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HomeMy WebLinkAbout79349A_Salley, John_20211007CA,IVIA / DREDGE &FILL N9 79349 A B C D GENERAL PERMIT Previous permit # LAew CModification ❑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 ❑ Rules attached. Applicant Name 3t1~ �_ I i- �A, _ Project Location: County Address V e. Street Address/ State Road/ Lot #(s) City k. h State. ZIP Phone # (� 5 � 31'-2 - 7000 E-Mail Sr R', v� Subdivision Authorized Agent f - c )c cityf , �11C ZIP Affected ❑ CW VEW 9+TA ❑ ES ❑ PTS Phone # ( ) River Basin Q, o 01K AEC(s): ❑ OEA ] HHF ❑ IH ❑ URA ❑ WA Adj. Wtr. Body i i tr LC -r '� rI (nat /man /unkn) ❑ PWS: I. ORW: yes / no PNA yes / no Closest Maj. Wtr. Body----- '' - - Type of Project/ Activity I , — J Pier (dock) length 90 Fixed Platform(s) Floating Platform(s) Lf x aCi Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse Boatli Beach Bulldozing Other Shoreline Length ; "i-C.`f SAV: not sure yes no w _ ............ ......... -- - Moratorium: n/a yes no ! a ...- Photos: .. _ _....__ Waiver Attached: yes no yet no A building permit may be required by: ( Note Local Planning jurisdiction) 1 Notes/ Special Conditions 0 '4 S �c I�� �!'�PS� '-14 hof. I n I k (Scale: / V � _�, ❑ See note on back regarding River Basin rules. 1 �� r r r A) J%C`� � o- '� �, r�Ci � /e T a[ . (r� .. S� �� ��� j , 0(� e.,; k /A 0- /'x4e-AAs ,A 10 iL. (4) TA'S ge M j- r. 1(,r , Agent or Applicant Printed Name Signature Please read compliance statement on back of permit* Application Fee(s) Check # I Permit Officer's Printed Name Signature 1061aI ;L -4b,� 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 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 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/ 1-888ARCOAST 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 DIVISION OF COASTAL MANAGEMENT AGENCY FORM FOR PERMIT APPLICATIONS �j4 L zEy` owner of the property located at: (property owner) W.A (prcpe?"° -;r-= 'adress) Co 0 G/C- do hereby authorize A'-- — IVUA s dt-2 (nacre acring as agent) to act as my agent for the purpose of obtainir.qg- --n C =a Area Management Act and/or Dredge and Fill Act permits, that may be ne'�".,.ie SoT he ?:mused development at the above - indicated property, which entails: U G T / 0 k/ RECEIVED ov 0 5 N21 (describe proposed development; br which permits are being sought) This agency authorization is limited to the specific activities described above, and will expire on: (date on which agency authorization expires) WignaturW (printed name of owner) 6-5� BUG 1 -0oz/ (date) (title, if officer of corp. owner or awtee for property) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: �� fJ �./ �flg L L C 1i Address of Property. /4-a 2 W A l E-2 Z- / G y %2Q . c (Lot or Street #, Street or Road, City & County) Agents Name #-. Mailing Address: ) i fiv )) S cfe_�9 VI-d Agents phone #: 21,�-2- 2, -b`-�Ilaf x' Y_ 2"7c1 .5-7— pIa�s 5iyn th (4 ell vu/ 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 d t#Se development ' they are proposing. - "I have no objections to this proposal. I have objections to this proposal. } p Po If you have objections to what is being proposed, you must notify the Division of Coast&-a�me✓►t (DCM} in writing within 10 days of receipt of this notice. Contact Information for LEI awes is available at htto:lAyww. nccoastairnanagement:neilweblcrnlstaff-iistincr or by caffing 1- OAST. No response is considered the same as no objection if you have been na€rfteat by -- WAIVER SECTION i understand that a pier, dock, mooring pilings, boat ramp, breakwater, be set back a minimum distance of 15' from my area of riparian access if you wish to waive the setback, you must initial the appropriate blank j 1 do wish to waive the 15' setback requirement. OCi 0 5 2021 1 do not wish to waive the 15' setback requirement. ()CM -EC (P Owner Information) 1z /J) ,/� . Signature Print or Type Name Mailing Addnm & C—GG /.•J 5' 0AJ L 3 3 449 CitylStat&zp (7S7) 3,�-,Z--7OgU Telephone Numberl Email Andress �Ohn.h.SGill2y co"7 Date Q Ju z y, Z 6 Z/ I¢ /Z. WA7'E2c;iL- y 20, (Riparian Property Owqer trifom Print or Type Name A I- A NJ F. S'G o "7 z-1A.ivA A. i 'co-rr Mailing Address O 0 6AZAaAlI 5 2O. 0/ZAAJ6e-Ci' C) 7 CitylState Telephone Number/Email Addmw i Zq . ) cli— 2-1 Date (Revised Aug, 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: -/C'/H r✓ 'S"9 L t z y Address of Property: / 4 0-e-' (Lot or Street #, Street or Road, City & County) / Agents Name#: � y �� �qy�f _Mailing Address: 1315 -,7(s (_feed Agent'sphone#: I hereby certify that I own property adjacent to the above referenced property. The individual 5 �x1 applying for this permit has described to me E;s shown on the attached drawing the devel ent they are pr.-posing. A t - - have no objections to this propos,]. I have objections to this proposal. / /�/ ff you have objections to what is being proposed, you must notify the Division of Coastal Management `I T (DCIYf) in writing within 10 days of receipt of this notice. Contact infonnation for i CM offices is available at t7tto:llwwdv. n ccoastaimang_gement :,letlweblcm/staif-;istina or by cafling 1-*8-4RC0AST. No response is considered the same as no objection if you have been notified by Cergfied Mall WAIVHzR SECTION -.-..+ m nrn n i utii2ct- --C, it a. a Pier, COCK, � G'rinr p:risings, boat raT�, break` 3ter, boathouse- or � must be set back a minimum distance of 15' from my area of riparian access unless waived by m (yf �� you wish to waive the setback, you must initial the appropriate blank beio �Gw�v ��� � I do wish to waive the 15 setback requirement. 1 don wish to waive the 1 �' setback requirement. of (Prep" Owner Information) Signatacre Print or Type Name %0700 7 d bcL Mailing Address CitylState/Zip ('r57) -3(0Z --70 yo Telephone Number/Email Address �o)pn. A. Sd/leyCa�-qlnei� 1 G�r►� Dales o �� y z o (Riparian Property Owner OCT 0 5 20 Signature Gts-� Print or Type Name ti NErH 4D G 2CEA./ Nailing Address OVO A4e-%,ENA1AP11 ,er> i=,e/3ry x rdre r' . A j Y 13340 City/Statemp Telephone Number/Email Address - ate (Revised Aug. 2014) N N �- � � ! .�..._. -a � -� � M ,\ M _Vc� y 4 Addresses Communities Aydlett Barco Conpck Coro" Currttuck Gibbs Woods Grandy Harbinger Jarvisburq Knolls [stied Maple Mayock Pont Harbor Poplar Branch Poweb Point ahawboro sago Watermy County Boundary — state —County Streets Wright Memorial Bridge Major Streets —Arterial_Prncipal -- Arterial Major — Collector -Major Parcel Land Hooks Parcels Currituck County Aerial Photography (201 i NRed: Band_1 Green: Band 2 Blue: Bad 3 Currituck County GIS This map should be used for general reference purposes only. Currituck County assumes no II Phone: (252) 232-2034 rtPaS T vW shown on this map. E-mail: gis@currituckcountync.gov Tr �k �k �)y t3s&(a 40 Z ; CC VN RECEIVED 0 C T 0 7 2021 DCM- CI+P f-Loci k 42�" L ,VJ �t -to- -(-