HomeMy WebLinkAboutEckert, Dave 80547C❑CAMA / ❑ DREDGE & FILL NQ 80547 A B C D
GENERAL PERMIT Previous permit#
[]New ❑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 15A NCAC
❑Rules attached.
Applicant Name j. 1 �, ''i .€ + Project Location: County �I ,A,/ ! �.
Address + 'i• (' Street Address/ State Road/,Lot #(s)
j J_/
City �) ' t.�^ State Jt`"t ZIPr.,
Phone # ( ) J�\ " i ? E-Mail Subdivision
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no
City ZIP
Phone # O River Basin
�l
Adj. Wtr. (nat /man /unknn
Closest Maj. Wtr. Body
Type of Project/ Activity
6i"
(Scale:;t.1
Pier (dock) length 0
Fixed Platform(s) v
—
i
r.
Floating Platform(s)_/❑__
Finger pier(s)_-
Groin length
i
number
Bulkhead/ Riprap length
I
!
I
—j
i I
-
avg distance offshore
max distance offshore
f r T {
!
Basin, channel
I
cubic yards
-
Boat ramp
❑
I
I—
Boathouse/ Boatlift
-:-
- ---
I !
-- i-" �--- ---
I
� ! —1 --- - - -
.
i -
Beach Bulldozing
. . -
—
I I
- — -
+ !
Other
i
i
Shoreline Length
!
i
SAV: not sure yes no
_fed-_..
r - ----
Moratorium: n/a yes no '
.....i
_ - ��
l
— -
Photos: yes no
.. .a.
r
Waiver Attached: yes no
A building permit may be required by:
❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)-
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit"
Application Fee(s) Check #
PermitOfficer's Printed Name
Signature
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, certifythatthis 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 howto 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/ I-888-4RCOAST 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
r ❑`CArMA / ❑ DREDGE & FILL
N9 80547
GENERAL PERMIT
A B C D
Previous permit#
❑New ❑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 15A NCAC
❑ Rules attached.
Applicant Name
Project Location: Countyil ��> ..
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( -- ) E-Mail
Subdivision
Authorized Agent
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # O River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWS:
ORW: yes / no PNA yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
(Scale: ) I
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
Signature
Application Fee(s) Check # 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 -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
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
ADJACENT RIPARIAN PROPEpTy OW ER ST T T
's
I hereby certify that I own properly adjacent to p Owner)
(Name of Pro arty
property located at v -
(Address, Lot, Block, Road, etc.) N.C.
on CRC In No
(Waterbody) -� (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above location,
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill In description below or attach a site drawing)
l�
sxl� FloRl{^�� �^^J[°(rli �ylfa i
YQR91� ((,t �lv M6T
I1
PAY 1-11�'r -
h�6
�tApYgpdo ��\��`
I
01
/0 Woo a sRi���i�,v
Q1�11:5 WAIVER SECTION
l understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive
t' se ack, you must Initial the appropriate blank below.)
Ov6I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
U
iS
(Pi opre OwV!r—
IIn
aace t Property Owner Information) re
AJ -1
Print or T e Nam@ not or Type Name
/.Z(s Ab
Mailing ddrgsU 1 i v_ �,/ ailing Address
City/Slatp(Z�9 �O ,�(.tz J kcity/Stat&zip
Telephone Nu nber
2
Dare
Telephone Number
Dore
(Revised VI N012)
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner- h�6
Address of Property: M R H 4a�qrJoc Ay':el-
(Lot or Street #, Street or Road, City & Counl)
Agent's Name #: /kt Z f Malang Address: Jt2PJ- Z/ f,�
Agent's phone k tD 9 .�QC/j/ AA W,14A&IR)%t�-A)� Nc, �e i
t
.Tlky herfor this permit has described to me as shown on the atiecheeby certify that I own property adjacent to the above referenced property. The individual
�apex * d drawing the development
C pk--� pl
they are proposing, &,description or drafwina with dinlensiona��� be r►�widad with this tatter.
i have no objections to this proposal. i have objections to this proposal.
11you haw objections to whet is being proposed, you must notify the Aivisloo of CeestNlNsnsgement(mm to
writing within 10 days of rocelpt of this not►ee. Correspondence should be rnslfed to 127 Ctrdtnat Dda 6tt,
Wdmington, NC, 28405,4845. DCM reprosentmOves can e130 ba contacted s1(Pto) 794.7216' No rosponse b
considered the some as no o action N you have been noNUed b Cartlfied M&H.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
1* -- I do wish to waive the 15- setback requirement
t do not wish to waive the 15' setback requirement
(Property Owner)nformat(on)
Sig>ralure
Prim or type /Verne
X I IM Fxvf r C
aHirtQ Address
. Cfty/5tefelLp
_ 7etephone Number .
Date
(Adjacent Property Owner Information)
tl\! -
Signature
C0I�oRt1UE,, j!4
Print or Type Name 0 t1Z
Ar /,361 � v[.t, S Romiling Address
3Q
city/St tarp
/AQ - 2b
Telephone Number
%O �t
Dare - - - —_
RevFsed 61182012
I el
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that i own property adjacent to .�4-9 &"4a<A 's
(Name of Properly Owner)
property located at 1.7•g MyC[r��t
�� (Address, Lot, Black, Road, Mo.)on � �,1•blc , N.C.
(Waterbody) {CitylTown andfor County)
--'Thee applicant has aesodbed to me, as shown below, the development proposed at the above location,
944— l have no objection to this proposal.
sxl(j Ftcrlll�'
To rXtA"
SoAr u Pr-
`ftl CP-
V1IXP
JAW .
r�/Mvt9Rtlu%GINb
h�Ui_llti �
I have objections to this proposal,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill In descrlptlon below or attach a site drawing)
I t 1(� t 0IVk6 ,\A -c I f
I D 1, I1I v! 1. (
l� M 01 `-(/1A �, aloe a R../A��ro
900 ! WAIVER SECTION
I• understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
'Minimum distance of 15' from my area of riparian access' unless waived by me. (If you wish to waive
f'r61, the setback, you must Initial the appropriate blank below.)
t do wish to waive the 15' setback requirement.. ;
I do not wish to waive the 15, setback requirement.
(property Owner information) (Adjacent Property Owner }ntarmat}on)
�Sl �atur ig Itrre
c/
( K l� +y
Pnnf or type lye �' C �Prinlr a r Type Name V �L V
f ailing Addpj)g ss Q
r
r " CityMate2i r
Clly/Sletelz r ♦ LZ -A-N Z 6 Z
Telephone N mb t
Telephone Number Z
( \J - .. v Z 1
Dole
Aare
(Revised 6118ROI2)