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
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� "� � -
❑ _ f -
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length
1—
j-f-;
-r f
tx _ _�_�_.I-
Wprap lenjth-
a� diSLanCe
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1
-
O�fStlOh
max dktanoe afhtw *
1
ciwwMl
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BLadoxft -
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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
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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)