HomeMy WebLinkAbout79287A_Chowan Beach Recreation Association_20210617CAMA / ❑ DREDGE & FILL
-� GENERAL PERMIT
21New ❑Modification ❑Complete Reissue El Partial Reissue
1
N9 79287 ® B C �
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality r1
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ZC�
®Rules attached.
Applicant Name �- ho Y� &0,6) 'CFC i--f Project Location: County
Address �xJX `�� Street Address/ State Road/ Lot #(s) 04 -Sly
City State W ( ZIP ,?') �i C� l - f i ` !' w a 1 Tr c" l
Phone # (' i`� �o.� ~j� �r _Mail `'� ce3$@grnU �� <ow. Subdivision ,mac, pGGh
Authorized Agent Cityr0Y1 ZIP 21P 3 Z
Affected ❑ CW ❑ EW &PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ElIH ElUBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier (dock) ler
Fixed Platforn
Floating Platfc
Finger pier(s)
Groin length
number
Bulkhead/ Rip
avg dista
max disc
Basin, channe
cubic ya
Boat ramp _
Boathouse/ B
Beach Bulldo:
Other
Shoreline Ler
SAV: r
Moratorium:
Photos:
WaiverAttacL__.
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agentli � ted Name ,
Signature Please read compliance statement on back of permit"
Application Fee(s) Check #
Phone # ( ) River Basin l k Oua0. -,\
/�
Adj. Wtr. Body l %10wr. r\ �tyC,(- (bat;/m� an /unkn)
Closest Maj. Wtr. Body n. 110 wa
1 .41, -
(Scale: i �" ' 0%
)
❑ See note on back regarding River Basin rules.
PermitOificer's Printed Name
Signature
4%/i //Li
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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
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
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner. -:1) A U) .b u �r
Address of Property: )qvLI)A1 ;,tXFDAj tiC-
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
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.
proposal. I have no objections to this proposal. I have objections to this
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. Correspondence should be
mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
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 sign the appropriate blank below.)
I do wish to waive the 15' setback requirement.
(Pr a Owner Information)
Signature j
Print or Type Warne
Mailing Address
I do not wish to waive the 15' setback requirement.
(Adjac nt Property Owner Information)
Signs tune
Print or Type Name
Mailing Address
131 Wf�,,U Ale 932,
Citylstate2ip
Ty ,dK 179.9 z)
Telephone Number / Email Address
751-6- 7Q &,qAI^.iapQ►+�A�� �atr
Dale
City/state2ip '&Rnt40<�e 1. : eon,,
75 7- 6-2 1 -- 7937
Telephone Number / Email Address
'/, - f,— 2,02i
Date*
*Valid for one calendar year after signature` Revised 2017
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MALL,- RETURN RECEIPT REQUES T ED or HAND DELIVERED
Name of Property Owner:
Q.
Address of Property: ��' � 1.—^...� roc i-r , yea
(Lot or Street It, Street or Road, City & County)
Agents Name #: L�,an y f*coa- � ( �--53(-371l
Agent's phone #:
Mailing Address'
aZ
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 wittl dimensions, must be provided with this letter.
Yal.— I have no objections to this proposal. I have objections to this
pro
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. Correspondence should be
mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-3901. 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, 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
rue. (1!,yoUlmsh to waive the setback, you must sign the appropriate blank below.)
I do wish to waive the 15' setback requirement.
(P party Owner Information)
( S`/�rlcstttt'c�
Print ai- Type Name
"3 C", 'd r; i s J
i t;?itin.] Address
I do not wish to waive the 15' setback requirement.
(Adjacent Property Owner Inform nt�t
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Pnrt or Type Narrre
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FeI,-OhOPe Numbed EMWIAF&is—s Telephone plumber/ Emil Address
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`Valid for one calendar year after signature
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