The URL can be used to link to this page

Home My WebLink AboutRacina, Douglas 79521CAMA / ❑DREDGE & FILL N9 79521 A B � D ENERAL PERMIT Previous permit# New ❑Modif cation [-]Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ''7� C� and the Coastal Resourc Commission in an area of environmental concern pursuant to 15A NCAC (( /// 1 l ❑Rules attached. Applicant Name /G�t,QI e, I ` G 4 a ✓t r Project Location: County 17 City ) yvt. V A, Phone #i ) _-6( _& Authorized Agent State /V(, ZIP 0 Affected P qW P7A ❑ ES ElP7S AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ORW: ye?'/ no PNA/y3p)/ no Street Addressf tateRoad( LL?t 1(st ` rr ,V� r Subdivisions�� C City--- r ZIP Phone# O /River6 in In Adj. Wtr. Body d�1i s +"' r f jf;at /man /unkn) Closest Maj. Wtr. Body ■�■■��N��i■��■■ram dv��EC■l��I�E ■a■■■■■■■■■ a■■■■■■■ �■�iQiiiiiii■ ■ ■■■� ��wiiME ■iSEEN ■M■■■■ MEiiiiEE�i�a EEM �ii ■ ■■■■ ■■■ ■ ■■ �■■■■■ ■ ■�s■■■■a■■■ ONE ■rI ILI ME ME 0 HIM�■�w% Fil Al +®■iiiiiiiiii ■■ ► �■■..■■■�.C■.I■■ ■■■.■■.■■■ .. ■■■■ .. ■■■ . .. �C ■..■.EC1��.��'..E�.ECC �MEN �. I■■■■■■�■■..■.®■■M...■...... ..■■ No ... ■■.•0 ■■■ .... al ME �.■■ ME ON .. �■■■■■\MIMME■■ ■�■ .■■..... MORE ■■■■■ ■MEMO\ q■\\■N■■ 1■■■ :EMEEE:::�.�EEEEEE`NI ■■■■ � ECEE 1MMM1M ■' ■IMOPA':■:EEEE �:■�fflnm �Si 1�0 W°q la S S R o =. IBC Agent or Applicant Printed Name m Q11 r ;" PermltOfficer's read compliance statement on back of permit" L, Date 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, 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 ❑ ❑ 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, Pascluotank 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 AMA / ❑ DREDGE & FILL , ENERAL PERMIT New ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources /Commission in an area f environmental concern pursuant to Applicant Name i /G l < - ' Prole N9 79521 A B C D Previous permit # Date previous/permit issued 15A NCAC / ❑ RuJes attached. :t Location: County ( rr ' Y _ _ i_ t• _% Address ! `— / I ' t "' ` Street Address/ State Road/ Lot #(s� _ City State ZIP� + Phone #;(� i) ' ) 'O i � i=_Mail Subdivision Authorized Agent Affected .-❑oEn AEC(s): pfFW _.p'PTA- ❑ES ❑PTS ❑HHF ❑IH ❑UBA ❑N/A ❑ PWS: ORW: yes'/ no PliY9;)/ no City �✓ 'i!' ZIP G Phone# O RiverBasink./ �( Adj. Wtr. Body r1,:, ' r' ✓ (�r�iatf /man /unknl Closest Maj. Wtr. Body ■■■■■■■■N®■�n■�■■■►i■w ■■■■■■■■ ■■■■■■■■alTlri.■r■■■■■■■ ■C�.1 ■■■■V EEEEEEE EEC NNE ME EEE'E"��:, E EEEE■■IEEE■■■E= ■I EEEEE■■■ MESS EMEE �EE0 ■ ■■■■ ■N r II ■M ■■■■■N�■E■■■■■■r ►��►\�■w E■■■■ ■v\N■■■■■■■■NN■■wIA-■■■ wili�l ►Q■■■ ■■■■ ■SEEN ■��NN�ii��■■M?r�l.\�1►YII./�IiN■■■ ■irllit�'ilieiil1��11 1■!S r10231I■■.7 ■■N r�MNMEN E.... 0 HERB MOM No "E"""EE MR9 RISE OEM E MOM MEN :E 1■ ■■■■■■ EE: M. I .. ■■■■■ .. ■. �.:EE■. �..■■. ... ■■ft■ .. ■■■■ N ..■ .., , .. .. ..■�E...` :EE..EEE ■■■■■■■ .. . �■N .■■■■■■■NN■■■■■■\■■■■N►�■....... .■■■....NNN.....�..■N■.E..■.. ..■■....NN■�......E EMEEEEEE� EEEEE ..ME.EEEEE \. N■■\■.■.. ME 0 No ■N ■■Ilrl ONEE■EEE"��w."IEEE .EEE.N..E.■■ ._ ..�E. MINES Agent or `Applicant Printed Name Signature I*** leaseread compliance statement on back of permit V Application Fee(s) Check # -- t RL,17c, /,\ 7 Date 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 permitted 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, certify thatthis project is consistentwith 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/ 1-888-411COAST 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 r i ADJACENT RIPARIAN PROPERTY Ot',! ER STATEMENT I hereby certify that I own property adjacent to DOv �_tj� r j'C fq e/WiE— 's / (Pja ne of Property Owner) property located at ��{ l,' �l 4LS-71- (Address, Lot Block:, (Road, etc.) l,1 on InProS �lZee in' 3AJyJ2,, 'R /�a2fie,2e 1 N.C. (Waterbody)—(,'.".y/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 I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in descriprij.n below or attach a site drawing) O) O -- I Qoc�C' I �bfti R P ��vs>; �-----( � lam► n—�x�5�41r'S 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 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the a �propriate blank below.) I do wish to waive the 15' setback requirement, I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjac-1 Property Owner Information) or } Ci /stu%;. Zip Tele h.;, r Number/email dress 3 )� , 1 Date" (Revised Aug. 2014) *Valid for one calendar year after signature* 4 - ) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to DDvq (Of S PA 2/n1�5- 's (Name of Property Owner) property located at /�%y l,'�jl X� �l �25� R}Z-) (Address, LottJ,, Block, Road, etc.) on lAID'DProS 45-ee� in J/�vlrnl'4 16i'Z71eriz.e-t ,N.C. (Waterbody) I (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) 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 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) R Telephone Number/email address ffo1 DaW (Adjacen Property Owner Information) aryiarareicip � — 0 9 L/ 41 r2 � L Telephon Number/email address 8 16l zl Dare*'' (Revised Aug. 2014) *Valid for one calendar year after signature* T v m T wk a D a o a CD0 0 3 m _. �. D Z 'CL � a a N O T m Z I` 'p 3 3 N I N �I i � F S