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HomeMy WebLinkAboutSiewert, James 76771CrGE FILL A PERMIT previous pernut i:on3p#ets Ft is, r,w . # art,al +Rl° itiC s11tE p violA pern-lit t, r,eea Svite of or h r `irz>--4NP, Q,lahty A Ote ors nssat B rstrurc S C e, try' samara in an area of r r a carirnea3t ituccs sstta1.4 nt tc, i SA t CAf ,»t_ fklalicrrt NrnF t pr,�Orrt:ot3tiow C_urwry, 3 j AddressWx . a �` ' t a'g � 'r r t-e�en�e" Addr (-,m S,` t �sdi j ',xk' s 4.srir? �� a� a is d t`i?,g , i,3SY,SI��,"e t �x t ^ {s� ) t 1 ,. A Cr' o iz('kfi f� f't _�_ y 1p PTA ' ' `# a PTS pf PV y t.... Y` '.%: 4—/tt: sue. i`K,if '.,%L. 2` l Y e�.S .. PNA r iyfse of ProjectActivity, a r ..sl z_3 r: YF• �/ �r r r y_ :t- • t F j ra Y: Aaher } j A �'oi4l*n^Q p�crr„t zay � �.::,_ c s p: �`. _ �� �._, _ �� � `. t„ .. See +t��re � �ar�e r°�g.3rd,rr�y R*vec has+rr r ries ,kqe Lorff Pr IWAng1xs+ _ t y Sci Condxr+s _ ... Note _.0 s 011y Nvnw[Ofi,cte'S'rrnee,pp,,am( r.rad ta:nf)4,i tt�, siaterrenr on hay k w perm Siprtatu -e- x ' i i - ,.sr�'i` iv g ,D.-a�A h:, Davis Rodeo Ranch 3368617673 p.1 neS , e"e2 �-- ��CIO IL Davis Rodeo Ranch 3368617673 p.2 --rCAMA .1' DREDGE & FILL GENERAL PERM W IT M(xp� cor-.'ere Rt!is5,1e P-itual Re-okic �t, �4fj• I ...... 011 1: SA AC ,r 4 Name I b*<*.1o`­)'.! C"'111ty, Acki S 1. Pi iahne 4A* At.!Ti,cnzed Agent zip Affected Cw PTA ES PTS AE C; OCA NHF IN UnA 114 A Adi vlvf, R-­Iv y W .4 PWS ORW '141 Bon.d PNA Type of Project Acriviry A 1_31 7 J A b2j1lr,'­9 Pel 1�0 hy -4 See iv,xr oii b.ick vegard,ag Rivocr Bmm rulLs. Note LOC-1i Conditions r46res.- Specijkll Cv, r So P3 1 l,S,m4g c),tic ;l..j`rr;! C+nM,A i DREDGE 8 FILLf �767 A B °i p GENERAL PERMIT Previous permit rt ort Complete Reissue Partial Reissue Date previous permit issued_ _--.--- As Authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Rewurces Commission in an area of environmental concern pursuant to i SA NCAC,., �, ._ # Rules Applicant Name �i( t`� i Project Location Countypf Address rF JAM{ t Street Addrt.5s Mate Road! Lot #is} City Lam- Gt`} tare ZIP Phone # ( � # ; Mali Subdivision Autftor ized Agent ' `� , ;':; Cityi"► cF i ,1 ,� ZIP Affected ACw w --�'pTA �JS PTS Phone # ( River B i;rr AEr: ,1; OEA HHF rH USA NA -� { ! rra ;rrzari.i"urikri i�ws Adj, Wtr 8txjy - f ORW r PNA t,.. ('ir�5e" Maj. Wtr, Booty Type of Project Activity Fkta" f ladom'i5 t t i C-1 f5_,m ,S' number rVCA Uwe rN8 r,ts /P ,M ei'a Ies j rehQUIS. 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Applicant Name c I Project Location: County Address 33Sell, Street Address/ State Road/ Lot #(s) CitN(� �S� tate ZIP 3� j �^ Pho` E-Mail * bs i�w 0v' �4Subdivision (enl Cl Authorized Agent to City & q ZIP N-CW —A-EW 'PTA �S ❑ PTS Phone # ( River Basin csKs� Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body f na man unkn ❑ PWS: ORW: yes O) PNA es / no Closest Maj. Wtr. Body S e Type of Project/ Activity PLZ oy &0r t_ I n—Ql—�� f Pier (dock) length )c Fixed Platform(s) Floating Platform(s) Finger pier(s)_ Groin length number Bulkhead/ Riprap length T avg distance offshore max distance offshore Basin, channel i cubic yards Boat ramp Boathouse( oat' 3-?< Beach Bul dozing i — - Other r r Shoreline Length SAV: not sure yes Gno -- -- Moratorium: n/a yes Photos: yes Waiver Attached: yes A building permit may be required by: ( Note Local Planning Jurisdiction)p P 1-1) F Q 7T�y (Q� 6ept or Applicant Printed Name ❑ See note on back regarding River Basin rules. 'IP_l/,, ,,o� A+ 1e0-A'st Permit Officer's Signatu e 3 o2 o -- l 3 Issui g Da a Expi tion Date Si nature Please read compliance statement on back of permit ", 1007 Application Fee(s) Check # 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 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/ 1-888-4RCOAST 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 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �-�`r r°�"► �' �� ��`� `� Mailing Address:l Phone Number: �C) q Email Address: S 123 e ` ' 4&e'V-7 I certify that I have authorized , ter r�,j Agent / Contra for to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 00c'�'��� at my property located at `C -7 6 5� in er2j J,ee e County. I furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information:�� Signature Print or Type Name Title RECEIVED I ( I -2- ,IUN 0 2 2020 Date DCM-MH[) CITY This certification is valid through I 1 � '�,J---�Hj--tt e --- 41 I�kn O � 1 f 1 �' f, II I� II Postal CERTIFIED o RECEIPT 117 Domestic ro a- For delivery information, visit our website at www.usps.com'O. Q' u'I Certified Mail Fee cc $3.5`.t N: N � «cK [1611 E u'1 $ �i 2 Extra Services & Fees (check box, add fee fe) :GG ❑ Return Receipt (hardoopy) $ t t, ❑ Return Receipt (electronic) $ Postmp�k -�> I 3 ❑ Certified Mail Restricted Delivery $ 1 Her�,:.``y p ❑AduR Signature Required $ ^r: * MC ❑Adult Signature Restricted Delivery $ t LJ Postage 0.55 (15k8/2C1 1 r E] �iTotal Postage and F e C3 Sent'-74,l � Juhn J ,-row /Apt. Sheeta orPbBox -------------------•---- 3 0 /�`f°oor�� �nC/ 9d . _ - ,, .... . Ci tate, ZIP+4� ` UY)16U,fi? NC 2�5�(� Postal CERTIFIED o. ECEIPT rq Domestic CO �- For delivery information, visit our website at www.usps.com". KQ U Certified Mail Fee $3 . ec _ �I ul $ Ill - s:. Extra Services & Fees (check box, add fee ❑Return Receipt (hardcopy) $, ❑ Return Receipt (electronic) $ � 'i(� Postmark t `a v []Certified Mail Restricted Delivery $ ( S'' re,.'';, p ❑Adult Signature Required $ CZ �` , []Adult Signature Restricted Delivery $ s _ ... O Postage $0.55 $ �c�2�12� Total Posta Postage g FIT. i $ L-J ru Sent T 77 ShLand t. Ni.. o�PCj Box h(o. ---- ---------------- -- gg-��- 4 /'�_D(e_ -- - ---- r ------------ -------- --- C;� tata, Z, y NC 255h( G1:t• -,...