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Home My WebLink About30910D - Racine ep CAMA / DREDGE & FILL GENERAL PERMIT Previous permit # ) --:-- _ New Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7/S1. //00 CNJtules attached. / Applicant Name �.G L(r'et_ HO C' I i i e Project Location: County ??r ; . ,.,t.0 i c" ,�_ • Address 87/1 .1:>Ct' A,t f,5"Pr ho c G Street Address/State Road/Lot#(s) / `- /5'1 City tL.)'e i?CCC-0 State NC ZIP ,I8/7.3 ' '"7 cr7 ? ,Z)r- r-'c Phone#( sell 77.37Fax#( ) Subdivision Authorized Agent C -7, ;7GCc .6.5 City f-/c ic,/c7-, 0Gei c/ ZIP 6"17'10., CW ❑EW ❑PTA JS PTS Phone# ( ) - River Basin ;�/I,: /)r'— Affected OEA ❑HHF ❑IH ❑UBA LN/A AEC(s): Adj.Wtr. Body Ga•--lG-.( (nat imarj /unkn) PWS: C FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body1 /_)! t 7 Type of Project/Activity -�-•' 1 T- : '—' 7' c/k head (Scale: , _ ) Pier(dock)length 1- Ci{Wr?,TN L.. , )J/:Cl - - £-A t.iA L- -2 \U u/ L . U, Platform(s) �..—..�_� .,.- - _r - — --- NT - Finger pier(s) I^T Ile-,._ti j. Groin length 1 1 1 1.. i e . - number • ( I I i ` f 1 46 r Bulkhead/Riprap length __ i re. I avg distance offshore _ max distance offshore '1 Basin,channel r •—`_ _' 1 � n 1 r - \ D cubic yards L Y"--. '`ice z Boat ramp i/.1 . /S'7 '—4* Boathouse/Boatlift r• -4 .---r-._ ---• '!- - - - --- .. .... .------ : W;4 Beach Bulldozing 1 .- _ _ J � i Other 4 i fi _ _ I i 1 -.--- >-,�- !_, . i_ --/ �,�: Shoreline Length _ _ t 1_....T i I % ._} i SAV: not sure yes no .- .' Sandbags: not sure yes no I , Moratorium: n/a yes no /t9 K ,�Gn se I Photos: yes no Waiver Attached: yes no i A building permit may be required by: 7-'--- % c f te,:> (. /. n ,a... . r- See note on back regarding River Basin rules. Notes/Special Conditions ?.-/ c fl. . . 4,' -• 'j// // , , ,:�, /�i> c; . , i, Li Wit, /-c or 5<f e)cA L... Agent or Applicant PtiMed Name �} Permit Officer's Signature A'e f* ,-s `,. ..+'.....::•--7.-?,...�+-- __ tip �! Z..J ' Signature **Please read compliance statement on back of permit** Issuing Date Expiration Date ,/ ' s Application Fee(s) Check# Local PlanningJurisdiction Rover File Name 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 I)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: I 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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Washington District Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall 1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889 Raleigh, NC 27699-1638 252-264-3901 252-946-6481 Location: Fax: 252-264-3723 Fax: 252-948-0478 (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde, Parker Lincoln Building 2728 Capital Blvd. Dare, Gates, Pasquotank and Perquimans Tyrrell and Washington Counties) Counties) Raleigh, NC 27604 9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District Fax: 919 733 I495 15 I-B Hwy. 24 127 Cardinal Drive Ext. Hestron Plaza II Wilmington, NC 28405-3845 Morehead City, NC 28557 910-395-3900 202-808-2808 Fax: 910-350-2004 Fax: 252-247-3330 (Serves: Brunswick, New Hanover, (Serves:Carteret,Craven, Onslow-above Onslow-below New River Inlet-and New River Inlet-and Pamlico Counties) Pender Counties) Revised 10/05/01 ' GENERAL PERMIT COMPUTER FORM APPLICANT NAME: Z� y /� �Gc-n e ADDITIONAL NAMES: AEC DESIG: Gw ES DEVELOP AREA:_ U PROJ DESC: P - l/ (Will only take 6) (Will only take 1) WORK: 5/-/ /:2.0 (Will only take 4) 374/ /art MAINT: (Will only take 4) f! ) IMP: , _z (will only take 6) ACTION EXPIRATION DREDGE &FILL REQUIRED: -7 - L S -O 3 10 - Z S -O- ' CAMA MAJOR DEVEL REQUIRED: -7- L c -O 3 / 0 - Z c-03 . ' U I IC Ira DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name- of Individual Applying 'or Permit.= c , Address Of Property: /5 v 5-7 r2 41 . / /`/'1L ieiadi/ Wed . (Lot •r Street #, Strreet or- Road, City & County) I .hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has - -described to me as shown -on- the' attached-drawing the development--- they are proposing. A description or drawing, with dimensions, should be,-provided with- this letter-. V . I have no objections to this proposal. °If you have objections to what is being proposed ,please write the Divisions of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405, or call 910 395-390.0 within 10 days of- receipt- of -this notice-. .No response is considered the- same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier , dock , mooring , pilings , breakwater , boat - ' house , lift or sandbags 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. V I do not wish to waive the 15' setback requirement. . - - W Signature p Date Am b Pa Ni0ui . .- . , . Print' Name. - +am....iw.... R1c clv Fri ® HNIPt Telephone Number With Area Code Nadvi14 et.ri 1-4ft L 1 \)9 1.0 I P • , c DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Nave of Individual Applying- For Permit: git4.it Address Of Property: /55 4h/57 Al"( Akil-e44/ ge-a-C2 i t 6 %/4,2 a i_ei r e-‘,/e (Lot or Street #, Street or'Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has described, to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed , please write the Divisions of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405, or call 910 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION . I understand that a pier , dock , mooring pilings , breakwater , boat house , lift or sandbags 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. T/ I do not wish to waive the 15w setback requirement. li IMida-- 2A;(,0„Q4,0 TtOn 6C--- "gnature.-Th Date Icotkeik aw-.4191174. •,rin Name A.....�....� (W A 7L.a--te (40 EDiHNIr Te ephone Number With Area Code 7 THE FRONT OF THE.DOCUMENT HAS A MICRO-PRINT AMOUNT BOX AND THERMOCHROMIC.ABSENCE OF THESE FEATURES WILL INDICATE A COPY. • v Quality CasAlines. Ml a lout led nun.• CO ISSUING AGENT f'' [--� PAY 7'O THE l RIa� auzi 118EFOR edict N,a-- C N ORDER OF � . �;� �` sJ "" „2 NOT► , — :: GOOD► ''"-, �— CViASER SIGNER FOR AR E OVER► (J i„1!__I !{je`' 0 I, i_t! .!. M ,CHASE Y'GNING YOU AGREETO THE TERMS ON TF1E REVERSE SIDE _ t- ��srcarF MONEY ORDER e o ^ � �.,��1` �� I ..UCnc_,,;;,;,•-T C'eRTo-iCATE H 00 30� �a Payable Thru �' '��' South Central Fei beufl.T MNBar�k ISSUER/DRAWER TRAVELERS 1:09 1900 5 3 31: ?8 8 5 603 ? 131,11° 90co''i"c.