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HomeMy WebLinkAbout80169D - Uzzell 0 CAMA / DREDGE & FILL NO 80169 A B C �D ) GENERAL PERMIT Previous permit # -� >C . New Modification Complete Reissue __Partial Reissue Date previous permit issued \6"` As authorized by the State of North Carolina,Department of Environmental Quality Zo v and the Coastal Resources Commission in a area of environmental concern pursuant to I 5A NCAC . / l �iVIM e lP ul attached. Applicant Name !� � , 7? � Project Location: County V/,` I nk) Address �q/' �T Street Address/State Road/Lot (s) 1 City .�U✓ ( State 6 ZIP 7%Y'�t> Lae . q .r , Phone # (fI�) ! � � (-1 Li E-Mail _ Subdivision - I Authorized Agent PC{ ✓�-1 C-s- `u�(,,/� City �U/ C A4 ZIP `v�)v 11r r ❑CW E PTA ❑ES ❑PTS Phone # ( _ ) River Basin 4 '6 Affected ElOEA IW HHF El / IH ❑UBA ❑N/A r ,� AEC(s): Adj. Wtr. Body__r.:.l. 4.4 ' Q� (nat unkn) ❑ PWS: � Closest Maj.Wtr. Body �Z/A'" /ORW: yes PNA yes i. Type of Project/Activity M4 � r 5� �- -..4 /". --. Gt / / J� �r� / (Scale: ' .!, ) Pier(clock)Iggth I Fixed Platform(. / , I «. hi i , Floating Platform s/ I i Finger pier(s) I / Groin length i : number 4._._._ I _.._._. Bulkhead ' rap length I } -------- y +• ..._.._._.._. ___._ -; avg dis offshore , I ; � j' � 0 max distance shore l /1 �r i it Basin,channel I • I L, 1� a AsI�/ 1/teesir cubic yards 645t`.A t- 1 i ! { _ Boat ramp j Boathou oad1 y/3 "f L — _ -......_1 Beach Bulld • —i +. �.�,. '� + , - �.' i ' �H Af/ / 1 Other I r / 1-115...„ . _ st t,17---vi,__ Shoreline Lengthtk' 5 5 1 1 4-M 1 t I . SAV: not sure yes _ , i j _._ Moratorium: n/a yes o I Photos: yes o -. Waiver Attached: . �..__.. _ A building permit may be required by: �//� See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions 4or plicant Printed.:,Zr Pei itOfficer's rimed Name Signature **Please read compliance statement on back of permit" Signature /0) ."__271-q/ .- '.--;-_ •/Y'j l gi/(/' 21 Application Fee(s) Check# Issuing Date Expiration Date i 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(910-796-72 1 5)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 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 9I0-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to \ti• 1 l'(t'wi, ( 072 e L(/ tiL 's (Name of PropeOy Owner) t property located at LI 0 S -� { �L `5� as' `( 45 (Address, Lot, Block, Road, etc.) on Ot1s , in 3u - - C , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) tb6Uol9 If! 4 ( ! 1 hr NOD WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) LS/Z___- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ( djacent Property Owner Information) \IA0441)iZ21( TU/t -�� Sig�,a `re U7 2 Si ature Print or Type Name P •nt or e Name .. Mailing Address 2 S c Mai • A di: ss City/State/Zip �� �� � y, City f /�i� (�.� wit ' �l ��V vt,_s_tj Telephone Number Teleph e Number -,202 (-( J.40 q(0-2) Daie Date (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTYR OWNER STATEMENT I hereby certify that I own property adjacent to V r.r q•- - Li ;}� ( 's l I (Name of Property'OWner) property located at Li D S 5 Li_I-L s\- s-Lxi-r �..e.i �j,C , a q ' c (Address, Lot, Block,$oad,,etc.) I on CrA/,.r , in :�r,k�-- C- , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I, I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) Rc r -11 k h� WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) ' /f/ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) lAtrit C?- 3/•(/( ‘ . Signature S. ature W I li v < 07zec HG,a.oli 6 ,-,-) C 2oh/J,K Print or Type N.,•- Print or Type Name 30617 g= J e-, $- (v -3 V'e4a1 C�" Mailing Address. MailingAddress '�� art\ � ,C a S.�(Iff i,�;T1 '- 5P4. , s 1/1/6 2-7Siz City/State/Zip City/State/Zip 41I — g,j 00 7 I0 _K22.- 0FCI8 Telephpine Number Telephone Number q.- , 9_01 ( AI 30 —2-I Date Date (Revised 6/18/2012) • AGENT AUT O;=BZATEON FOR CAR PERROT APPLBC 4T10N • Name of Property owner Requesting Permit: g. • Mailing Address: •- 3 6 . r - • S ''J- S e � q Lf c • • Phone Number: • • q t 5 9 .2 / - - UU 7 r • Email Address: �u z &(/ / • j \4( •2 cu 5 z— Cv`_S c / �� .- - I certifythat I havo authorized /�,� �1 • Agent 1 Contractor to act On my behalf, for the purpose of applying for and obtaining all:LAMA permits necessary for the following proposed development:. • g off'" Gw 4-- Ffit is-- ce.16._ 0&.., • 4.„ .at nny property located at )6.g5 . 7' " -'S sP- • sib r col ..28-vy‹_ in r`.Si 8 rJ County. . _ _ • 1 furthermore certify that I am authorized to grant, and do in fact grant permission to • Division of Coastal Management staff, the Local Permit Officer and their agents to.enter . on the aforementioned lands in connection with evaluating information related to this permit application. • . Property 0 .ner Information: • MO‘ � �� . • • Sign • .. • • • \NF ( 1 edv- 24' lt r . • Print or Type Nana° Title qiio -( . - Date • This certification is valid through I I Chock Date Received Date Deposited Check From(Name) Name of Permit Holder Vendor Cheek number amount Permit Number/Comments Receipt or Refund/Reallocated -- Coiumnl Column2 - -- ------Column3- - "--- -- Column& Column& Column& Column? Column& Column 5/18/2021 BeveryA Grisales same American National 1056 $ 600.00 GP#80171D JD rot.14128 5/18/2021 Lighthouse Marine Construction William Ussell Coastal Bank and Trust 6758$ 200.00 GP#80169D JD rct.14130 5/18/2021 Southern NC Marine LLC Legacy BP LLC First Bank 1428 $ 200.00 GP#79916D JD rct.14132 5/18/2021 Davey Resource Group Inc. Bert Lea Jr./Dorothy Medlin United Bank 2253 $ 800.00 GP#79922D JD rd.14133 •