HomeMy WebLinkAbout78126A_Bishing, Stephen & Whitney_20210330ICAMA / -J DREDGE & FILL N9 78126 A B C D
GrENERAL PERMIT Previous permit#
L-41New ❑Modification El Complete Reissue ❑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 15A NCAC
D Rules attached.
Applicant Name Project Location: County. �L
Address i,, , , E k-i ':�
City L i t ' k State AL —ZIP -'J' '?' 1
Phone # ( ` _) , L 2 I E-Mail 7l t Qk i Jc [' r'M h-It
Authorized Agent P j' .— ('—� v C" C
Affected ❑ Cw CAw 94TA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / nod
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
Boathous oatli r 13
* {�
Beach Bulldozing
Other
Street Address/ State Road/ Lot #(s) 1 G
� f .
Subdivision f'
City fG !' ZIP
Phone # ( ) River Basin G/G k—
y i(natUAdj. Wtr. BodJk�)
Closest Maj. Wtr. Body ' cr k `'c.ZA-ffd
trrrr�r• r•r•rrr•rr•®r•r_r.� ��
Shoreline Length ! 1(.)�
SAV: not sure yes 6� INENEIIIMM
Moratorium: n� yes no
4
Photos: es, no.. .. .... ... . .. .... . �...'Jofl
;
Waiver Attached: yes
A building permit ma'y De regUired by: Ct' f t i iL C
( Note Local Planning Jurisdiction)
(Scale: /J I S
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions ! 4 I'rc_c, I :Cl
r 4t. 1 + \i
�Agent or Applicant Printed N
Signature* Please read compliance statement on back of permit **
Application Fee(s) Check #
Pe it Officer's Printed 77-
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 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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit.
Mailing Address: S
Phone Number:
Cc,rr,XoG11' ��. a7V5
5� -2(J;7 -''>-7/
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in a4 r►'-- -h.�County.
I furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property
Print or Type Name
Title
3/Zz/2-,/
Date
This certification is valid through
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property: l0
(Lot or Street #, Street or Road, City & County)
(—
Agent's Name #: 14 �`^ Vy` Mailing Address: 10 L.r,,4r!=j ii-L=
Agent's phone #: S 45-7- 1J 77 7 C- r—r . AL-4 n/( a-)-,-�J
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 re proposing. A description or drawina, with dirtirlsios must W owided vyidh this letter.
Ci � 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 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
me. (If you wis o 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.
(Prgftrty,40�wn9f Information)
Signature /
Print 16r Type Name
/O: �,,e'%r �•r�i
Mailing Ador ss
�.
City/State/Zip
Da
/ Email Address
(Adjacent Property Owner Information)
Ct<,� C,��
Signature
G( aI�r
Print or Type Name
0 —1 <s IDr^.
Mailing Address
City/State/Zip
Telephone Number / Email Address
Dale*
*Valid for one calendar year after signature*
Revised Jan. 2017
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property: `0 r C5 //WA
(Lot or Street #,
Agent's Name #: 41 c,� F ly,
Agent's phone #-. — Li5;
/U. G,
or Road, City & County)
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 ar5,proposrng. A description or drawing. with dimensions, must be vrovided with this letter.
�IZIave 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 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 15from my area of riparian access unless waived by
me. (If you wis to waive the setback, you must initial the appropriate blank below.)
7I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
%� �c�i✓.fi✓ 1C)f (�4e fly /V C .
Mailing Address
Pr9p6rty Owner Inf9.rm;@tion)
Si6nature*
lzi.*�L
Print or Type Name
103 01
Mailing Address
*Valid for one calendar year after signature* Revised Jan. 2017
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Currituck County
Aerial Photography (2011
■R@d: Bad 1
MOraen: Band-2
Makw: Bans J
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