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HomeMy WebLinkAboutHarrell, Jason 88721C❑DREDGE & FILL GENERAL PERMIT �j New ❑Modification ❑ Complete Reissue ❑ Partial Reissue No 88721 Previous permit Date previous permit issued A B C D As authorized by the I thH eState of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC �(! / , I 1 C19 ❑ Rules attached. Z General Permit Rules available at the following link: w ..deo.nceov/CAMA ules Applicant Name I A- YJ %) W1 i 0 t 4- Address ,,.�2 rv({"i';i ,: (,o\/�i l city (- rtd r ;•. p J `) (. i Stare rJ i ZIP % % 4T� J)4/2�77 6L Z�56 Phone # (L�li-� `=Email Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body Type of Project/ Activity 11 AJ510 v (1 (Scale: ) Shoreline Length Access Lengthif Pier (dock) length /' Fixed Platform(s) I Floating Platforms) a - —i— i Finger pierls) -rNK Total Platform area Groin length/# Bulkhea* Riprap length I -� ?- AVgBistance offshore ` tlF-. 1 i, i i t l Breakwater/Sill•--- Max distance/ length _-- 1 7- Basin,channel / Cubicyards /. '-_J!7 Boat ramp + Boathouse/ Boatlift j Beach Bulldozing Other SAV observed: yes no r + Moratorium: n/a yes noSite Photos: yes no .i t--a—,- — -- Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (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 Agent or Applicant PRINTED Name Signature **Please read compliance statement on back of mit•• Application Feels) Check #/Money Order Permit Off ter's PRINTED Name - Issuing Date Expiration Date 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 Manaaement 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 doulk, M1VCAMA ❑ DREDGE & FILL N9 88721 A B & D Previous permit GENERAL PERMIT + Date previous permit issued ; VINew ❑ Modification ❑ Complete Reissue ❑ 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: I SA NCAC ❑ Rules attached. Z General Permit Rules available at the following link: www.dea.nc.gov/CANL4rules Applicant Name _ Address City Phone # (_ ) Email ZIP Authorized Project Location (County): Street Address/State Road/Lot #(s) Subdivision City — Affected ❑ CW ❑ EW ❑ PTA E ES ❑ pTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑NA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body ORIN: yes/no PNA: yes/no Type of Project/Activitylji (Scale:�-Ts j Access Length ...- .. __ �. _._.___ ._ _._ _. ->_ Pier (dock) length r.. Fixed Platform(s) / i Floating Platform(s) Fingerpier(s) Total Platform area Groin length/ff� Rulkhea� Riprap length-- sance offshore. Breakwater/Sill-- _J47 Ni I Max distance/ length .- Basin, channel / I is Cubic yards �'" - f- Boat amp + _- '....- /.• I ; Boathouse/ Boatlift ,I Beach Bulldozing • Other _.+_ I SAV observed: yes no i Moratorium: n/a yes no Site Photos: Yes no Rioarian Waiver Attached: ves no ". - '_. _. !__ '. •- 1 A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER(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 Signature '*Please read compliance statement on back ofgje'j�mitetGJ.���I TT Application Feels) Check q/Money Order Permit Officer's PRINTED Name Signat re t ( al -La Issuing Date Expiation Date 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 1-1 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 Manaeement 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) http://portal.ncdenr.org/web/cm/dcm-home 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) Revised 6/01/2021 AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit' bl d /� {� ✓� l Mailing Address: a j .l zs tc v-Jc s i `i Phone Number: a s. 3 -7 - -7 s w Email Address: -- I certify that I have authorizeda P Agent I ContractoF to act on my behalf, for the purpose ofapplying for and obtaining all CAMA permit . necessary for the following proposed development: 1"S v / vac q C/l at my property located at C % D J, in Cq 1- e-County. I furthermore. certify that./ am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the. aforementioned lands in connection with evaluating information related to this Permit application. Property Owner Information: Signature Print or Type Name Qw.ac� Title `1 I I C I ./)- Date This certification is valid through kS C- P ` Ce. f"�C4 t eaecaaesesex sysv sr L•L MG m �i✓ iWM�M,i.� , tti and+w anv[a a m. H YM d10•. M d.tx�'a^ �'^t M b Cev6 .�...lhstnLP�aitswct.aRY.. _.. OSHMT%1N MO+M du m w NI0r0lp� �� 0•rNpl 1nJ.IJ�N�PrvYuym�t TaA , x cjw1 p c Mtl v �mr.:a rs.o-+. as waiw nanw.e av:n ;:i.i:.« py • wy*r* mw++O t5" Iram iro'ru d rw"n •wo M. r•W ON � (� lw M OJ aYw M..�NL'/'+�1NIW lw Lt++.Vle t•.t6iY1 I OowN b a9M i• 15' M.s'a �•N�'t ^��� IbtYp�Po sM L+ 15' wlbW n� w�l t � G t [✓lfncc �trpvvt Ns'N 11 �4�W N4'HtA n N N � N f) N 3 SD O J I I hereby certify that I own property adjacent to Owner) (Name df Pr property located at C Block, oad, etc.) N.C. (Address, t, G O U� Sp Lot/ in G and/or County) on (Waterbody) (CitylIOS ent proposed at the above The applicant has described to me, as shown below, the developm locat' n. / l/ i have no objection to this proposal. _ter— DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT development must fill in description below or attach a site drawing) {individual propoing L I l / L/ I WAIVER SECTION. _ -_ --. be --- v 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, llt or groin must be set back a minimum distance c 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blankbelgw.) I do wish to waive the 15, setback requirement. I do not wish to waive the (property Owner Information) 15' setback requirement. ✓V � x Signature ( t print or Type Name Mailing Address � 5� r= t� �-.1 c w e IS City/State�Lip x Telephone Number Date owner information) L (Revised 6/18/2012) L\ I I