HomeMy WebLinkAbout78558A_Gancsos, Brenda & Kalman_20200319CAMA / DREDGE & FILL No 78558 O B C D
GENERAL PERMIT Previous permit #
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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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 15A NCAC /-y .
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II [BRules attached.
Applicant Name 46 ( e A dG -a A a I n. a Cs'a nc S .'S Project Location: County r sz-
Address P. 3 y
City P---4' <a 5 State N ZIP ' 7 �� 3
Phone # Y 3 Y2 E-Mail
Authorized Agent —
Affected ❑ cw � �TA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / no PNA yes / no,
Type of Project/ Activity
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Street Address/ State Road/ Lot #(s) -
Subdivision —
city
ZIP 2-7 S U3
Phone # ( ) - River Basin PF 7cA k a-, ^ k,
Adj. Wtr. Body e (Z5 �g S h G R • ate any)
Closest Maj. Wtr. Body f a ^ , S e
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■■■■■ME MEEMMME
■■■■■■ ■ ■■ ■■■
■.■..■■ ■■ ■. 11,11
Shoreline Length g
SAV: not sure yes Q
Moratorium: n/a yes no - t._=
Photos: yes no
Waiver Attached: yes no T i
A building permit may be required by:
( Note Local Planning jurisdiction
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Notes/ Special Conditions S f S !-, d', ^ -I cq, o i t,
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or/A�pplicant Print^ed)Na ne
Si re Please read compliance statement on back of permit/
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Application Fee(s) Check #
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(Scale: / ' : j a )
❑ See note on back regarding River Basin rules.
Permit Officer's Printed Name
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 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
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 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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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
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Name of Property Owner: J/1 N t e I a Ad Je
Address of Property: 5702, t 1, /e,- Dr iV' ( d ,'H r �`° S . /�/C 2 3
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Agent's phone #:
Mailing Address: P o i-� - k � 3
%e s NC
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.
_ I 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 mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909, DCM representatives can also be contacted at (252) 264-
3901. 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, 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 sign the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
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(Pro rty wner I /ration) 4JOIMM Property Owner Information)
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Signature , ignature *
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Print or Type Name
Mailing Address ! z
gf#vll-t�
Cit /S atelZip� 3 0 fr b 3,23
Telephone Number/Email Address
- - ---3 — / ra- D
Date
(7:'?JHC-LS o c
"Print or Type Name
P6 -135))( / 3 �
Mailing 'ddr ss
ity/Stataop
ASS -3 o S- 43'1<�
Telephone Number/Email Address
3 -/i/ lz9
Date's
*Valid for one calendar year after signature* Revised 2017
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
/ Ne /! c 4-
Address of Property: 5 2y Z -7 KC,) c' r e /D,, , ✓ t l�� '#c -s s
(Lot or Street #. Street or Road, City & County)
Agent's Name #:
Agent's phone #,
Mailing Address: 0
1 SZ,
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 drawin the development
they are proposing. _
I 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 mailed to 401 S.
Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-
3901. 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, 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 sign the appropriate blank below.)
(Property Owner Information)
'fighature
a 1 C2 �L o
Print or Type Name
f )aox /3 !K
Mailing Address
`City/StatelZip
S 5,2 - was - y 3 4f 2-
Telephone Number / Enlail Address
3/-�-/zo
Date
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Adjacent PrOiDerty Owner Information)
Signature
L- � " vle/l c C c r < c
Print or Type Name
Marling Addres
rtylSta telZip
Telephone Number / Email Address
Date*
*Valid for one calendar year after signature`
Revised 2017
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This map is prepared
57023 Kohler DR
from data used for the
inventory of the real
Hatteras NC, 27943
property fortacpurposes.
Primary information
such as recorded
Parcel:015590000
Pin:959517115891
Dof
deeds. plan. vdlls, and
other prmary public
records should be
nsulted for verification
the information
contained in this map.
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Owners: Gancsos, Kalman G -Primary
Tax District: Hatteras
Owner
Subdivision: Subdivision - None
Gancsos, Brenda L -Primary Owner
Lot BLK-Sec: Lot: Blk: Sec:
Building Value: $200,800
Property Use: Residential
Land Value: $227,300
Building Type: Traditional
Misc Value: $14,800
Year Built: 1985
Total Value: W2,900
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