HomeMy WebLinkAboutGrazioli, JasonPCAMA / ❑ DREDGE & FILL No. 75995
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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
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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
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