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HomeMy WebLinkAbout87332C - Pendergraph, Frankiea❑CAMA I_ I DREDGE & FILL GENERAL PERMIT -F]New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue N9 87332 A e' c D Previous permit --- - Date previous permit issued --- As authorized by the S of North Carolina, Department of Emironmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: ". I SA NCAC / �, , ❑ Rules attached. General Permit Rules available at the following link: www.dea.nc.gov/CAMArules Applicant Name r -41 W Eyi ( Address City C State ZIP _ Phone # I o — Email Affected ❑ CW EW ❑ PTA AEC(s): ❑ OEA ❑ IHA ❑ uW ORW: yes/no PNA: yes/no Type of Project/ Activity chm.eR�e I nnetl. I O ❑ES ❑Prs ❑SPIMA ❑PWS Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision city ZIP Adj. Wtr. Body - (dat/man/unk) Closest Maj. Wtr. Body _ (Scale:) � " '-1 ) 0 OMEN Total Platform area Groin length/#- ......■a............ VNWYA I :::� IN11: t�NN■\■■■O V■\\p■■■■■■■ EMONME i1:(1Y all M 011 a`J , 12. kk I i •Ili_ t�■►�11►� tlGl�sr:�a1�■.\I�1►1■/J�11� l�l sC�MEi�l��;li--lIf—IL,— all �lii ... A building permit/zoning permit may be required by; -/ I Permit Conditions ❑ TARMAM/NEUSE/BU FER(circle one) ❑ See note on back regarding River Basin 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 Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name 31 �I Signature "Please read compliance statement on back of permij•," 57 Application Fee(s) Check N/Mooney Order SI Issuing Date Expiration D to 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: 1-1 Tar - Pamlico River Basin Buffer Rules 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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all 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 Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOA5T Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 4015. Griffin St. Ste. 300 Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 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 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 AciVO 41 ❑CAMA ❑ DREDGE & FILL N° 87332 A B C D GENERAL PERMIT Previous permit � Date previous permit issued [-]New ❑Modification ❑Complete Reissue ❑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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: v~vdea.nc.goYJCAMArules Applicant City State Phone # (_ r Email Authorized Agent Project Location (County): ZIP Street Address/State Road/Lot #(s) Subdivision City ZIP Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ INA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: Shnrelina I enoth .m111111111® 1 11111C::CC1111111 :=11.111111111111111CC1CC1:1111:::=11. ■■■■■■■■MOM ■■■■■■■■■■■■■■■■■■■■■MESON ■■■■■■■■■nSEEM■i■■■■ ES IIIHI■'1"'1111C'11'1 mom NONE 11100M.1.N!R11111. 111nammom 111'1m=111' ■■:■■■■■■■:'■■■lA�■■■\■■\■■■\■■\\■\Y■■■■■■ MON11M11111111MOINeO■SOON= ■rrA■Y■y&iN 1701111■lih�■■■■■ ■■■■l■� C1Al:■��rf 111W llii%:�Giiirltii■�Ii� i111 A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUI(FER (drcle one) ❑ See note on back regarding River Basin 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 Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permi •• 570 Application Feels) Check g/Money Order Issuing Date Expiration D to 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: ElTar - Pamlico River Basin Buffer Rules El 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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all 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 Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Berne, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 wUJAtaNI KII'AKIAN YKUYtKIIT UWNtK NU I WICATIONMIAIVER FORM CERfIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY t.. p, r.......,. — -- -, .,,r,....... -Y ....... ... ....... ..v..,,., Name of Property Owner: FF?-A At Is i hi RzA) i� rL2V 24P 1+ Naaress oT rrooenv: y 7 D A S a*J Su A �J )=1 fLLL r� mofte I•tvAt) Mailing Address of Owner: ei3ZA Ho+c wJ DrL ownersemaii: FP_sJAn5,�#4X-ALd--_ ownersrnones 9('-a(gt 373-3 Tne�f Ln CL : c c •'ti Agent's Name: Agent ,aenrs Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Ownsri �dreov cea ry mat I own orooenv aoiacem io me aoove reTerence(l DroDeriv. 1 ne 1norviouai aDDlwng Tor tms 3ermit has described to me. as shown on the attached drawina. the development thev are or000sino. A description or drawing, with dimensions, must be provided with this letter. I UU NV i nave oniectlons to tms DroD0sa1. 1 UV nave ooiecaonS to mis oroDosa1. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal manauemenr lucm) in wrmna wttnin Ta clays or recemr or rms nonce. Gorresponaence snoma De mailed to 400 Commerce Ave.. Morehead Citv. 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 unaerstano mat anv proposea pier, oocK, Mormq prongs, Doat ramp, DreaKwater, Doatnouse. nn, 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 anornnriate hlank hpinw ) I DO wish to waive some/all of the 15' setback 11612 I do not wish to waive the 15' setback Hw,a an Prnnart✓ r)wner (initial the blank) agnature or Aalacent Kipanan l ropeny vwner: Typed/Printed name of ARPO: Mamna Address or AKFV; ARPO's email: Date* ARPO's Phone#: "waiver is valid for up to one year from ARPO's Signature' 0 W W U W M Revised July 2021 } F 0 0 C) 0 .v. V,• VIVI\ VI VVfIV IfIL IIf\I\r1V L1\ILI\1 aDJACEN T RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM :ERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY t 1 V'/ �./VI LIVII w VV VVI11'/Il-\VV VY VYIIIVI VI 111V11 um'jl' Name of PrODerty Owner F (Z44QIK i E Q E N ] Iii- IL G tZr} P M- +caress or rropehv: Lr7 O s g,+IV 5NA- J CI RCLq-- Mailina Address of Owner: 9324 DrL "'Jc 27b I J uwner s emaa: FPende-r\ ca ran), o-+A,euwner s t•none- 419 Q 19 7 -1 2 psl�cog, coT�, Agent's Name: Anent Phone#. enrs Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adlacent Ptoperty Owner, �I ury mat i own orooenv aalacem to the aoove reTerehceo orooerty. i ne marviouai abowino Tor this -mrt has oescriDea to me. as shown on rite Attached drawina. the development thev are or000sina. A —motion or orawma. with almensions. must be orowaea with this letter. ✓ i uu ivu i nave owections to this proposai. i uu nave ooiections to this Dr000sai. If you have oblectfons to what Is being nrogosed. you must notify the N.C. Division of Coastal management Iucmr in wrap within ru aays or recervt or ans nonce. i onesoonaence snoula oe nailed to 400 Commerce Ave.. Morehead City. NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response Is considered the some as no obiection ff you have been notified by Certified Mar, WAIVER SECTIQN i unaerstano that any proposea pier, aocK, mooring plungs, boat ramp, oreaKwater, ooamouse. un. or xom must oe set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or nprap revetments). (If you wish to waive the setback. you must sign the aooropriate blank below I nit wish to waive some!aA of the ? 5' setback ' 1 D N x" /J Q --'innahlra nr nr Pinarian P nerty Owner -OR.- 1 do not wish to waive the 15' setback requirement (initial the oianK) } ...,nature or Halacent nipanan rropeny uwner: W o V 1 yped/Printed name of ARPO: Go = W W U cx-- maumg Aaaress of Arcru tU Q U ARPO's email: ARPO's Phone#: G Date: *waiver is valid for uo to one vear from ARPO's Sianature• htevlSed JUIV 2U21 s- anbLA kvav nod p!vs aN