HomeMy WebLinkAbout78563A_Hart, Sharon_20200318grc v
EI CAMA / ❑' DREDGE & FILL O
,. N . 78563 �_ B C D
GENERAL PERMIT Previous permit# -7
❑New ❑Modification —Complete Reissue El 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
ules attached.
Applicant Name 1lc,, j-iaA _
Address-1
CityStatIE0 1- ZIP
Phone # (may) 'emu I - � � c= E-Mail
Authorized Agent AI k.- r n-'r I e 1
o- I k,1 PG[ j
❑ CW PrEW/ &'ftA
RtS ❑ PTS
Affected
A
ElOEA ElHHF ❑ IH
[I USA ❑ N/A
Affecte
❑ PWS:
ORW: yes / no. PNA yes
Project Location: County I k
Street Address/ State Road/ Lot #(s)Cr N
Subdivision t. j 1,1 11)"ic Y 1D,
CityD,f j'` ZIP 'a -7 `I46
Phone # ( ) River Basin )mac
Adj. Wtr. Body f { {Z nat Iman unkn
Closest Maj. Wtr. Body 1+" 0 k Sr
Type of Project/ Activity 1„ A rt k i, nc t-1
(Scale: 1 = 2v
Pier (dock) length
i
FNed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number /
Culkhead/ Riprap length G
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
y'
4—
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes
Moratorium: n/a , yes no
-..
Photos: yes , no J—1-
Waiver Attached: yes no
A building permit may be required by: )N_ 1� ,( V__ ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
_MM)b�:A
Agent Applicant Printed ame
A A � /�" )JIAI:�l
Sign ure Please read compliance statement on back of permit"
y� � 11 �5
Application Fee(s) Check #
Permit Officer's Printed V .1,/�
may,
Signature
3 v
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 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
Neuse River Basin Buffer Rules
❑ Other:
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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888ARCOAST 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
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certify Mat I (rave auftrmed P i'- i 4
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fur o .;fy I & i t- ; rl.?' *0 giant ,an do = fact t perms A ; , to
aiv�n of is<a} Ma rat Saff :�e Leal Pew Ofter and fir agents to onter
n the aforemer7tToried nds FT coF'4nectiGr 'W.V7 evaluarmig t='?+ClrT lio;^1 -%Vated to this
Propel Owner u*zfo--=iio
or YP& r anee
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CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT R)PARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Properly Owrw,
Address of Property: 7�
(tot cr strut ,Stree t or ROW. C4Y & COtS
Agent's NWM ;it. CL t1f lu �`IkadwaikvAftvw V'Q )C 5`
Agent's 0xim #- 2 ` -Z cam''t -1t4
hereby certify that g awn property adjacent to the above referenced properly. The individual
a pplyiV for t+irs Faermit baS Jescri bed to iT1c as shown on the attactwtt dr �rrrr,�it� development
they are propos. Aid irrt€ttsatr" tto
r € t to rK) obtcctium to bits pro;xr it t ;'ulvv (1!�I 'cl3 ons to i�`ttw proposa€
tt you 1rave oblecbons to what is being proposed, you must notify the DrviN;o 't of'oasWAftiMwqwnent
(OC- in wrffing vita 10 rays of receipt of Mrs notice_ Contact imlor7mraun ror DGM vffkvw is
�rvsatab @at'ttt ""> .trr t r- garailing 1-8 COAS".
No re-Vonse: is eonzid0r9d Me same as no oh&bon if you h.7yr been pro iby a c�rttffed Mail,
WAIVER SECTION
understand that . dock, ac�ring pifint , to t ramp, brea3rw ter, boathouse, or did rtxtst
be set batk a rrini run distance of 15 from my area of riparian access airless wazved by me. (df
youmsh to waive the setback, your mvist initial t1l"se appropriate blank below
I do Mists to way the 15* setback requirement.
I do teat wish to waive the 15" setback reqLitrement.
Signature
S� y t''t`'1 1 C +
Pmt or 'type Iva me
Telrp��Number address
(RI Owner Info tion)
p
1K,-f > . 4 C c i t YYt Ai'L r r r -V',LY Yi
A a ss
T &* NUMCXW I Ema; Addan
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(Revrsc AuV c 01 4
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CERTIFIED MAiL • RETURN RECEIPT REQUESTED
f
DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO-nFiCATIO141WAiVER FORM
Name of Property Owner. 'J�x b11 _ - _ 1_\ a'� t
Address of Property:. Vim` 1 % 05�-- 91c\ lu L(C M c
`4 ,, (Lot or Street #, Street or Road, City & County) Q
Agent's Name#:EkQ A��9 1 �WaJ'S Mailing Address: Vo Eon 5o "i
Agent's phone #: Zc32 -2.1p 1-'i'A4 u— `� 13t Vl \ i� \\� S. �L 2� elq
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 fetter_
I have no objections to this proposal. J I have objections to this proposal -
if you have objections to what is being proposed, you must notify the Division of Coastai Managemerrt
(DCMJ in wfidng within 10 days of receipt of this notice_ Contact information for DCM offices is
available at =;c .r-=:_ _ -- " '", - �a _:orbycaflingl-BW-4RCOAST.
No response is considered the same as no objection if you have been noted by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or rift 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.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement
(Property Owner information) ( iparian Property Owner Information)
Signature Signature
i Print or Type Name Print or Type Name
Maiiing Address Malting Address
CitrStaafellip Qty/5tafe/Zi
I--SSto
Telephone Number/Email Address Telephone Number/Email Address
Dale Date
(Revised Aug 2014)
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