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HomeMy WebLinkAbout59713_DAVIS, CAROLYN_20121108OPV ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New []Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. �.' f { ,., Applicant Name .� 1 r 1 r j Project Location: County Address , _ ., I f r e i �i,i" i Street Address/ State Road/ Lot #(s) 7-1 -r City StateIP Phone # O. Fax # O Subdivision Authorized Agent ( City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWs: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length it Platform(s) e 1R-1NI WTI Finger pier(s) Groin length number t Bulkhead/ Riprap length. L_ 1,T"_ avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift _ + I � I I� I w Beach Bulldozing Other - Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no i Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions P i _ -- / f ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit's . Application Fee(s) Check # f' Permit Officer's Signature Issuing Date Expiration Date` Local Planning Jurisdiction Rover File Name 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 [)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 Quality. Contact the Division of Water Quality 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 Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South 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 -below New River Inlet- and Pender Counties) Revised 08/09/06 Aopllcant: Date: l l Describe below the HABITAT disturbances for the application found in your Habitat code sheet. All values should match �ie—fname, and units of measurement Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tem impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL, Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge El Fill Both [I Other El Aq ��� Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ . Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ .4::).�"S�ti J.''w: v':: a. i'•h.'� Iri .. AIR l: s.. ..- . ........I . :�. /`. �)�!`M"-AA 'V �t}• .t,Ua�� +ariTar.n:.r_,-�.�s�e:li�i�]-;.:,Ii _. `•:f._ii:��} ::1.. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to G-L6 1�16:r4L/4 4PAAl-f 's (Name of Property Owner) property located at /78C,6:p'� /QblAl7 8G k,P (Address, Lot, Block, Road, etc.) on/r✓IR. 6a4.S-r4L Lv,4IeW&AY.in Cg:pA9 A61,,V agz:) N.C. (Waterbody) Agent's Name #: 4,44 T Agent's phone #:Z S�z - 71 - 1394 (City/Town and/or County) Mailing Address: po- ,egx SZ aV0 City-1NC Z8-<23 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR' DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 11v- 1,46 RECEIVED SCE JAN 12 2012 DCM-MAD CITY if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.nedcontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) Sign 1` iVCC6 4 Print or Type Name -o - Fo „x Sz - - Mailing Address r City/State2ip z,5z- G"71 Telephone Number Date (Riparia Property Own nformation) nature Print or Type Name 4-7Q �- Sco6441y C . ;v;aiiing Address A/c City/State2ip p1J-6OR -7674- Telephone Number ,'lo/ati/� Date 'A&7ALI- - 5 -,a /.j L RI/o R/1 p DAf WA, S,/g 57YO45 a ).: EX/57/AIG- sL--A 4 a,, 178 CEDAR POINT BLVD fyt-- ED 201Z CITY s !V DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED c,9Ro c yt/ 1,74v/5- y a /-)G I hereby certify that I own property adjacent to % AM2ccLA f�DA" M S s (Name of Property Owner) property located at _ / T$ C 6-0,42 Relyi 9C VP r (Waterbody) Agent's Name #: Agent's phone #: (Address, Lot, Block, Road, etc.) (City/Town and/or County) Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and i have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRiPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) ll/ Y�-WI ZL AJ C R/,41' - /?,9/0 6/l/ 6V9 %(�JZ .SLUG !3� LF�'/S%/,/�PECEIVED S r~/gLG 5C-E JAN 12 2012 DCM-NIHD CITY If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimangement.net/contact_dcm.htm or by calling 9-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) Signature 41V C-4 LEA 4,OAzu s Print or Type Name R<3 - Sax 5-2- Mailing Address City/State2ip T .2.527/-l3SG Telephone Number 16A, d- A, Date (Riparian Property, ner Information) 1-4 1: i 1 A L 1�1, .V-o �- 9, Print or type �36ao �'a�s� cdv,4T' 11 :1rng riddress /ZZ /i ��2s- VIL c ?S City/State/Zip 76¢- - p¢T-s3z-5-- Telephone Number o �ti1 I Date D,c( WA—,f &:,R Sl,pE c F EX! S 7/.c/G- 4 s I i 178 CEDAR POINT BLVD ho z ?CEIVED 12 2012 .MHD CITY N t31 Robert M Adams 9�31� An D. Adfana `-=" 0BoX 52 117 McCoy St. 252-638-2909 BRANCH 77600 Cove City, NC 28523 mate 00 00mg WACHOVIA Wachovia Bank, a division of Wells Fargo Bank, N.A. go"( 1:0530002191:1044711026309ii' 9315 RAINBOW