HomeMy WebLinkAboutTurner, Shawn 78364C0au'v
MA / I - DREDGE• FILL
NERAL PERMIT
CModiflation ❑Complete Reissue ❑PardalReissue
As thorized by the State of North Carolina, Department of Environmental Quatity
--and-the Coastal ResourcetC ils(. environmentalr2riceM Pursuer
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Applicant Name 11G1r IN Vr rt-ry
Address—�J&G fA(46--1----
City
y_ytn r �*✓ State�ZIP,
Phone#rJ�
Authorized Agent_ I�4I Are
Affected CW _'NWfA ❑ES OPTS
AEC(s): .,SOFA LlHHF GIN ❑UBA ❑WA
p PWS:
ORW: yes / PNAY rro
Type of Project/ Activity V 6
No 78364 A B G D
Previous permit #
Date previous permit Issued
-7/Y6aZ
Project Location: County__S c e� — --
Street Address/ State Road/ Lot #(a)_ - _—
/6a
Subdivision - --
City— _�6t�t,ti�+r ZIP
Phone # (— )— .—r/I_ River Basin t/_ �t l e
(prt _ .
Adj. Wtr. Body-_ rt T't "s y r( at at an unkn)
Closest Maj. Wtr. Body Grit
Per (dock) length_. -
Fixed Platform(:)
( t
V
Fbadng Platlorrn(s)
Pingerpler(s)
Grolnksrigth-
number
Bulkhead) pip
rap leripth
avg duI: offshore Lt-
>ct.�i�
mut dbtance offshoreBaun, thararel
cubic yard, _
Boat ramp-
i
Boathouse/ BoatIft
Beach Bulldozing
Other
�If1�
SAV; not sure yes d
Moratorium: Na yes
Photos: yes
Walver Attached: yes
A building permit may be required by;
( Note Local Planning jurisdiction)
Notes/ Special Conditions
U Se% note on back regarding River Basin rules.
/�19L-eP u r2
Name
1 /f; y ✓2/l IA
- - -- ---
Fee(s) CheckN Ifwiltg Date
AMA / ❑ DREDGE & FILL
WeNERAL PERMITw Elviodification [-]Complete Reissue El Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality
Applicant Name �) nGyv'1-- k(/( A-er
City I6r4L, C` /4,✓ StateNLZIP
Phone # _Mali
Authorized Agent fn(j�-)
Affected Li CW �'PfA El ES ElPTS
A
Affecte ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / gd-; PNA ye� no
Type of Project/ Activity
N° 78364
Previous permit #_
Date previous permit iss
-7 P
Project Location: County
A B G D
ied
/a6lr
Street Address/ State Road/ Lot #(s)
/Ga ,gl�v�-�
Subdivision
City X L C <�r ZIPf
Phone# O River Basin
C�
Adj. Wtr.Body V"ci'� 'v��t � 52t man unkn
Closest Maj. Wr. Body yr`c Jl o� r .1/
Pier (dock) length
�i
Fixed Platform(s)
Floating Platform(s)t
Finger pier(s)
Groin length
number
Bulkhead/ Poprap length
avg distance offshore
max distance offshore
Basin, channel
i
i
- - -
— + if
-- -
cubic yards
Boat ramp
Boathouse/ BoatliR�:—
Beach Bulldozing=
Other
Shoreline Length
SAV: not sure yes o
Moratorium: n/a yes o/
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Sign e�//t" Please read compliance statement on back of permit'r*
cation Fee(s)c' � L) eck#
(Scale:�� )
i I
❑ Se% note on back regarding River Basin rules.
f IVLef L2
$ignatty�es)( qA U
Issuing Date
-----St-atement-ofCompliance-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 officerwhen 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/ 1-888-4RCOAST
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:Hportal. ncdenr.org/web/cm/dcm-home
Revised 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 56,yw Turrtic'(-
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
OWC �� .. 0
I, Cola) 2.225 -12tf 2.
Slnc��,n� ✓�ntf (4�yNG. M. c.oM
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Cn i e {' O r-o
Q �' Lt
at my property located at (60 ,
inCounty.
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:
SigNture
awn 11/�( r\J
Print or Type Name
Title
2 l 1— l-L�—
Date
This certification is valid through I I
RECEIVED
FEB 17 2021
DCM 1, CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -'3" v.3V\ :„rN-"- 's
t� `
(Name of Property Owner)
property located at 1(o � �� LJ Driy t✓
, ` t (Address, Lot, Block, Road, etc.)
on Cre-e'k in (7\a�eGSlreT N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
cation.
\l 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)
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)
0
Sigiialure
Print or Type Name
I L o �11-Fst�
Mrai�linra Addre
City/State/Zip
\S- 2 2�-32 g2
Telephone Number/email address
2-12-2\
Date
(Adjacent Property Owner Information)
Signature nature *
Print or Type Name
-V,/ ZZ #{ M'r✓.W .ISBN
Mailing Address'
/t:;»n ✓t& A/C a?71Pa r
City/State/Zip
/ <.zsa) 9/,/-' We
Telephone Number/email address
Dare*
*Valid for one calendar year after signature*
(Revised Aug. 2014)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �(4rn a&1 v✓'rti C s
(Name of Property Owner)
property located at �%C% Fr��red C7l'1vt
t (Address, Lot, Block, Road, etc.)
on Lrc-eY in N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
ocation.
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)
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)
or
Telephone Number/email address
'2-12-21
Date
(Adjacent P per wrier Information)
.Sigt t �r�
Print or Type Name
/4G '4;ge br
Mailing Address
u tej'e NC o1YS�P
City/State/Zip
/,4e 0 ? Sto — cw'C
Telephone Number/email address
//7-/zi
Dare*
*Valid for one calendar year after signature'
(Revised Aug. 2014)
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