HomeMy WebLinkAboutYarborough, Phillip 84809C`°"S'"' ❑LAMA ElDREDGE & FILL ®g 809 A B C )
GENERAL PERMIT Previous permit
y Date previous permit issued
: ❑ New ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of I'lorth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC Z i( �j I ^^� ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name " " , 1 , ' I / ` C ,
Address ;^� 7 l r)
City P i f tate J' ` ZIP
Phone #
Email
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no
❑EW ❑PTA
❑ IHA ❑ UW
PNA: yes/no i
Type of Project/ Activity
Shoreline Length
Access Length k�
Pier(dock)length f
Fixed Platform(s)
Floating Platform(s) j
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes. no
Riparian Waiver Attached: ;yes no
A building permit/zoning permit may be re
Permit Conditions
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Adj. Wtr. Body '
Closest Maj. Wtr. Body
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COM
Agent or Applicant PRINTED Name a
Si tune "Please read compliance statement on' back of permit" _
Application Fees) Chec #/Money Order
U IAK/F'AM/NLUJt/bUt'rtK (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
CE STATEMENT. (Please Initial)
Permit Officer's PRINTED Name
Signature
Issuing bate Expiration Date
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules F-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
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 — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
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 and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
1*FCO"S'^' ❑LAMA ❑ DREDGE & FILL N° 84809 A B c
a
z = GENERAL PERMIT Previous permit
Date previous permit issued
❑New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMAruIes
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (-)
Email
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no
❑EW El PTA
❑ IHA ❑ UW
PNA: yes/no J
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Type of Project/ Activity ' !
Shoreline Length
Access Length
Pier (dock) length ( `,
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ )ioatlift
Beach Bulldozing
Other
SAV observed: yes°ho i€
Moratorium: n/a yes "j
Site Photos: yes no -
Riparian Waiver Attached: ,'yes no
A building permit/zoning permit may be required by:
Permit Conditions
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name N Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing bate Expiration Date
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
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 — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
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 and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
h� ra Q� 's
I hereby certify that I own property adjacent to (Na a of Property Owner)
property located at 6 � � � � t, Block, Road,�etc.)
(Address, ,L II ' N.O.
on
(}n(aterbody) (Cityltown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatio
I have no objection to this proposal.
I have
-- - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
T drawing)
(Individual proposing development must fill in description Iow
4 4 - a�4
cti
on
I understand that a pier, dock, mooring pilings, breakwater, boathouse, un, ut yiu n
back a minimum distance of 15' from my area of riparian access unless waived by
wish to waive the setback, you fnust initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
i do not wish to waive the 15' setback requirement.
(Property Owner Information)
Tale none Number
,(4 [— QV-/
TelepGgneWyl/
Dat
must be set
me. (If you
n)
01 asa,L1(0L 's3s sEP 15 2021
DGM-MHD CITY
A - f
8
ADJACENT RJPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Name of Property Owner)
property located at c� U Address, . oM��12
adetc)
(� ( N.C"
( - ►.�ink
on (City/Town and/or County)
(Waterbody)
The applicant has described to me, as shown below, the development proposed at the above
location/
(/ I have no objection to this proposal.
have otj_ections-Jo this-Pr-oposal__--------
PM
------ DESCRiPTI N ANDIOR DRAWING OF PROPD DE or O hEa T drawing)
proposing development must fill in descr p on
U�
ton'
WAIVER SECTION
-- I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be You
back a minimum distance of 15' from my area of riparian access unless waived by (
wish to 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 -
(Adjacent Property Owner l�nf rmation)
(Property Owner Information)
Si ure
Print or Tje -Flame 4
Print or e Name—
c)ae 'y %& lVailing Address
ivaiftng Address
City/Starenip .
Ci /State/Zip�01�---
�' Telephone Number
Telephone Number Z d
— � � Date
Date
SEP 15 2021
DCM»MHD CITY
t