HomeMy WebLinkAboutGuthrie, Janice 84804CECAMA IONEOGE&FILL N9 84804 ABCD
GENERIqL PERMIT Previous permit
Date previous permit issued
f New f Modification f Complete Reissue I 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:
I5A NCAC ! R t"r attached. ! Cenerat Permit Rules arailable at the following link wwwdE.nc.gov/CAMArules
Applicant Name
Address
City State ztP
Authorized Agent
Project Location (County):
Street Address/Sate Road/Lot #(s)
Subdivision
Phone#(_)
Email
Ciq/7tD
Affected Ea*
AEC(s): !oea
ORW: yes/no
Er* E"to
f rxa UW
PNA: yes/no
Ies
Isernne
I,'s
!ews
Adi. Wtr. Body
Closest Maj. Wtr. Body
Type of Projeal Activity
(Scale:
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/H _
Bulkhead/ Riprap len4h
Avg distance offshore _
Breakwater/Sill _
Max distance/ length _
Basin, channel
Cubic yards _
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached
A building permit/zoning permit may be required by:
Permit Conditions
yes no
yes no
yes noyes no
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Easin 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 lnitial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature +*Please read compliance statement on back of permit++Signature
Application Fee(s)Check #/Money Order lssuing Date 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:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-648L) or the Wilmington Regional Office (970-796-7275).
Notes/Additional Permit Conditions:
Please ensure atl 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 Manasement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4 RCOAST Fax : 252-247 -3330
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-648L
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
910-795-72t5
Fax: 910-395-3964
(Serves: Brunswick, New Hanover and Pender Counties)
Revised 6/01/2021
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
2s2-264-390L
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
http ://po rta l. ncden r. o rg/we b/cm/dcm-home
AGEIIIT A$THORI;ZATIO}I FOR. CATA PERilIIT AFruCATIOT{
tkrne of Property Ormer Requmting Permk
Mailing Address:
>g
Phone Number
Ernail Address
I ertiff ftat I have au&cized
ngerit/ eorcracbr
to act on my bohalf, fsr the purpase of applying for and obfiaining all CAtt-lA pemits
nffissary for the folbwing proposed dwelprnent:$trr
at rny rope4y located at
{ , sar-ZAZI
("u
A*ion of Coasta/ ffaragement saff, ttte Loca,l Peffrrit atrrer ard tteir gents fu enter
ur fie afarertentioned lands in mnnectiw"r with evaluatirry infsnnatbn ,e&ted to ttris
prmit apili<xltion-
Property lnfsnndion:
$furrature
--(+ () AP (cf G,C,UPi<-
Prinrry lfperi&ne
Tide
Dab
This certificattorn is valid through U 3o e6aa
'j-7{ (o,f*P Pt Rt,..{ ,
" C,n/rft* eounty.
ATUACEIIIT RIPAEIAN PROPERTY OIT}{ELSTATEilEITT
I tnreby mrtify trat I slrn property
proeerty hcated at
of Froperty ffirtr)
'TL.^J (Adfrca,
on rn N.C.
{Wffirbody}
The applicant has deecribed te me, as slrown belor, the devehpment proposed at the abovelocation.t*l: I have no obieaion to thi$ proposal.
I have obieetions to this propneal.
DE$CRIPflON AXMR DRAWNG OT PROPOSED OEVELOPTIE}.IT
's
&g /d{ apo( ad/,4op {u D,tk rR
$*4* Prd /"A,'+;
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it
S*, i\d'\Adkrl
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WAIVER SECTION
I understard that a pier, doek,rnooring boat ramp, breakwater, boathouse,lift, or groin
must be set back a minimum distance of 1 from area of riparian acms$unless waived byme-yau wbh to waive rhe setbac*,appropriate blank below.)
I I do wish to waive the 15'setback requirement"
ldo not wish to waive the 15'setback requirement.
Ormar lnformatbn)(Adpceat lnformatlon)
&
ennil
?
/errnfla#es.r
Date
Yalid for one calendar year after signature"
Date*
(RewsedAqg. 2A14)
\
kI ADJACETT RPARTAT{ pRqp&"y OWNER STATEXEIq
I tnreby srtirty that I own propedy aEifficnFto ls
CProperty Srner)prwr$ located at
(Addreaq lot,
on tn N.C.(WmrnoCyl (Chdrown andror Counry)
The applicant has describerl to rne, as shown below, the development proposed at the abore
lhave no obiedion to this proposal"
I have obiectione to this propoaal.
DS$CRIPTIO}.I AXNMN DRAUVII{G OT PROPOSED OEI'ELOPi'ENT
Bo*A /4-/ ,(rr,t ,t/l'{''o- t' t)su1 d?
&,, *J6' /),e rL $/o(,4"t
Ba(
/,U
I
See p{fon\.&
{A'N
k
I
c\
IflAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp,breakwater, boathgusE, litt, or groin
must be $et be* a minimum dlstance of 15'frsrn area of riparian ac*ss unless waivd by
me. (lf you wish to waive the setback,appropriate blank below. )
I do wish to waive the 15'setback requirement^
I do not wish to waive the 15'setback raquirement.
olrner lnformatlon|9unrg lnformation)
orTyp
c,ryffiW t-aLq - 3Oo3
/ermildctess
ri
M
e
*Valid for one calendar year afler signature*
llatet
{Revised 4u9.2014)
I
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I
on
sf q must
Jra$fing rrepareo I,y: uJ 3@II, tnc
)ate:614!21
icale:'1"':20'
Proposed New Work:
- lnstall a 4 pole boat lift
with sling. 11'x13'
Propelty Addresq
217 Jones Street
Cedar Point, NC 28584
215 Jones Street
.,r:..f'. . -,i,
a*fiI
213 Jones Street