HomeMy WebLinkAbout78129A_Benson, Adam & Donn_20210405(ZR ✓
-, CAMA / ❑ DREDGE & FILL N9 78129 A B C D
GENERAL PERMIT Previous permit #
New -Modification ❑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 Name�_L - i ,1 /" __ Project Location: County r L
Address t )i v ; I
City r { State ZIP
Phone # ( ) E-Mail
Authorized Agent t < <C, I-! ! Sc,
Affected ❑ CW ❑ EW &(PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ WA
❑ PWS:
ORW: yes / no PNA yes / no,)
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
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
Shoreline Length
SAV: not sure yes �
Street Address/ State Road/ Lot #(s)�C bq l-)r e� M �.
Subdivision ;I -
City ZIP
Phone # ( ) River Basin qU o/ 1 C--'I
Adj. Wtr. Body, ( T: th ( C ` (nat�)
Closest Maj. Wtr. Body-' L L c r {
(Scale: jV )
Moratorium: n/a yes no ! t
-t . .. . . . ......
Photos:yes+1
no ! 1 ttt
_
j -
i
Waiver Attached: yes no �
A building permit may be required by: ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) #'
Notes/ Special Conditions
I
is
Agent or Applicant Printed Name
Permit Officer's Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Signature
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 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 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/ 1-888-4RCOAST 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
DIVISION OF COASTAL MANAGEMENT
AGENCY FORM FOR PERNUT APPLICATIONS
RECEIVED
I comer of the property located at: APR 0 1 2021
(propem% Owner)
(proper--...aress) DCM EC
(proper:.:0C= - L,�r)
do hereby authorize
T -
Incn acing as agent)
to act as my agent for the purpose of obtainin :, is=:. al Area N!auagement Act andlo-.
Dredge and Fill Act permits, that may be tre s=used development at the above -
indicated property, which entails:
(describe proposed development -`or :rhirh permits are being sought)
This agency authorization is limited to the specific activities described above, and will expire on:
3-1S-Z422
(date on which agency authorization expires)
(printed name of owner)
-�/,W by
Nate)
(title, if officer of corp. owner or trustee for property)
CERTIFIED MAIL . RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
Agent's Name*
Agent's phone #: �� :3
RECEIVE[
APR 0 1 2021
CM -EC
Address: 01-45-:W[fees lj_
I hereby certify that 1 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 .deitsUi
,' have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastai Management
(DCAV in writing within 10 days of receipt of this notice. Contact information for DCM ofiftes is
available at htW.Ilwww. nccoastalmanaaement net/web/cm/staff-listina or by calling t-888. 4RCOAST.
No response is considered the same as no objection if you have been no~ by Cer~ Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
_ 1 do wish to waive the 15' setback requirement.
o not wish to waive the 15' setback requirement.
(Property Owner Information)
Print or Type Name r
jov A,"'Uv
ding Address
l
Telephoone Number/Email Address
d"
Date
(Ripari Pro!!eM Owner information)
re
Print or Type Name
ailing Address
1< VG1Z-7Y5f0
C a►ty/�teop
1�sz) 465 - 9Z 77
Telephone Number/Email Address
3
Date
(Revised Aug. 2014)
vel
zAlE
rJ Pt l 080rST L- 1 F;'
013
co�) vn In S r
CERTIFIED MAIL • RETURN RECEIPT REQUESTED RECEIVED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FOIW
Name of Property Owner:
Address of Property:
Agent's Name #.
Agent's phone #: M-�?--0.34? 2—
2021
-EC
tvl&ailing Address: 1 S I !E:1 -1y 115 deCJ1t rC
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.
,-I have no objections to this proposal. I have objections to this proposal -
If you have objections to what is being proposed, you must notify rile Dhdsion of Coastal mmxagawent
(DCM) in writing within 10 days of receipt of ffris notice. Contact intwmairon for DCU cAffiam is
available at htW:lAvww.nccoastaimanaciement netlweblcm/staff-listing orby calbng 1-888-4RCOAST.
No response is considered the same as no objection ff you have been nobfied by Cermed Mia
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 d ish to waive the 15' setback requirement.
_ I do not wish to waive the 15' setback requirement.
(Property Owner Information)
K/P el a�'M & r"I'
Ma' 'ng A dress
(Y l2
/Sl t ip
&5
Telephone Number/Email Address
Y 3/')�/ Zw
Date
(Riparian Property Owner Information)
V\ 2
/ �ture
I n � YYl ruC 5 S
Print or Type Name
IoD
Mailing Address
�Muy0 L1C-
C /State op
Telephone Number/Email Address
3 1.)b a
Date
(Revised Aug. 2014)
-1 S W UA
f
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Aerial Photography (2011
Red: Band_t
Green: Band_2
EBkre: Band_]
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