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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 ,urrituck County GIS Data Viewer Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov ` Addresses Communities Aydlatt Barco CohJock Corolla Currkuck Glbba Woods Grandy Hatbhper Jarvlaburg Knotts Island Mapla Moyock ...�� Point Harbor Poplar Branch Poweb Point Shawboro sw Watermy County Boundary — state — County Streets Major Streets —ArtetiaLPrincipal -Arterial_MsJor — Co"clar_Maw 0 Parcel Land Hooks Parcels i El Currituck County Aerial Photography (2011 Red: Band_t Green: Band_2 EBkre: Band_] its map should be used for general reference purposes only. Currituck County assumes no legal liability for the informatioi Town on this map. 7LIs 4i . e to. . ..... tow