HomeMy WebLinkAboutRussell, Rocky❑ CAMA / ❑ DREDGE & FILL O
... N . 78448 A B D
GENERAL PERMIT Previous permit#
bNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality / 26
�!,y��
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f / 11
( Rules a ched.
Applicant Name 1 \ I'i c �y �F ( L I ! Project Location: County /"
Address 1 > I 1 C ` f? V 1 Street Address/ State Road/ Lot #(s)
City(-,\CE,fl\/I��E' StateNC
Phone # (^) r r ' E-Mail
Authorized Agent
AAffected '�� MEW fKPTA �ES ❑PTS
Affecte ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ WA
PWS:
ORW: yes / no PNA yes / no)
Type of Project/ Activity
Pier (dock) length (r! A
i
Fixed Platform(s) 1 r K
Floating Platform(s)
Groin length
number
Bulkhead/ Riprap length i
avg distance offshore
max distance offshore
Basin, channel
i
cubic yards
Boat ramp
Boathouse/ BoatliJt�'.. �/,''
Beach Bulldozing -
I r
Other I j. f
Subdivision
city d 'rt it 1 /� 1 ZIP_ _
Phone # ( ) River Basin
Adj. Wtr. Body I `f.''.. / (; (i (nat /man /unkn)
Closest Mal. Wtr. Body
Shoreline Length t U/`'
SAV: not sure yes no
I
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes n
/ ` ^
A building permit may be required by:
( Note Local Planning jurisdiction) t..
4 r
Notes/ Special Conditions �- -!"'f /+ n� �! ''�4+j{ +)% c il
i i.t- 'Ir(f � Ine hr. f "i r I('V
n)>I-
Agent or'Applicant Pnnted Na e
Signature : "Please read compliance state ent on back of permit"
C =! //,(r
Application Fee(s) Check #
(Scale:' )
5(<i �,qrl - V- I ( r �
See note on back regarding River Basin rules.
PermitOfficer s Panted Nayne
�✓'
Signatupe
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 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 or certified mail return receipt has been obtained from the adjacent riparian
Iandowner(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 how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-8884RCOAST
Fax: 252-247-3330
(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)
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 - South of New River Inlet -
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that]. own property, adjacent to ° 09/' Amm &6 C "s
T (Name of Property O er)
property located at - .a 3 7 /1oG�? //1U
!� (Address, Lot, Block, Road, etc.)
on QY wP6/z7 .iCrU In A-,A-W, eazt U , i2* , N.G.
(Watarbody) (CIty/Town and/or County)
The applicant has described to me. as shown below, the development proposed at the above
locafior�:
6� t have no ob)e, coon to Ws proposal.
I have objections to this proposal
RECEIVEDED
,jGG 1i'Zr"1 OFf. 12 9019
DCM-MHD
DCM-UND CITY
AIVER SECTION
I understand that a pier, dock, moorinj. pilings, boat ramp, breakwater; boathouse, lift, or groin
must be set back a mlpimum distance of 16' froth my area of riparian access unless waived by
me. (lfyou wish to Walve the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement:
f l do not wish to waive the W setback requiramea - --.
(Property Ow�or Information),,,(Adjacent Property Owner Information)
fED
2019
CITY
"Valid for one calendar year after signature* (Revised Aug. 2014)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Axe`. ,�U�q/ %/Q�{(prt�r �C�[ Is
(Name of Property Owher)
property located at c237 rQ Vy_1711 b121/F
(Address, Lot, Block; Road, etc,)
on i1r iPa2T 2tC/ to �2,t C�r2]r—�te7Pi�, N,C.
(Waterbody) (CltylTown and/or County) 7
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The applicant has described to me, as shown below, the development proposed at the above
I a n.
I have no objection to this proposal.
i have objections to this proposal.
a
DEC 12 2019
OCM 4f110 07'
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15'setback requirement. --
Information)
(Revlsed Aug. 2014)
•Valid for one calendar year after signature"
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