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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)