Ar k.4 jQ.1tl l
Crty/Staterlrp
relephono Nu bor / enmil address
rain•
•Valid for ono calendar year after srgnalure'
Property
Telophon Number l email address
/rare
(Revised Aug 2014)
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D,B.968, P.135
(M.4.B.7, P.3O)
HIN THE GUILDLINES
_, DATED AUGUST
OTHERWSE.
FEES (FACILITIES
SAID ON THESE LOTS
% BUILDING PERMIT.
'HIN THE 100 YEAR
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ONISII alrISS1 llWN3d :AlI'1VJO"I :NOIlVJI'IddV
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
rr
JI e° NG f5q- �
N.460 r beeep e G r r. G!) vv\
Ct�
Agent
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /i C.I Ci VI
'1l r 1 () ,1-4 P. Y' E S I j e, V1 e. e-
at my property located at LLUT i N 1 V er
in O Vl 5 I Q /y 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.
Property Owner Information:
mo o, 6 c"
Signature
Print or Type Name
� Whir
Title
0 /q /�o
Date
This certification is valid through I '� l�_I aU