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Home My WebLink AboutThomas, David 80548Cr. •. ❑CAMA / ❑ DREDGE & FILL Na 80548 A B C D GENERAL PERMIT Previous permit# ❑N'ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ,/f and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Mf ❑ Rules attached. Applicant Name ( Project Location: County Address ll� 1 _� f , �° I . •� t_ Street Ad/dress/ State, Road/ Lot #(s) City 1 t ' r ` State ZIP. �: f.;< -� f �t �! r it Phone # ( ) E-Mail Subdivision , Authorized Agent City, ❑' ZIP r A, ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin / "' f`r Affected ❑ OEA El HHF ElIH ❑ UBA El N/A AEC(s): Adj. Wtr. Body ❑ PWS: 'q ORW: yes / no PNA yes / no Closest Maj. Wtr. Body Type Project/ Activity , (`) /' r'' ° t 0 ik of f! i (Scale:A,j�`�f ) Pier (dock) length - _ p..�....•.• _. Fixed Platform(s) .. _ _. ; .••..t, � �.-.. .- `i � Floating Platform(s) i j �'• : - G v Finger pier(s) - - : ;- I : Groin length : i number ! -- - ... - - - - Bulkhead/ Riprap length avg distance offshore j l TT l _ - - max distance offshore 1 v' i- Basin, channel cubic yards ; Boat ramp Boathouse/ Boatlift ' ---- - - -_ _ '.......... - - — - i- - - - -- Beach Bulldozing - Other i € s _ i Shoreline Length SAV: not sure yes ho _.... - - - - - - — d I ) i I �., ❑ ! i Moratorium: n/a yes ! - - - Photos: yes _- - - 14 : f �. j- Waiver Attached: yes no f I fi Y r' L" ❑ See note on back regarding River Basin rules. A building permit may be required by: g g ( Note Local Planning jurisdiction) /1 Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Printed Name - Signature h4 � Issuing Date t Ex3p raZ t 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 consistentwith the North CarolinaCoastal 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/ 1-888-4RCOAST 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 ❑CAMA / ❑ DREDGE & FILL N9 80548 A B C D GENERAL PERMIT Previous permit# ❑New ❑Modification El 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_ Address City Phone # ( ) Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP E-Mail ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A PNA yes / no Type of Project/ Activity Her (dock) ler-`` Fixed Platforn Floating Platfc Finger pier(s)_ Groin length number Bulkhead/ Rip avg dista max dist Basin, channe cubic ya Boat ramp Boathouse/ Bi Beach Bulldog Other Shoreline Len SAV: n Moratorium: Photos: Waiver Attacl A building pE...... ... -, -- • -'I-" -- -/ ( 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# Project Location: County - Street Address/ State Road/ Lot #(s) Subdivision CityZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body PermitOfficer's Printed Name Signature Issuing Date (Scale: ,ik. / ) 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 AMA / ❑ DREDGE & FILL ;;�� : "1 ' % CC) �.� . t! . r A BD tNe N E RAL PERT Previous permit # w❑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 mission in an area of a Ironmental concern pursuant to I SA NCAC if r ❑ R Iasattached. Applicant Name _,/ i' (r; 1 y�'Project Location: County — Address City----Yf�' Phone # �...3 E_P Authorized Agent . „••• Affected �W P*V MIA AEC(s): ❑ OEA ❑ HHp ❑ IH ❑ PWS: U`2!� Street Address/ State Road/ Lot �- #( ) State C ZIP �+t/ 1 �� G�'y.� C. r'�g 1 ORW: yes fno � PNA r yes no Type of Project/ Activity ❑ ES ❑ PTS ❑ UBA ❑ N/A Subdivision I City L—'" ZIP .� �% !? Phone # (_) River Basin Adj. Wtr. Body___, Z A a-0man /unkn) Closest Maj. Wtr. Body -- (7 icy K-)6) Fixed Platforms) 10 Floating Platform(s) Finger pier(s) Groin length L - _ _ number - -- - --� -- - - -- --- Bulkhead/ Riprap length avg distance offshore max distance offshore j 1 t i_ i I r- -- t - - — ^ ' -~� ? +_�--!-- •1� ' I t ik Basin, channel i f • I I I-- IReach i ; I -_ - �- i • i---j- t ! : � ! —'— l i i i 1---j— 1. - �1 - �._..j- - - ---.�Y-_� � cubic yards I Boat ramp Boathouse/ Boatlift Bulldozing—---IfI� Bulldozing Other _ _I Shoreline Length .._._..... - SAV: not sure yes Moratorium: n/a yes $T�A. Photos: yes Waiver Attathad' vpe i'- i 1 -. ..L-�-'--..- __ - 'A 1 J__-. ' I I I i•- I .� A building permit may be regv d by: F ( Note Local Planning Jurisdiction) I /( Notes/ Special Conditions LC1 /"/ �entApplicant Printed Name Perry Sign —te* Please read compliance statement on back of permit * Sign 1 ❑ See note on back regarding River Basin rules. IName Issul 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 I) 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, certifythat 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 ❑ Other: 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (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.ncdeni-.org/web/cm/dcm-home Revised 7/06/17 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMfAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: ) OL i { L) Tyl CO {` oC3 {� Address of Property: � �. q G , .- �VV Mailing Address of Owner: ��{'� Jm Owner's email: 600',Z �E`�v��GS (_0, +0hCer's Pdn e#: 0 ,— (At 33 Agent's Name: Agent's Email: Agent Phon ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) 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 drawing, the development they are proposing. A description or drawing with dimensions must be provided with this letter. O NOT have objections to this proposal_ I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION i understand that any proposed pier, dock, mooring pilings, boat ramp; breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signatu of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: 1 - --Typed/Printed name of ARPO: + Mailing Address of ARPO: 1 Ic V_� 0.�<� 1 �� -LARPO's email: ARPO's Phone#: C��o�l t ill Date: t 0I �WQ *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: �0 �� `�, K► i�go�� L ��'' Mailing Address of Owner: -3c(k L\ C-c 1,,� C D- 7_C.ab Owner's email: LtQ�9i� �4��+C�l ," MID&r(slW Q kq - U (A Agent's Name: Agent's Email: Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 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 drawing, the development they are proposing. A riescrintion or drawinn. with dimensions. must be orovided with this letter. 1 I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C_ Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) -�,l DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Proj6drty Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property %Owner: Typed/Printed name of ARPO: >`— / T �- tX-- Mailing Address of ARPO: 970 ARPO's email: err "` ` ARPO's Phone#: Date: Z. *waiver is valid for up to one year from ARPO's Signature'* Revised July 2021