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Home My WebLink AboutGombar, Bruce 80514C/TDREDGE&FILL ENER/AL PERMIT EModification ECompleteReissue EPartial Reissue fu authorized by the State of North Carolina, Department of Environmental euality and the Coastal Commission in an area of N9 80514 Previous permit # AB C D Date previous permit issued 'y' /22 Applicant Name Address concern pursuant to I 5A NCAC Project Location: County Street Address/ State Road/ Lot Phone #E-Mail Authorized Agent _ f qrr cl,,4r- # / V 1-tState Mr ct/u I ztP Basin o Affected AEC(s): trcw I]OEA trEW .] HHF f]PTA [] rH UES tr UBA tr PTS trN/A Phone # (_) Adj. Wtr tQVtr PWS,- ),c ORW: yes no PNA no Closest Maj. Wtr. Body r.\t I( I I I I I I \ \ \l( I \I I i t 4 I f \J Type of Proiecfl Activity O or Pier (dock) length Fixed Platform(s) (scarte-z/Z ) Floating Platform(s)l()-.| Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore_ Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other ShorelineL"ngEn f O t SAV:not sure yes no Moratorium:nla Photos: Waiver Attached: l(A building permit may by:o.1 note on back regarding River Basin rules. ( Note Local Planning Jurisdiction)U a4Notes/ Special Conditions A l+uy'l Rn ro c &v^ ka.r c t-/, Ag;;t 6r I0 Fl.rctifrri nteiltr{ ame iF* 6 q w Application on back of Check # Name ,///t ZIP tr{ /l / lttffi, I r,t-li l. *.-+--....t*-;.llil--l--r--t-f--t- I- U:ll -i.i,tl -.|-,,--l-i- J-ttt _t"l1l +t F -t-t-f I l IJ: i-TL r r1*1 c + I -,-l I Mz) -+*F , lAt / Signature l-! lssuing Expiration Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation o{ these terms may subiect 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 proiect site and accessible to the permit officerwhen the prolect is insPected for compliance. The applicant certifies by signingthis permit that l) priorto undertaking any activities authorized bythis Permit, the aPPlicantwill confer with appropriaie local authorities to confirm that this proiect 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 adiacent 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, certifythat this project is consistent with the North Carolina Coastal Management Program. lf indicated on front of permit, your project is subiect 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 bythe NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-945-6481) or the Wilmington RegionalOffice (910-796-721 5) for more information on howto comPlywith these buffer rules. River Basin Rules APPlicableTo Your Proiect: ] Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules Division of Coastal Management Oftices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I -888-4RCOAST Fax: 252-247 -3330 (Serves: Carteret, Craven, Onslow - North of New fuver lnlet- and Pamlico Counties) Elizabeth Citv 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) Other Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax:252-948-0478 (Serves: Beaufon, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 9t0-796-7215 Fax: 9 I 0-395-3964 (Serves: Brunswick, New Hanover, Onslow - Sor-rth of New River lnlet- and Pende. Countiqs) http://portal.ncdenr.orglweb/cm/dcm-home Revised 7/06/17 fu authorized by the state of North carolina, Department of Environmental euality andtheCoastalResourcesCommissioninanareaofenvironmentalconcernPursuanttol5ANCAC FCAMA/IDREDGE&FILL GENER/AL PERMITSNew nModification nComplete Reissue Dpartial Reissue N98o5l4 A B c D Previous permit #_ Date previous permit issued Project Location: County_ Street Address/ State Road/ Lot #(s) Subdivision c ztP phone# (_)_ RiverBasin Adj. Wtr (nat /unkn) Closest Maj. Wtr. Body Applicant Name_ Address State ztP Phone # (-)_e-mait Authorized Agent _ Affected AEC(s): !cw !OEA trEW t] HHF NPTA !rH trES tr UBA D PTS trN/A tr PWS:_ ORW: yes / no PNA yes / no )-- Type of ProjecV Activity Pier (dock) length Fixed Platform(s) (Scale:) Floating Platform(s) -ffi++ Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_- Boat ramp Boathousd Boatlift-- Beach Bulldozing Other Shoreline Length SAV: not sure Moratorium: nla Photos: Waiver Attached: )res no yes no yes no yes no A building permit may be required by, ( Note Local Planning Jurisdiction) E Su" note on back regarding River Basin rules. Notes/ Special Conditions I tt#H-+-ffi +J+--rr 4 IJ T-1 T*r- LIIL_ ]__* ]-+-l r-1 -i- + -H t- tt't-'-1'*tl I -t--I fll i.T J-t1 _H --r-f--r i4T lttlt# 1 iI H +-+ ffi +lrllt rr IiI]: l,J Agent or Permit Offi cer's Printed Name , Signature rFrt Please read compliance statement on back of permit **Signature Application Fee(s)Check #lssuing Date Expiration Date it_:Itiilrit!tt!H-f ffi .....i_......_._ t.. .. .. r. . i -F-T-r-r-r J, *t -1.-r-: -L-+-t*L--t-f t_i+l_fl_r +I ffit-# +,--t---t--t I I l:- Tt-rr -*t -u '..'',.',],, L.]_ t.l ,-] ffi ti+tl+H H ffi.L t I tJ* t1+* Statement of Compliance and Consistency This permit is subiect ro compliance with this application, site drawing and attached general and specific conditions. Any violaiion of these terms may subject the permittee to a fine or criminal or civil actioni and may cause the permit to become nullandvoid. This permit must beon the proiect site and accessible tothe permit oflicer when the Proiect is inspected forcompliance. The applicant certifies by signing this permit that l) prior to undertaking any activities authorized by this Permit, the applicant will confer with appropriate local authorities to conlirm that this proiect is consistent with the local land use plan and all local ordinances, "na 4 " written statement or certilied mail return receiPt has been obtained from the adlacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this Permit under the best arrailable information and belief, certiry that this proiect is consistent with the North CarolinaCoastal Management Program. lf indicated on front of permit, your Proiect is subiect 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 (252-945-6481) or the Wilmington RegionalOffice (91 0-796-7215)lor more information on howto comPlywith these buffer rules. River Basin Rules APPlicable To Your Proiect: ! Tar- PamlicoRiver Basin Buffer Rules - Neuse River Basin Buffer Rules Division of Coastal Management Of,ices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ | -888-4RCOAST Fax:252-247-3330 (Serves: Carteret, Craven, Onslow - Nonh of New River lnlet- 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) E oth.., Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax:252-948-0478 (Serves: Beaufon, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District I 27 Cardinal Drive Ext. Wilmington, NC 28405-3845 9to-796-7215 Fax: 9l 0-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ I 7 CERTIF IED MAIL.RETU RNR ECEIPT REQUES TED DIVISION OF COASTAL iIANAGEIIENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFTCANOil/WAIVER FORITI b Address of Property: et or Road, City & County) Applicantphone#: qtd q\B-E1jl 6J I hereby certiry that I own prope applying for this permit has descri they are proposing .A rty adjacent to the above referenced bed to me as shown on the attached d be property. The individual rawing_the development s r lf you have objections to what is being proposed, Wu must n otifythe DMsion of Coastat Martr,gemenl(DCM) tn writing wtthin 10 deys of receipt of thls nottce.Co ntacl i nform ati o n foravailable at www.nccoastalmangemen'-ne{contact_dcm.hun or by ca it g 1-88:&6RCOAST, No,s considered the salne as no oblection if you ha ve been notilied by Cenified Mail. X , n"u. ro objections to this proposal -- I have objections to this proposal. Ar.t I do wish lo waive th€ 15' setback requirement. I do not wish to waive the 15' setback requirement. tunderstand rhar a pier, dock, ,.",,"#i[::r:"=ril'"?]r, boathouse, or rift must be ser back aminimum disrance of lS,from my areJdr ripirian """"* unt"o *aivei ny il.iiii;;;h il.waive the setback, you E0ust inilial the appropriate Of"nt i"fo* f (Property Owner lnformation) Ba (Ripa Propefi Owner lnformation) n R (tttsi?/{k',Jzy 1'tPint or TWe Name Pint or TWe Name a URT o^t Pl.,Eap lzMailing4ddressMailing A(Mress /26' City/StaterZip f Number Date Dale -q-) - 7f// ztr5-{2 I Name of Property Owner: (Lot or Street #, MailingAddress: $afi.4 DCNI olllces ts WW tr7DOGKl-E Pt-uS Lt-C Bruce Gombar Revised Drawing Bill of Goods 2-EZ Port Max 2i 2-Composite Coupler Sets 2-2"x21'Galv. Pipe Anchors with 3" White PVC Cover and cap $([l$ g'8" $$tF I EZ Dock Plus - 3028 Raleigh Street, Wilrnington NC,28472, Phone, 910-7694424 $tGs ,6s \. s,tl+ -.:r II II II II. CI iT '1[) CJ .xu- uo l= .(,txIJI 7 r*- o sfl ffi CERT IFIED MAIL.RETU RN RECEIPT RE o UESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAT{ PROPERTY OWNER I{OTIFICATION/WAIVER FORM Name of Property orlllner: Rgtt CZ C-am baa Address of Property: at or Road, City & I do not wish to waive the 1S' setback requirement. (P Owner lnformation)(R lnformation) tgn ature IUre oJ Applicantphone#, Qlh &eg-aZ-Sl MaitingAddress: \*t+Z I hereby certiry that I own property adjacent to the above referenced property. The individualapplying for this permit has described to me as shown on the attached d rawing-the developmentthey are proposing.f X I have no objections to this proposal. -- I have objections to this proposal. lf you heve obiections to what is belng propossd, ytou must no fy the DMsion of Coastal Management(DCU ln writing wtthtn 10 days of recelpt ol ahis nofrce. Conlact lnformaaion for DCM ofrices lsavaihble at www.nccoashtmangdnent ne,y'conhct_dcm.hbn or by catling 148/81RCOAST. Noresponse is considerd ,he same as no if vou ha ve been notified bv Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or rifl must be set back aminimum distance of 15'from my area of ripldan access unress waived by me. (rf you wistrtowaive the setback, you must inlflal the appropriate blank below.) 4 t do wish to waive the 15, setback requirement. n Pint or ype Neme Mailing AddlBss Jaso.'L^ Print or Type Name ? B*L Mailing Address Jocklc.-",1L City/State/Z.ip lb- Telephone Date Numtur Dote 5- /o* d LX- as.tYD (Lot or Street #, W \ Bruce Gombar Revised Drawing Bill of Goods I 2-EZ Port Max 2i 2-Composite Coupler Sets 2-2"x21'Galv. Pipe Anchors with 3" White PVC Cover and cap s$th g'g' tr7DOCKEG puus t-t-c EZ Dock Plus - 3028 Raleigh Street, Wilmington NC, 28412, Phone, 910-769-4424 fi s .$o) iT.(f o.xIJ- h0 t-,F tJ1 X LIJ oa E** r7 e$ iiIi It, li' E F nso-lm c ERTIFIED L'RET URN RECEI PT REOU ESTED Address of Property: (Lot or Street #,or Road, City & or NS I do wish to waive the 15' setback requirement. I do not wish to waive the 15, setback rBquirement (Propertyr Owner lnformation (Ri n lnformation) UJ Applicanrphone#, qth &@-az.Sl MaitingAddress: .6- yts I hereby cerlity that I own property adjacent to the above referenced property. The individualapplying for this permit has described to me as shown on the attached d rawing_the developmentthey are proposing. X I have no objections to this proposal. _ I have objections to this proposal. lf you have obimtions io }yhaf ,s being proposed, you must noaity the Diyision of Coastat lCanagement(DCU) ln wrtting wtthln l0 days of rccelpt of thls nottce- Contact information foravallaUe at vww.nccoastalmangement no/contacl dcm.httn ar by ca ing 14884RCOAST, No,s considered the same as no it havs been notilied Certilied Mait. I understand that a pier, oocr, moorinffii[::r?"t"J:T boathouse, or tift musr be set back aminimum distance of 15'from my areJot riplrian access unieis waived by me. (if y;u;ish to'waive the setback, you must initiat the appropriate blank below.) Joa Pint or Ttry Name ? B*L P1 Mailing Address Jcckr*r,1L Cvstatelzip lb- Telephone do*L^Print or ype Name \ Date 7/o-d Lx_ as.ryo DIVISION OF COASTAL MANAGEMENT ADJACENT RIPAR1AN PROPERW OWNER NOTIFICATION/WAIVER FORM Name of Property Owner, frp,Uc a G O mb,qR DCM offices is W WWNt\ttf ,'U,Ut'/o ?n. €tse-a.Z1t I elephone Numbet 261os / ?D,rzt Date I EZ DOCK PLUS LLC Bruce Gombar Revised Drawing Bill of Goods Z-EZPort Max 2i 2-Composite Coupler Sets 2-2"x2L'Galv. Pipe Anchors with 3" White PVC Cover and cap $0{$ g',8" |*$$ EZ Dock Plus - 3028 Raleigh Street, Wilmington NC,ZB4L2, phone, gLO-769-4424 t Ilig $.6 I o)it -cl OJx lJ- h0 ;l(A'x LU 7 liII't; t: lt * mdlmflL