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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