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HomeMy WebLinkAboutTidmore, James 78334C'AMA / LJ DREDGE & FILL ENERAL PERMIT New' ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality Applicant Name Vq I mr/'vi 11r Phone # ( 0(') 5'G� — 1 /°UE-Mail Authorized Agent J 101,' , U I� Affected O CW ire PTA ❑ ES ❑ PTS : ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s ❑ PWS: ORW: ryes /1.4o PNA yes(/ no) N° 78334 Previous permit #_ Date previous permit 117111 Project Location: Street Address/ State Roadl Lot #(s) rT J A B /C D slued �•� Subdivision _ r City } ' y -I ZIP Phone # O /. River Basin t Adj. Wtr. Body / � 1/ r ^ n man unkn Closest Maj. Wtr. Body C ,fC °__e "r q■■■■■■■■ NONE! ■■■�■■■q®■■■■■■■■■■® ■■■ .7■■ ■51■gq■q■�l■■■ MEE■■■MEN q■E i'►V1■l1■�I■NNE SEES %Ji ■II. ■■■� ■fly MM ■ ■■■ q■ EN■■■Nq0 NONE ■■N q■■■��■■■ MEN 06M ME so ■..■_■■ M■ .■■ SEES ME SEEM■■■■qq■■■■■■ ■■ :::::�■� �ME ME:: :::::::::: MEN ME ME 0 mom mom ME ENE ONE qM:::■q■. ■■■q •_SEES:■ ®0 ::g:M m■■:.... .. ■.. • ■■M■■■■■■■ q■E■■■■■■ q■ ■■■ M■q Mq■■■■■■■■gq E■■ q■q■■■■■■■■qq MOMM■■M ■■'�i! � �oR 0■■:■■i�►11�r7h1 ' R , ■■ME■■MMq ■w�q■q ■►]is�Iii6Ygi!!'S;M■M VA :a in�/ rt v Agent, Applicant rioted Nr Sig a Vre, •'* Please read compliance statementO! on back of permit" i I /Qi plicati nFee(s) Check# Statement of Complianceanti insistency 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 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 complywith 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) 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 -AMA / ❑DREDGE & FILL N° 78334 A B D ENERAL PERMIT Previous permit# New ❑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 ar of a vironmental concern pursuant to 15A NCAC / v / ❑ ules attached. Applicant Name vGr1 P% j :M O wL Project Location: County ( P✓ Address 4 ,, C f Street Addrdrjees�s/ State Road/ Lot #(s) City �&4 ✓� M,—VI State4ZlP 3�y I /st `rJI�►�l Phone # l� ��GGE-Mail Subdivision Authorized Agent I �Y y �V17 City �V `��✓ ZIP Affected EI CW pt-%A/ -,TTPTA ❑ ES ❑ FITS Phone # ( ) // River Basin AI ❑OEA ❑HHF ❑IH OUBA ❑N/A Adj. Wtr. Body :7&Ctc ✓ C- t /man /unkn) ❑ Pws: cvc GLI �- ORW: yes /'I o PNA yes / no) Closest Maj. Wtr. Body Type of roject/ Activity v�v i li le ��li (Scale. -I ) Pier (dock) length r Fixed Platform(s) I _LL Floating Platform(s) Finger piers) i Groin length max distance Basin, channel cubic yards i Boat ram Boathouse/ Boatlift T� ` `I�—L+� Beach Bulldozing Other — ti C> Shoreline Length SAV: not sure yes Moratorium: n/a yes n _�_ i- Photos: yes Waiver Attached: yes —L�—. -- - A building permit may be required by: C Y C�/l�— ❑ See roJye on back regarding River Basin rules. ( Note Local Planning Jurisdiction) /1 / Notes/ Sp cial Con/diti ns (' /�' ' I �� v , Agent or Applicant Printed Name Permit Officer's +n - X Z '*Pleaseread compliancestatement on batkof permit"'sSignatur agiFee(s) Check# Issuin ate Ex iratiq 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 [)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 (252-946-648I) or the Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, INC 28557 252-808-2808/ 1-8884RCOAST 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) X http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/I7 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 112rto-P, Mailing Address: __3 �1�Ce U : ✓ C �>' Phone Number: 7b la - 50r. I ? U Email Address: tAe-t,3A-i & I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 42a-tr W"( I41,-t tJ 6-H 1,0/ rQ-3, t-M--� at my property located at �j in 0cy4e 4-e"I County. I furthermore certify that 1 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: Signature Print or Type Name Title �1 ?"J 1 _20 Date This certification is valid through_! itf r -e n J 1. -)G..i� 1. SJ�� 'i a Complete ttems 1, 2, and 3. G bt Print your name and address on the reverse .f` YGt�1 so that we can return the card to you, od by (P . N e) y,,, '1) IS Attach this card to the back of the mailpieco, .,� or on the front If space permits. M M t. ArticleAddressedto: D. is delivery d sdi temntfrom fter�ti? r It YES, ent rC fiery\address be owl ❑ � lti hu^ bow ttf) 4 cam^ III IIII�1lIIi llilil 11111111111111111111il i lit ❑ Suft. Sj 9mRwiacted Delivery [IS on MaJ ❑ Adult Signature ❑Reeggistered it Dewey 9590 9402 6080 0125 697136 Mall Restricted DOM ❑ Return Rer ❑conaton D"l MY Mad,eoa, ❑ Collect on CelivaryRestrided Delivery ❑Signatures 2. Article Number (Transfer from service faber) ❑signamrel 7018 3393 0000 6640 60�77� _fated eelmary Res dated ■ Complete items 1, 4 and 3. a Print your name and address on the reverse so that we can return the card to you. ® Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to; IIII�IIII III IIIIIIIIIIIIIIIIIIII III IN III III A. 91 nemrre &ePrinteUName) ❑ Addressee . R. R D. Date of Delivery D. I$ del" ad m different from item 17 below: ❑Yes If YES, enter delivery address 211No ❑ ultSlgnaturo Rodddted DeUVdy ❑ne IsteredMail Redricted 9590 9402 6080 0125 697129 ve ❑CeAMed Mai R$s#lCUDe7Very ❑ Patten Receipt for ❑collodonvdiv" Moohandise 2, Article Number (fiansfer from service label) O coiled on Delivery RestddedDelivery ❑S(gnalure Confirtnelldn^" ❑ S1tinetum C"nf4mafon 7018 3090 ou0D 6640 6060 ridedoarvery Rmtdoted Delivery Pa Form 3811, July2015 PSN'i5SQ-02-000�0053 Domestic Return Reccipt ; w �j fv�or q�LLO�74-1�-wJ kev'� �s /0 . RECEIVED FEB 10 2021 DCM-MHD CITY