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Home My WebLink AboutLewis, Garland 79538CAMA / ❑ DREDGE & FILL N. O 79538 A B C D GENERAL PERMIT Previous permit#_� tfW ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous pe///rmiit—t iisssued As a thorized by the State of North Carolina, Department of Environmental Quality --7 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / �Ru es/atta✓Yched. Applicant Name C✓ h^/ / U Project Location: County�r 7 2 City ��1Cy State/- ( ZIP �O � Phone # (/- ')�' Li�y _Mail Authorized Agent ❑ CW 1gW gkA ❑ ES ❑ PTS Affected LJ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS ORW: yes / �o PNA )Ke I / no • Street Address/ State Road/ Lo #(s) / Y �yC t City 'ICo11, j1>,.✓'2 ZIP. Phone # ( ) River Basir Adj. Wtr. Body l rB-r Closest Maj. Wtr. Body C G✓r SEE 0 as MINE ■�■■■■■■.. ■■9■■■■ NONE ■�■■ ■■ O�■■d■Nw■ ■■■ IIMM MEMININJEM i1E ■E ■ �.■.■ ■.■■ ■■■ ..MEMO ■■HN■■ SAE 0 ME S■■■■ ■EN■N■ ■N14011NONN■N■■ EN ■■■■■O■N■B■■■■ NONE ■SEEN■■■■ ■MEN ■NONE NN■■■91■■ ■E■■■■■■■■ l NK\■■NN ■■ ME SENSE .OR MMM ili�N■.pE■.. IEEE ..■:NOON■ tMINEE1WA ME 41■■■■ NNE■■ :i.■C:■:CME M i � : ::::■■m ■NOON■/■ ■■GENC= ■It■ ■■■ ■■ • ■■■II/l�l■■N ■■■■■MN ON■O■■■■■ NOON■■■ O■■■■■E■ �N■II(91■■■■ MEAN ANN�■O l:rJ®:::::: ■■�j■■■ ■■%MEM ■1■■■N ■II MEN ■■■ i]/1■N■ ■■■ N 0�■■■:.. or .1 OMEN Agent or Applicant Printed Nam fg r.l�Gt(C< Slgnas "Pleas e read compliance statement on back of permit' q/ Application Fee(s) Check # PermitOfficer' anted Name 1 Signature// Issuing Date xpiration Dal 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 [)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 howto complywith 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 Pander Counties) http://portal,ncdenr.org/web/cm/dcm-home Revised 7/06/17 ®19AMA / ❑ DREDGE & FILL N9 79538 A B (~ C i D GENERAL PERMIT Previous permit# "{qy ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As a.thorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC % ' ❑ Rules`attached. Applicant Name G''C✓ ! .n" d /i r v + ' Project Location: County (- �-/ , 1 /% = Address t ` ✓' I ! j'1 i '` Street Address/ State Road/ L/ot1 #(s) City �, ( ( `7 State % ZIP�r� yc Phone # (�- l) 1 ' t i�GI_Mail Subdivision Authorized Agent ❑ CW JgW J,4TA A Affected Affecte ElOEA ❑ HHF ❑ IH ❑ PWS: ORW: yes / no, PNA / no (es, ❑ ES ❑ PTS ❑UBA ❑N/A <,1t^, I 1 ;, /._ ZIP Phone # Adj. Wtr. Body_ Closest Mal. Wtr. River Basir ■■■■■■■■w■■N►■■7■■■rilllJ!■w MEN ■■ ■ ■.. .. ■ �.a... .. ■. M Sol MEMO OEM 0 ■■■ ■■`10 MEN .Vtt�.■■■..■ ■■■■■ ■■OEM �■■■■■t11■■■■�■■■■■■■■N ■■■■■a■■N■■■■■■■�'■■■■■■■A■■■■■■■■ ■■■!■1! ■■■■ EMS ®■■■■■�1■■■■■■■■■■■■■■■■■ \\ �J\■■: EMS ■�■■■■Ll` ■■■H■■■■■■■■■■■ .� ►.illti..■■NCV...■■� ME■.�■ME .■. M :.. - :.. EMS INIMMEM 11ME Nil' `■MESS ■■m■a■■■■■.■■■■®■■�u■■■■■a :. ■■N■■■■RE ■® ■IIM■:■■■■■■■■■■N■■�■■■■..■■. ■■■■■ ■■■■■■■■ MM■�:ME A m FIM No ME ■■I/■■1■■■■■■■■■�I■1■■■■■■■B�I■:E■::: Agent or Applicant Printed Name er' iin(ed Name Signaty( .)'r Please read compliance statement on backofpermit*° Application Fee(s) Check # Signature Issuing Date /j fM Z 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 nul I 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- PamlicoRiver 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/1-888-4RCOAST 252-946-6481 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) 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 Ponder Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 4 A"Iefn </ Le W/t Address of Property: 7 �� J7Gr C&ML464 oil !%L/rS%Gl 7 Cad -? (Lot or Street #, Street or Road, City & County) Applicant phone#: a50? 7a�6)709r Mailing Address: 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 must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888.4RCOAST. 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, boathouse, or lift 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 15' setback requirement. (Property Own Inf rmation) ,prSignature Print or Type Name � 13' 5}6,- Ch it Mailing Address 94u,, Sti NS /1�C aS'fs3 ity/State2ip d 1Y a 7675'O7 07 Telephone Number Date (RI 'an Profie Owner Information) zT "I — Signature Print or Type Name Mailing Address City/State2ip A S--- Telephone Number Dare CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: 1�-cfrA.,/ Lew/.S Address of Property: � /r, 57 yl^ C1,V„r/4 'ter ;*a, ii�C�2�553 (Got or Street #, Street or Road, City & County) Applicant phone #: a 4 c) 2P 5 O 70 % Mailing Address: 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 must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact Information for DCM offices Is available at www.nccoastaimangement.noticontact-dcm.htm or by calling 1-888-4RCOAST. 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, boathouse, or lift 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 Signature G4r1Avv/ L ewIs Pn ttor Type Name / y� 7 /� rSf�t r ' �'L 01r /T1 Mailing Address 'A,dr.5f.A.G///� lop-1 ' 4Z d f5" City/State2ip a 5' d 7;Z50 70 9' Telephone Number Date (Riparian Property Ow er Information) Signature Print or,, Type Name Mailing A dress Cdy/Statelzip .5� - -2 V (D Telephone Number Date /3 ;,