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HomeMy WebLinkAboutMatthews, Linda 78351CIx IX L"�GNERAL MA / ❑ DREDGE FILL Nd 783 51 A B G D PERMIT Previous permit # New ❑Modification ❑Complete Reissue OPartlal Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality Y /�and the Coastal Resources Commission in an area of anvil tal concern pursuant to I SA NCAC.7 / ❑ les attached. Applicant Name Gam/ ACl r / `( �P"�f Project Location: County � Address City Cc ", // State ZIP��Y_ Phone # Q U VE-Mail Authorized Agent Affected ❑ Cw VW, --CM ❑ n ❑ PTs AEC(s): ❑ OEA ❑ NHF ❑ IN ❑ USA ❑ WA ❑ PM: ORW: ELr* PNA yes no Ij Iw of Project! Activiq► i Pier (dock) Wro SAV: P Street Addresls//�tate Roa Lot #(s) /_ l 1 i/ 2rr��r SubdMslo City ZIP Phone # ()River Basin Adj. Wtr. Body A-4 kn) Closest Mal. Wtr. Body v 't" G� Fq�,,cad�P�lapt�io�rn,,X.2.)� ! ! - Groin f3asii4 Oder SFwraUne Moratorium: horn: ahKr _ _ � �� � "� � - ❑ _ f - � t-- _ _ J � i length 1— j-f-; -r f tx _ _�_�_.I- Wprap lenjth- a� diSLanCe ! 1 - O�fStlOh max dktanoe afhtw * 1 ciwwMl - - i I I -- - - --- L �1L ��WW1l�1.. 1 I 1 l Tt X - - - I I '- - I 1 � BLadoxft - I I -- 1 Lawth not sure yes I PIa yes {� Y� ncnched:-- �_ W yes A building permit may be required b) r ""i ❑ note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special itions G ` CoMr t, cJ i- iWDA- ON T+1P,WS **-Please read compliance statement on back of permit" Issuing IL 1L_ FNeAMA / ❑ DREDGE & FILL O ^. 78351 A B G D ENERAL PERMIT Previous permit# w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality % /1 /� /'�� / and the Coastal Resources Commission in an area of environrental concern pursuant to 15A NCAC / f// C/(J / /� ❑ le�s�attapched. Applicant Name G./ A,C/c �' �e—s Project Location: County — Address II f c � N�, Street Address/ State Road Lot/#(s) City Cc �/ d� State ZIP (U 2 �t/��r �J Phone # ( G— ') E-Mail Subdivision Authorized Agent City Y -/ A, ZIP Affected ❑ Cw ':ffEw✓__nM ❑ ES ❑ PTS Phone # (_) %Riiver Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 4 J ` 4lt✓/ man unkn) ❑ PWS: C" ORW: ryes //no PNA yes/"f�-- tv✓ Closest Maj. Wr. R dy Type of Project/ Activity 1503 (i /1- (Scale Pier (dock) length Fixed Platform(s) 05(, y. (,V '�A Floating Platf orm(s)- Fingerpier(s) Groin length number av distance Bulkhead/ Iti 8- max disBasin, channe cubic yards Boat ramp Boathouse 13 oatli( Beach Bulldozing ' I I I — Other �— _ _ i_ _ Shoreline Length SAV: not sure yes np Moratorium: n/a yes n Photos: yes i 1.��. l iC.{tr,. l` tJ���� i __ _ Waiver Attached: yes -- I A building permit may be required by: G'✓'TT -"' ❑ $e note on back regarding River Basin rules ( Note Local Planning jurisdiction)) Notes/ Special C(o�nditions ^ X I� XAgent or Applicant Printed Name Permit Offc 's Sign re ** Please read compliance statement on back of permit °"' Signatu e v tiQ atioi Fee(s) Check# Issuing ate 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, certifythatthis project is consistentwith 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 252-808-2808/1-888-41RCOAST 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 Eit2,1AN..�¢+AR!/!N Pftt}PERTy OVdNER $1 A 1 �flAFAI T I hereby certify that I own, properly alacent to ICO roc it 1 l ; (I hda Ella 4t s Property =led at I $ Z. (Name of Pro ¢�uno� —®- 4�L� aL , of vrk 1 k Z�S A'4- on-e0} {Addross, Lo�jelo�k, 62o d, cic.) 1 in �' ; �DI�iSL6�1 , N.C. {tNaterOody) (Cfty/Town andfor County) The applicant has d'escobad to me, as shown below, the development proposed at the above locafic;p: _V I have no objection to this proposal. I have objections to this proposal. DESCI (Ftsarvidea�t p -{# wzN4i4 rd ar` MENT P R of a srte drawing) O Di71T't6hi - .- 0. `� hi•1 6 ... _-4-�i �V, 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 16 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. (P perty Owner information) (Adjacent Property Owner Information) �V�n�C�.�^iV'1CC'f;{'ian SQra" � r'V L}'lN� � ✓V"Vlx-v�-"/o'�.. Signature L r ct o� Srgnar Me IxrcallS aU l p✓akt ewe I rJa G. Pant ar Typa Narrte Pnnt or Type (yams Malfiring Address fv wTn Ad s of i L 2_e R� C'b}4J hyir� Telephono Number/email address r�rn h nn. _ -.• _ . •-- 2rZ' C�� — G�-F- '� °Valid for one calendar year after signature" (Revised Aug. 2014) i r c rt, f �li ( • t / t. Property located (Addrat ,, M and/or V The applicant has described to ma, as shown below, the development proposed at the above tocsh'op --_ _V I have no objection to this proposal. I have objections to this proposal. DESCI [individual PO4 v 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 16 from my area of riparian access unless waived by me, Of 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 perty Owner information) "Valid for one calendar year after signatune t Property OwnerjI 1 �L la C— oe Name ` Oq____ r� Q`t Zfj� N (Revised Aug. Zola)