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Home My WebLink AboutPruitt, Christian 80036CI CAMA / ❑ DREDGE & FILL N . 80036 A B D GENERAL PERMIT Previous permit# VNew ❑Modification ❑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 I SA NCAC 0 YY [-JRules a ched. Applicant Name (� 1 - Project Location: County l aC'�k' Address_ ` Sa fin Street Address/ State Road/ Lot #(s) / ( /� City__ �� I Statg�ZlP �L_ Phone # (?�E-Mail Authorized Agent Affected ❑ CW A6F s� PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWV ORW: yes / o ` PNA yes'/ no-) Type of Project/ Activity Subdivision City ZIP Phone # (_) River Basin "/ Adj. Wtr. BodyL��x /JQ (nat/�n�/unkn) Closest Maj. Wtr. Body �� ■■■■■■■■ ■■■ITME INEEN Groin length E EMEEMINEE IEM= ■■ ■■ Tunber®:eN■_we■_■_�ee......�e Bulkhead/ Riprap length avg distance offshore max distance offshore ' Basin, channel T cubic Boat ramp Beach Other / r I i Shoreline Length SAV: notsure yes no — -' Moratorium: n/a yes no _ Photos: yes no/ I Waiver Attached: /yes no A building permit rC required by: ( Note Local Planning jurisdiction) Qt ^-4-19 � �� I Notes/ Special Conditions Signature *7please read Application Fee(s) Check # Permit Officer's (Scale: = ) ❑ See note on back regarding River Basin rules. I 1 A— / CO /I Expi ation bate 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 isconsistentwith the North CarolinaCoastal 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/ 1-888-4RCOAST 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 ®�CAMA / 1� DREDGE & FILL GENERAL PERMIT VNew ❑Modification [-]Complete Reissue LJPartial Reissue As authorized by the State of North Carolina, Department of Environmental Quail and the Coastal Resources Commission in an area of environmental concern pursu Applicant Name A, l I r I A Address / Jry f n } �S/1AA 7/1r n city '� �� State�ZIP '%j.�l=�- Phone # (� ' % E-Mail Authorized Aeent Affected ElCW �6EW ❑PTA El ES ❑PTS AEC(s): ElOEA ❑HHF FIH ❑UBA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no� M 80036 A B (C D Previous permit # Date previous permit issued ty / ant to 15ANCAC j' ®Rules_a�ched. Project Location: County i ca <- C ` Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone# O River Basin r Adj. Wtr. Body - Jt-'� > %� ra o (natAman�)/unkn) Closest Maj. Wtr. Body - - SEES■■ ■■■� ■■■■■■■■■■■■�■■■■�:■■NEB D!■■SEEN ■d■N■q�■■■■■■:■■�■ rGS■■■■■■■E NEME II■■S■B■®■■■■■■■ ■N■■ B■■::MEMO::�::■f1■■■..■ggg■■■gam SEES■■.■ ■■■ ME 0 : :MME so ::gEg0 0 E BBEgg:�: ■■ SEEN BMEN ■■ ■■B■n■E■ ■ ME MEN ■■■SMES.�S■BN■ .I SERE■ ■■S■■.■■■■B■■■ ■■■SBA ■E■ ■SEER ■■S■■ ■■ ■ ■■ .■..8�■�■■■ ■BNB ■■...:■ ■.■g■■■■ESS�■EB ...■■■ B■g■■■■.■.8.■...;g ggg;gggg. g Erg :.B ..■.. • sl� BNN■■■SEE NB■■S■■■E■�■■1a°%:N■B■■!IS■S■■■■■ ■ECir.,S ■■S■■A■■S■■N■■ ■■■■■E I!!!�!!! ■WIN ■S��l�i#i11!! ■IIIIIL■■E2°'�'�wSEN■■E g _�• � •�•• M ■iijjjjj�So.�l��i1■■E ■■BN ■■L _:�JC?S!��fG=G�S■■ ON ME MEN MNE no IEg..g:�� :g :.■.■■.::� :::: ::M:I a N:M■::MiSga Application Fee(s) Check # �( 7p17 it /% Permlt0(ficer s Printe0,Name Signat re issuing Date Expiration ate 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 ❑ ❑ 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 howto complywith 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 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: ,q/��\ Owner's email: 03 '�� w-A( `Owner's Phone#: 4 io, ` b �u j✓ Agent's Name: Agent's Email: �— Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) 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. —ZI DO NOT have objections to this proposal. I DO have objections to this proposal. it you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) —y` DO wish to waive some/all of the 15' setback I �� -OR- Signatur Adjacent 01panan Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: ---- Typed/Printed name of ARPO: �/ T 0yVVW T Mailing Address of ARPO: Tctf l ► Pd ;PP-5 F A) ARPO's email: JO%tiLlw L, ,EbSwt6MARPO's Phone#: ;! , - &59- 2307 Date: • 7iS L J *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 �j PA 4Allj%A0VfA0l 11' 1,0t, A W,.�qC� yj,�%t?qUd�jq4. i Tv ! or! so On. 1"2. — - ----- --- - - ----- .�z.e'v AI wkuq0lq w, '(wU iiidi .,(MtA, 1, ;_VE, CFIJ 'Io wl vig -(:(j I i anco,.-� j .: 'v :41 1 _. - rl l4'fir!'k f 'u i to it d vmk lug. -w lw-, - ";t' , n::wA�f. w'k.0% IV, (."i 'it, Ono 'iV WA 1"A Y� Apo On to 404';+', "I OVk .WgNA I 3��O �,OVIAVV !,;cil! - 0 a -no; Wwv? 1. Kul M jy w ski '.+w, i;t Ic 1,i;,; N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: aC Owner's email: 5UR F 03Af t (/,� � awner's Phone#: Agent's Name: Agent's Email: Agent Phone#: �— ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 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 I DO NOT have objections to this proposal. 1 DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 806-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner No I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: 7 -e-44,0� Typed/F Mailing ARPO's email: Date: `� 7I rN Phone#: L�� q.. "waiver is valid for up to one year from ARPO's Signature' rISSI D, c ,766 Revised July 2021 NIR09 RwrAr!v)<yrl l�ue;ir 1 NBMWO YfJ9- - =x)s .a�::.�� r. A t V C iFPi_)U' (�!!� ,i?:op1£; 8i: ! l) iUffv.'O_ yt4 C.`a43i?t l'11C7:i ed or nolgI01),' Cl()) ? ";riw *..-:.kan'++Mv.'ve.aari+H'✓s�s"3Fa.+xu.�wairvs`.r,�n _"".rm'»s� w+++uiir_4«+vnmckiuexi'avA�`ma�+Y;: A()ri Jl 41i;9 l c: il3itYl"LI Yi 5134OM9,FIAfiil 41,-t TAB -ALGA ', ):9Elvj � ,' { .i];»� :.tla!_:1i?F'. '1. _4s! t `ajSimt .nd Qr pc.i1Y1x irttr)ii' �i11"'�i't i1:p,�r, 41JC+.'l1k7f.EC'{� (1tat.i,.1):X7O?..1<�7JN4!.53111!')jr'H'If„�.�'rrbC;/)""7Y/U!1'. {i�dr..i'Jfr: a(9E{I D`I. 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