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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 J 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 . //�� 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 �■■■■ors■ ��s�.�■�■a■■■■e■■■� ■■■■■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 i Notes/ Special Conditions S f S !-, d', ^ -I cq, o i t, c-s or/A�pplicant Print^ed)Na ne Si re Please read compliance statement on back of permit/ �� (9 Application Fee(s) Check # I (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 5--7 6 Z 3 A>Hc.E /L r v G— %�4 fi6-44 s .a v o p t,6 7 t n pr F[roATJA)C vdLi:�-. 4t �L DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED f 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. c� (Pro rty wner I /ration) 4JOIMM Property Owner Information) raf XO-" Signature , ignature * r 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 V , .yam 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. so .t� M� �.2 y 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 (y �—j L>" ry ki Lwvhis�m_ I C) tl r O CV O N x x ' .rr*.h- 7711 6I