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HomeMy WebLinkAbout78049A_Chesson, Steven & Tammu_20210311®C:AMA / DREDGE & FILL lr9 78049 A: B P� D -� GENERAL PERMIT Previous permit # ❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Named v f n Project Location: County 1 Address ) Cxck k'c� Street Address/ State Road/ Lot #(s) City State ll--Y ZIP' Phone # 2 `�$` (E-Mail "> %-" P ;mot°;� i3C • ' !- .c, Subdivision Authorized Agent Tr CA Ls j J City ZIP I `j Affected ❑ CW ❑ EW ® PTA ❑ ES ❑ PTS Phone # ( ) River Basin V� '.I. n. AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (Qaatt /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no) Closest Maj. Wtr. Body Type of Project/ Activity X Pier (dock) length �'X r Fixed Platform(s) tic• Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore - max distance offshore Basin, channel cubic yards Boat ramp r I BoathousR/ Boatlift I Beach Bulldozing Other I Shoreline Length SAV: not sure yes Moratorium: n/a yes no Photos: no._..__i ... .........._.. Waiver Attached: tes 1 A building permit may be required by: l yip _>ct r\ ` ovk ( Note Local Planning jurisdiction) Notes/ Special Conditions c. �r L A'0 Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # ,E Scale: I ❑ See note on back regarding River Basin rules. AA4k 0"-: i\ �Y-e e Permk icer's Printed Name (' 1 tr y �. Signatur �/tl/zt ail! lzi • Issuing Date Expiration 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 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 (910-796-7215) 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/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 *I - AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: xv Mailing address: Telephone Number: I certify that I have authorized _ �ru v1 1 I (,. (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of ,a" d at my property located at 95 This certification is valid through (Property Owner Information) Signature iyt°✓) Af Print or Type Name Title, co. own _ or rustee�forpr�operty�� D2 23 2l Dat Telephone Number Email Address _; / (date). AD.IACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to S property located at�lJ�yame of Property Owner) on (Address, tot, BlocA Road etc-) _�� �✓ M►aterbody) in �"/ , N.C. (City/Town and/or Co nty) The applicant has described to me, as shown below, the development proposed at the above lj� � I have no objection to this ro p posal. 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) E:3 0 � A, � "- I\(" 12-)( *�'b 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 yo%u wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. q irement. I do not wish to waive the 15' setback requirement. (Property er Information (Adjace perry Owner Information) 7 ""�� =41ew LV Signature Pnnt T <pe aVl► / % Fl r` 5 , .. t ILL (Yyf f J nr or ! ype NanW J L(( Ma#C' N2,� J ��? 7�'�Z Mailing Address City/State/Lpy V C ram,,. Z 3/,Z- y ,SAC' •"�yrorate�,Up Te%phone Nu er/ ma!l address Date Te%phone Number/email address Date *Valid for one calendar year after signature* (Revised Aug. 2o94) I hereby certify that I own property adjacent to ,t,C`/ (?X - Is Property located at 9S5 of (Name of Property owner) on 117 0 "k7 �i✓ter (Address. Lot, BI k, Road, etc-) in (Cit(city/Townand/or County) N.C. The applicant has described to me as shown below, the development proposed at the above location. V _ 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 SN ! understand that a pier, dock, mooring pilings, must be set back a minimum distance of 1159from omy area of at ramp, r riparian access unless'w ft,ry groin b me. (if you wish to waive the setback, you must initial the appropriate blank below.) y I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Props or Inform o) (Adjacent Property Owner Information) Si ZVO '�?SS0 Print or Type �_ � 1'�i �•` `� 1 r,,, n � — 9 ll d f e.-61 -;N ant or Type Name Date C, 27f �Z s%2 8384//-tr✓ssa7dac�/,(►e,�l v* Nb /email address 0/1�2L .Z /• *Valid for one calendar year after signature* Mailing Add1ss r�.1 �� 2��3 Z /St-teOD s �) sc, - lbZ2 S.de�1;,�k-G Tehor►e Number/email address fit- -n 1 Date' .--- (Revised Aug_ 2o14) i llrrl Y ' f i� ` c155 c kd c--dt"A-Gy-. P-Y--r,A f L4. ,)--Ik3 L'J55 ,hh trill 5 r SD e0 Google Earth O 2021 Gooylc Ai • �1 o" aF 6 S r � �a P, i k r ! gap 955 Old Ferry Rd 100