HomeMy WebLinkAbout87688D GOUBRAN&I`°"r41 OCAMA ❑ DREDGE & FILL a� N9 87688 A B c b;,
3 (' Previous permit
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GENERAL PERMIT /� J
C O/7 � Date previous permit issued
ffi'❑Nevv ❑ 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 � + );,I J V 0 ❑Rules attached. [2 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address 1170 1
City
State % 1. ZIP "? g 3 3 0
Phone # ( r
Email Ali C6i+'D��n� �� �B►)1
Authorized Agent '�J ! A
Project Location (County): &AL W r ( Ic
Street Address/State State Road/Lot #(s)
(05�� rc1�l�✓�1�Q.
Subdivision
City t ZIP �Ss4�j
Affected ❑ CW V EW [JPTA ES PTS Adj. Wtr. Body _
AEC(s): OEA ❑ IHA 11 UW SPIMA ❑ PWS Closest Maj. Wtr. Body
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ORW: yes/fro', PNA: yes,jliio1 f
Type of Project/ Activity f0 t i
Ch—lina I —th' /
Agent or Applicant
Signature "Please read compliance statement on back of permit"
40L--� TaeI
Application Fee(s) Check #/Money Order
(Scalem's )
u — d—LIV-1 nvwa/wiiwuUiu vn —K
(Please Initial)
.�G'�,'1 c i f lyVi I (IC
Permit', fficer's,PRI �rT,6D N me
Signature
g I -a's
Issuing date Expiration bite
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:
F-1 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 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: Bertie, 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
1%4&AMA i 0,11EUGE A, F1,U'L 'A B C rUj
GENERAL PERMIT
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A InpuddinggKInisliNnIng Iwifflit m3Y be fcquifed by -T
TiWPA"EUSEIBUFFER( 6m)
S" note an back rqprdIn&wr.BJsin ruivi.
Secaddibonal notes/conditions on Ok
Or, SIAIUIEi. cRC RULES AND CONDITIONSINAI APPLY TO 7111S PROJECT MO REVIEWED COMPLIANCE STATUAINtIA riple aw t"Ito
Expiration
DocuSign Envelope ID: 5330A3A7-48BA-47OB-8407-113EOCBB69B6
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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:
Mailing Address of Owner:
Mary Lacy Tate
117 Swordfish Dr Holden Beach NC
2323 Borough Rd Currie NC 28435
Owner's email: tatefarmsinc@gmail.com Owner's Phone#:
Agent's Name:
Agent's .Email:
9108404805
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 description or drawing, with dimensions, must be provided with this letter.
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 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at
(910) 796-7215. 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.)
DocuSigned by:
I DO wish to waive some/all of the 15' setback E
mRn
Signature of Adjacent Riparian Property Owner (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
e—DocuSlgned by:
Signature of Adjacent Riparian Property Owner: �#
Typed/Printed name of ARPO: Mary Lacey Tate -Corbett
Mailing Address of ARPO:
2323 Borough Rd Currie NC 28435
ARPO's email: tatefarmsinc@gmail.com ARPO's Phone#:
9108404805
Date: 8/16/2022 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
. DocuSicn Envelope ID: BCBB9167-BB63-4DEB-AC86-010F81228752
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Robert G King
Address of Property:
111 Swordfish Dr Holden Beach NC
Mailing Address of Owner: 7200 Grainland Dr Lewisville NC 27023-9484
Owner's email: rgkwtk@gmail.com Owner's Phone#:
Agent's Name:
Agent's Email:
336-287-2610
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 description or drawing, with dimensions, must be provided with this letter.
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 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at
(910) 796-7215. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
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.)
DocuSigned by:
I DO wish to waive some/all of the 15' setback
Signature FXWjWeghrNipatian Properly Owner (ARPO)
-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: Gray King
Mailing Address of ARPO: 7200 Grainland Dr Lewsiville NC 27023
ARPO's email: rgkwtk@gmaii.com ARPO's Phone#: 336-287-2610
Date: 8/16/2022
*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
CAN1 . O DREDGE & FILL _
776h1 A
G EN M an Po AMIT''
RA
Reissue' �jPartial Reissue . ' Date Rreviaus'etmii (;sued.'. , 1& 2,QMa
A, .authorized by the State of N6r'&Carailna, DepartmeRtt of Emrironmena! Quality , -
-acid the Coa3tal_Resciirces;Gomm{ss{an in'an area of enwronmenW tnncert pursuant to_15A NCiC 1
• � - .__ _ � !?��ClRulesattach�d .
a
Appli 1�11 t.kc� 'G'o
cant Name - �%�t Jr r ` Propeit Location Catsrity n ctYt Y tr ��L r
-ice $treat AlififegSj STdte RO LaC
City Rocl� gill tare � _ 9,0 3 o in
Phone
0.1(7____.} I` (
Au orized Agent �-
-
. r City ' o c; ZIP F'Srt
Affected'a O U N!A Phone
a�Ec(sj J. aoEA - 0H! F alai O Ba _
-GI PY�i d c rAdj Wtr Body N�J,(nacanu"k"-�
ORVf% -yes° / no PNA no .. Clasesc Maj -1Ntr Bally
;.
Type Of Orojecrl Activify -C G
- -
,
Pier (hack} iec,gti+` f � �
Fixed Piatiorm(s). - t 2
F kk r
FioaangPfztfarm(s) =-f g I �. i f )�f. Y; iy� � k
ri
t ti
Grosci ltttgth r i _i ! . E- "
'_ number ::r r � �• a ,4,i ...k, i I c -.? .�.. 1. 9. f %
• � dtstaRace Q e... �" -
�z.d' o3fshore,
B�s;ri:ctarRriel' 1—i z
-
OK
tubic
BQatramp f t I i� I 6 �13iMt i f F t i
Soafiltt' �
M I r i s
,
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Beuh $ul►dozing -^ _""-� t j � �y i ' 3 - 6` i �' t . a: Y i i ,t:.;( - # f
'other
fop
r
ul f _�o $ry �`- f_11;
Sbooe .Length -- -1,
rtot sure no ) _ t
M corium.: V ^pit'
Yes
WaNerAttkhe& n0
A liddin fruit ma be * wired Dx&r, 0 11a{ -�
g pe Y q br See note an --back regarding River Basin rules
( Note Local Planning ludidid'don)
No- 'SpeeialConditions _ Ay ru+i2S 0E?Gt'+j`%UV idlil�; S7L1TP , t'eLf2;t i� i"QL C[iio`'\I
x _
for IlcuitPrinted.Name Ageen App - Penn' $leer's P ' None _
S1 ture,ease readcompliancestatementonbackofpermit" Sfgnature
ao �- [b%moo 'if 320
AppitcatianFae{sj:. Check:# IssuingDa tcxpiradon - -te '
u
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Ln
Date Received
Date De Iced
Check From Name
Name W Permit Holder
Vendor
Check —per
Check
amount
Permit NumherlComments
Receipt or Refund/Reallocated
Columnl
Column2
Column]
C.1-4
Co1umn5
Colu-6
Column?
C./umna
Colamn8
8/30/2022
Carolina Development and Propertie_
Goubran
PNC Bank
3261
$ 200.00
GP #87688D
PA rct. 17726
8/30/2022
Overbeck Marine Construction, Inc.
Sugg
Truist
5580
$ 200.00
GP #87615D
KB rct. 10359
8/30/20221
Overbeck Marine Construction, Inc.
Friedrichs
Truist
5578
$ 200.00
GP #87637D
BH rct. 17709
8/30/2022
Coastal Dock Builders LLC
Calvert
Bank of America
1034
$ 200.00
GP #87604D
JD rct. 17688