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HomeMy WebLinkAboutGrazioli, JasonPCAMA / ❑ DREDGE & FILL No. 75995 -� A B C D GENERAL PERMIT Previous permit# CJNew ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued 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. Applicant Name j .;� ' 1 j) ,', r r Project Location: County Address n i ( r t Street Address/ State Road/ Lot #(s) City State i' ZIP '�'/! (' Phone # ( ) /',� ��!' " 1 t/' E-Mail Authorized Agent ❑CW DPTA El ES ❑PTS Affected .DEW AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ WA ❑ PWS: ORW: yes / no, PNA yes / no Phone # ZIP River Basin f /'; %. t, ',-{ Adj. Wtr. Body Closest Mal. Wtc Body r ................C��.MEN ■■■■■.■■�C..■.. ■■■■■■■■■■■■■n�■■■■■■■■■�■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■■®■®®■■■ ■■■■■■■■W■IA■■■■ ■■■■■■■■■■■■■■■■■..■ .. ......■■....■.■ ■■■■■■■■■■■■■■■■■.��•� ....■■...■... ■■■■■■■■■■■■■■■■■. �. .....■■.....■ C■■■■■■■ ■■■■■■■■■■■■■■■■■■ ■M■ .■■.. .■........■■...■■..■�■........■■■.■.■.. M. ■■■■■■■■■■■■■■■■■■■■■■■■ CCC��'■:'■'■'.':'■'■EM'■'■'■N'■I'�C■'"■'■'■��®��CCB ■■■■■■ . ■■■ ■■■■' ■■■■■■■■■■■ ' CCME MEM::®R:::�: ::::::::MEM:CEm:::: s ::ICE:::::C:::: :::::::::::::ICMEN. •■ ■■■■■ICICIICC�'::MEMEMEM IN ME:: ■■■■■■■�. MMMM■■MMMMURc®i��� ai �aii® ORiwwii iEmu Agent or Applicant Printed Name S� aturex Please read compliance statement on back of permit" Application Fee(s) Check # PermitOffcer's Printe¢flyne / Signature Issuing Date /Expiration Date 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 andvoid. This permit must be on the project site and accessible to the permit officerwhen the project is inspected for compliance. The applicant certifies by signing this permit that I) 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on howto comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-411COAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) (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, - South of New River Inlet - and Pender Counties) http-.//portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: JASON AND TENLEY GRAZIOLI Address of Property: 194 FANNIE CREEK LANE, SNEADS FERRY, NC / ONSLOW COUNTY (Lot or Street #, Street or Road, City & County) Agent's Name #: OWNER Mailing Address: 194 FANNIE CREEK LANE Agent's phone #: 910-382-1390 SNEADS FERRY, NC 28460 Agent's email: GRAZIOLINC@GMAIL.COM 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. V I have no objections to this proposal. I have objections to this proposal. If you have objections to whatis being proposed, you must notifythe 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, 28405-3845. 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 a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. Mo not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signatu % �gnature JASON AND TENLEY GRAZIOLI Print or Type Name 194 FANNIE CREEK LANE Mailing Address SNEADS FERRY, NC 28460 City/State/Zip 910-382-1390 Telephone Number ALLEN M. AND NATALIE A. BROWN Print or Type Name 80 GREENTREE CIRCLE Mailing Address AURORA OH 44202 City/State/Zip 216-509-7740 Telephone Number Date Date Revised 6/18/2012 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: JASON AND TENLEY GRAZIOLI Address of Property: 194 FANNIE CREEK LANE, SNEADS FERRY, NC I ONSLOW COUNTY (Lot or Street #, Street or Road, City 6 County) Agent's Name #: OWNER Agent's phone #: 910-382-1390 Agent's email: GRAZIOLINCCdGMAIL.COM Mailing Address: 194 FANNIE CREEK LANE SNEADS FERRY, NC 28460 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. kI have no objections to this proposal. I have objections to this proposal. 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. Correspondence should be marled to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796.7215. No response Is vunu+anu um annm as-n�-uy �uu�e,G,ue/n� �n you nave peen n unea a Gertmea may. r AW&AAM&ERSECTI N ,yAy����,� �r I understand that a pier, dock, mooring pilings, breakwater, thbtlS`b,`Iift, r in m eb set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you �s wish to waive the setback, you must Initial the appropriate blank below.) r r I do wish to waive the 15' setback requirement. 04vo ` O I do not wish to waive the 15' setback requirement. (Property Owner or 194 FANNIE CREEK LANE Mailing Address SNEADS FERRY, NC 28460 City/State2ip 910-382-1390 Telephone Number �'Al) Date (Adjacent Signature ANTHONY AND LOUISE BROJAKOWSKI Print or Type Name 921 WIMBERLY ROAD Mailing Address APEX NC 27523 City/state2ip C 919. Tele no Numbe �, l W Date Revised 611WO12 1. ._ r zo x �lq ZJD 0011 (N a iwo VII