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HomeMy WebLinkAbout31903D - Faulk 0 CAMA / 6F;EDGE & FILL Ns' 3199 3-1 GENERAL PERMIT Previous permit # �C _-;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 15A NCAC ?A• 12 UC' Rules attached. Applicant Name VK A,t f'\ L • to t L. Project Location: County 'r u (\S.,u t C..�. Address 4 l CCi prr C('c' St Street Address/State Road/Lot#(s) 1 38 5 aNt- City 10 1 +n State NV ZIP ode 4 2 _ Lotnat rn Zui-N Ci Phone# ( ) Fax#( ) Subdivision Lu MI G S A 1 F t' 'r' ' L Authorized Agent t 1i'‘N j $" C t✓ City Su ` P\ I ZIP Affected D Cw XEW X PTA ❑ES PTS Phone # ( ) River Basin 1-1. v\,62-C s ❑OEA ❑HHF ❑1H ElUBA N/A AEC : Adj.Wtr. Body y Pt I_t y LA) (nat y01 unkn) ❑PWS: FC: ' ORW: yes /'n`o1 PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body Rz J w Type of Project/Activity KCA,J t 10 Ak,t cJ d pc �.. (I Co. k 1_. dor L (l6d�i'�'t o r V,\,t\k t^‹°,f\c (Scale: f 0T Tp ) Pier(dock)length 1 Platform(s) r X 2 U �•t,%5{. ` ' Finger pier(s)p) ti I C i t It)ref 'f 5 X `n c t \i-'w n Groin length _ number Bulkhead/Riprap length , avg distance offshore ..............womr max distance offshore Alt INN Basin,channel II . -5'.' cubic yards I (0X ao e Xt Sk,n m.3,- Boat ramp qL. f r Boathouse/Boatlift Z----4 Beach Bulldozing -.- Ai Other — 14 X LJ -. _.&---4 P r v v se d r, _ ' � iGI cidt4 ,Un Shoreline Length Y + ,- -- SAV: not sure yes 'no - Sandbags: not sure yes no ,. i/// ,n Moratorium: n/a yes no T �' r j Photos: yes no b A\L\ .4 J\ � Waiver Attached:G(W _ ) no -- _— — ' A building permit may be required by: .Rjr u.rmc,v3 i c L. (1.1,z wvsk-v\ C.See note on back regarding River Basin rules. Notes/Special Conditions , +1 u r-t'tA.(f-S cr1 US* ine—e-t- EsUI . e 4 b AC L.. CYr)m Pd elP1 U' N. --'• .-',nt-n\r-‘' 1 1 No MOfU ±inf-C\ 2 bo tack S 'MA--U \CJ Moot^L'i `t'A'1 S O\-`t vc 1 j ) 1 (7)r 'tf\ r\ G-rZc _- :.-.'. 1 r_- ,r.43.4.__(//2 Agent or Applicant Printed Name �' icer's Signature Signature `Please read compliance statement on back of permit** Issuing Date Expiration Date 4 \UC . 31 11 itr Ltr,StAS, C.:ov-n PO(,,& 1( 4 Application Fee(s) Check# Local Planning Jurisdiction Rover File Name , r 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: 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 919 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District Fax: 9 19-733 1495 I5 I-B Hwy. 24 127 Cardinal Drive Ext. Hestron Plaza 11 Wilmington, NC 28405-3845 Morehead City, NC 28557 910-395-3900 202-808-2808 Fax: 9 I 0-350-2004 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 IO/C . . . . . , _.. ---ca— :.—6 ---c 07 L '-0) :=Elor... .A2:-CE?META 1-71177-3 "C.0-L. -6 z Q-ZZ -_ - N01.1.19MUM N.OU-DIF • 9 b ... . . - • _, • • .7 s-lf,:i . . . • & (l"A. 23 • L'ILNIVN . , .• P?IQ -'4, -7 3 , : &z-Ainsimo rat) _, _ --r3 . 1 Cr=in sr..20 Ulm) C9 3"7.,rt S109 TEM) .- .—Zeao-E-1. ..q.a P-Ia-4-1-3-7:otsara 0----Pf : • . --SVX TIN.OLLIaCni •1 .--A Inbith • 1 `41-343 'Ar M ---27.-IAL-7-H_L\i7-Dridcr.77- , - • /V-- 1 0 I Tqalacrt\T 0 D J_JT\TIT 3-a- TVN3 1.1r-4-h • . ‘Cinr) Faui S c s -i- \3d \iC 21123 < Co55r 2`i16 `6"-,°3 - CrCt(1 5. rn ri 5t5 cedov- Lotr\A “,.5 -1&) 51R k/ 0o dr-aNC A•rtCti\nr-t C •ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2,and 3.Also complete Re lived by(Plea Prin learl) B. Date of Deliver item 4 if Restricted Delivery is desired. ( r1 1,) 5-i 3 ro� • Print your name and address on the reverse so that we can return the card to you. C. Si at IN Attach this card to the back of the mailpiece, X /!��""� ❑Agent or on the front if space permits. l�f/ �✓` ❑ Addressee D. Is de every ddress different from item 1? ❑ Yes I. Article Addressed to: If Y ,enter delivery address below: ❑ No 2r (c, u e�Q�1\\1 e C 3. Service Type V ` " i-1 30 b fr Certified Mail ❑ press Mail L x! ❑ Registered b Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. • 4. Restricted Delivery?(Extra Fee) ❑ Yes ?. Article Number 7001 0320 0005 9189 6395 (Transfer from service label) 'S Form 3811, March 2001 Domestic Return Receipt 102595.01-M-14; • UNITED STATES POSTAL SERVICE First-Class Mail Postage& Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • GCE CONSTRUCTION 6618 BEACH DR, SW OCEAN ISLE BEACH NC 28469 (910) 579-9095 .ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliver item 4 if Restricted Delivery is desired. _ 0: • Print your name and address on the reverse so that we can return the card to you. C'Sign•ture • Attach this card to the back of the mailpiece, CI Agent or on the front if space permits. X J . a, � r ❑Addresse D. Is delivery address•fferent from item 1' ❑ Yes 1. Article Addressed to: tt If YES,enter deliv-ry address below: ❑ No Ver 1`lluo (- 2�1Z4( �1u(V-�' 3. Seyice Type all Certified Mail ❑ EEx ress Mail El Registered 2-"Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) El Yes 2. Article Number 7001 0320 0005 9189 6401 (Transfer from service labs PS Form 3811, March 2001 Domestic Return Receipt 102 595-01-M-14 UNITED STATES POSTAL SERVICE First-Class M2i1 , 11 Postage& Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • GRICE CONSTRUCTION 6618 BEACH DR. SW OCEAN ISLE BEACH NC 28469 (910) 579-9095 L'I IIIuhfla,Llndull.lu,lllh,u,dihshilud - , . . ^ DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ) Name of Individual Applying For r` \ � - \ Address of Property \ . (Lot (:-)r Street #, Street ~dr (Road, City & County) I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has _ do-scribed 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 objectives to this proposal . If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 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 sat 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. ` __......... ___________________________________________ _ _ 0 0 C) �zLgmarure � �� ��are ��_��___ .. Print Name ' ~ dl ~~ �-.-__'���................-��'�..-.............................-'-......- -- Telephone Number with Area Code . . ` ' ' . ' ` . DIVD5ION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM - / . \ \� Name of Individual Applying For Permit: <` Address of Property: _\�}��\� �=�W. 6 = -+ '=- --------- � (Lp t Roa�, City & County) -_ I hereby certify that I own property adjacent to the above- referenced property. The individual applying for this permit has _ d�;crib,acl to me as shown on the attached drawihg the development they are p�oposing. A description or drawing, with dimensions, should be proyid�d with this let�er. . vl-' . ____�____ I have no objectives to this proposal . �fc�pu h�ve objections to what is beigg _proposed, please write the `~ . ` D�v1�ion-of -Co�sta� 'Management� '�27 Cardinal Drive Extension, . Wilmington, NC 28405 or call 910-395-39O0 within 10 days of. r t of this notice. No response is considered the same as no objecti if yoU -have b�erl' rfotified by'zertifiisd -mail , ��......................... ..............�..................................... �������� ^ WAIVER SECTION 6 � I understand that a pier, dock, mooring, pilings, breakwater, boat 'house, lift or sandbags must be sat back a minimum distance of 15' ' from my area of riparian access unless waived by If you wis tb -- waive the setback, you must initial the appropriate blank below. ) . I do wish to waive the 15' setb,ack requirement. I do, not wish to waive the 15' setback requirement. ___�____���____���_�_��_____��_ `�_��_______�______________ Si Print Name __.................................. ..........__ Telephon� Number with Area Code ' i 1 . i ---,, - B )"( \ i pcocoo ect rckmy 3 n \co "12, lZ ___. .„, 5.(0fr- 2,0` v 3' 2}` . A Eck\ 3ya g . v r- 5-Z U a e AI 8 fox 12_ 1 Z. 11 39- ( 53 ( a. GRICE CONSTRUCTION 3911 PH. 910-579-9095 6618 BEACH DR. OCEAN ISLE, NC 28469 66-I12/531 DATE 62201 PAY TO THE e ORDER OF _ $ 100.0 � h O !/ BB&T _ -- ----- ----DOLLARS BRANCH BANKING AND TRUST COMPANY OCEAN ISLE,NORTH CAAROLINA FOR G Q o -1AP 0� Too39Lill. I:0 3LOLL2L': 52L45 LEI &.? 3n' ------