HomeMy WebLinkAboutIngram, Mary 84429CN9 8442e ABCD
Previous permit
Date previous permit issued
Partial Reissue
As authorized by the Sate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I5A NCAC I-l Rules attached. l-l' Generat Permit Rules avallable at the following link www.dE.nc.8ov/CAMArules
.t4 Authorized Agent
Street AddresVState Road/Lot #G)
Subdivision
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City Sate ztP
Phone#(-)
Email
City
Applicant Name
Address dv{
Affected Ea*
AEC(s): Eo*
ORW: yes/no
Er* lemlrxe nr*
PNA: yes/no
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Ent
Irws
Adi. Wtr. Body
Closest Mal. Wtr. Body
,l\
ilType of Proiea/ Activity
Shoreline Len4h
Pier (dock) length
Fixed Platform(s) _
Floating Platform(s)
(Scale: )
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Finger pier(s)
Total Platform area
Groin length/# _
Bulkhead/ Riprap length
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Avg distance offshore
Breakwater/Sill
Max distance/ lenCth _
Basin, channel
Cubic yards
Boat ramp
-
Boathouse/ Boaiiift
Beach BulldozinC _
other
-
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be
Permit Conditions
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! ranveamlr.rEUSE/BUFFER (circte one)
! S"" note on back regarding River Basin rules
! See additional notes/conditions on back
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I AM AWARE OF STATUTES, CRC RUTES AND CONDITIONS THAT APPTY TO THIS PROJECT AND REVIEWED COMPLIANC! SrArEi/lElt! (Please lni6al)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
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Signature r*Please read compliance on back of permitt*Signatu.re
Application Fee(s)Check #/Money Order lssuing Date Expiration Date
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GENER/AL PERMIT
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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:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (9LO-796-72L51.
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 Manasement 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: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-648L
Fax:252-948-0478
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmin4on District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
970-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover and Pender Counties)
http://porta l. ncden r.ore/ w eb lcmldcm-home Revised 6/01/2021
Ecarrna EoneocE&FILL N9 84429 ABCD
GENSP4L PERMIT Previous permit
Date previous permit issued
E New ! Modification I Complete Reissue E Partial Reissue
As authorized by the Sate of North Carolina, Department of Environmental Quality and the Coasal Resources Commission in an area of environmental concern pursuant to:
I5A NCAC [-l Rules atached. f] Ceneral Permit Rules available at the following link: www.deo.nc.gov/CAMArules
Ciq/Sate ztP
Authorized Agent
Prolect Location (County)
Street AddresVSate Road/Lot #G)
Subdivision
City
Phone#(_)
Email
7tP
Affected lor
AEC(s): Eo*
ORW: yes/rio
Et*!en
Er*
Ert
IseruaIHA
[]m Adl.wtr. Body
! rws Cbsest Mal. Wt.. Body
PNA: yes/no
Type of Project/ Activity
(Scale:
Shoreline Length _
Access Length
Pier (dock) length _
Fixed Platform(s) ---
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin len8th/#
--
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill _
Max distance/ length
Basin, channel
Cubic yards _
Boat ramp
Boathouse/ Boatlift _
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning permit may be required by:
Permit Conditions
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yes no
yes noyes noyes no
! rnVeemlr.rEUSE/BUFFER (circte one)
n S"" note on back regarding River Basin rules
! See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RUTES AND CONDITIONS THAT APPTY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.(Please lnitial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature t*Please read compliance statement on back of permit+t Signature
Application Fee(s)Check #/Money Order lssuing Date Expiration Date
Applicant Name '
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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 beliel 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 Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (9L0-796-72L51.
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 Manasement Offices
Morehead City Headquarters Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 252-946-6481
(Serves: Carteret, Craven - south of the Neuse River, Onslow Fax:252-948-0478
Counties) (Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3907
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
9to-795-7275
Fax: 910-395-3964
(Serves: Brunswick, New Hanover and Pender Counties)
http://porta Lncden r.o rslweb/cm/dcm-home Revised 5/01/2021
AGENT AUTHOREAION FpR CAMA PERM|T APPLICATION
Name of Propefi Orner Requesting Permit:mo01 9P6Raa
Mailing Address:I Lt ,tg.o Avb
9 rAct CcF, ir,C ts{st
Phone Number:llt?-|oE- |fE,
EmailAddress:
I certify that I have authorized
Tbue,ae^'u, (b o't,il,o
Lco k o OOtl Agent /Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permlts
necessary for the following proposed development: QflUol, Po*Ytory oF Da,tl
-a*ab L.o*t7.oa
$te 0e
my property located at llt nfuto lot. t elol0ol , &
in OPtLcv County.
I furthermore ceftify that I un authorized to grant, and do in fact grant permlsslon to
Division of Coastal Management staff, the Local Permlt Offlcer and their agents to enter
on the aforementloned lands in connectlon with evaluating informatlon related fo thls
permit application.
Property Owner lnformatlon:
PrintorTyp
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Titlo
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RECEIVED
JUN 2 9 ZOZ?.
DCM.MHD CITY
This cefffication is valid throush -J2J-JJ-22"--
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RECEIVED
RECEIVED
JUN 2 g ZO?7.
DCM.MHD CITY
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARTAN PROPERTY OWNER NOTIFICATION (MINOR PERilIO
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Date
0 o.v rrt t.Lt
Name of Adjacont Riparian Property Owner,lI tGklto tvF
Address
, ttte S Cob, p.L ltjll
City, State Zip
To Whom ttMayConcem:
This conesporrdencs is to notify you os a riparian propcrty owner that I am applying fol a CAMA Minor pernrit to
EtPlto 0tc I op Cltl frooY?boY s .E3llb tlfi ot 0*rol
otrmypropertyat I \ pelot 0-JlPr , JvltS0olO, p-rb-
hr o p Sbatl Counry, which is adacenl to your property. A coBy of the appllcntlon and project
drarvlng ls rttached/enclosed for your revlerv.
If you have no objeotions to the proposal activity, please mark the appropriate staternent below and retum to IIle as soon
asiossible. If no.comments are reciined within l0 days of rtceipt of this notic.e, it will bo considered that you have no
colDlnents or objections regarding tlris prnject. '
,
'
If you have objections or comrnents, please mark the appropriate statement belorv and scnd your coffcspondence to:
g,bca1.peniun orncER, NAMft oF LocAL coVerunanNT, MAILING ADDRBSS CITY, srATB, zIP coDE)
If you have any questions about the project, pleaso do rrot hesitste to colrtact mg!ryV-!{ress/nurnber listed beldw, or
contact (LOCALPERMTT OFFICER) at (PHONE NUMBER), or by email afi (LPO EMAIL)'
Sincerely,
1t?- Jol! - ,ft?
TelephoreNuo$ert
Address City State zip
Dm I have,o objection to the project dcscribed in this conepondence.
_ I have objrction(s) to the project dcscribed in this correspondence.
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Adj acent Riparian Signature
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Date
?ro^l)L - Pt o&
Print orType Name TelephoneNumber
&
Address City State zip
JUN 2 9 ?O?Z
Revised JUU 2A27
DCM.MHD CITY