HomeMy WebLinkAboutJoyce, Pat 77164C}CCAMA t DREDGE &FILL1{ r? A 8 C
�ENERAL PERMIT Previous permit
ew .Modification Complete Reissue ;Partial Ret sue Date previous pertrut ci?
As audionred by the, State of North Carolina, Department of EnY{ronr ntai Quality �}
and the Coastal Resources Commiss"wn in an area of envirpnmental concern purscant to i SA NCAC._. _ - 4t��-��-��?�L' .__...�........-___ ..--
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Applicant Nante G� } 7 Project LocAvon, County
Address�.`1 ,.A'/}�: k �J� Sil'. Stye=_i Atttiaesv State Y4aad, j a:
p`}r
City 3 RC
�j I Phone # {7f t iC d E-Mail subdivision _
Authorized Agent T x EJ; City f
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Affected Cw ,.iw ,rTa ES Pi`S phone at € - Rxver Bagn }'�pi r. i,
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AEC(s): oea HHe fn uAa raa pol.Wtr.Body �(�w t`_
x Closest Mai, Win Body
ORW yes no/ /
{�=:�PNA ves K".J {
Type of Project, Activity T # 3.^',E,'f;.. _ _ _ 7 . L'
t i t
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A burld#1 permit may be regwred bY_� 1[Y_i_....'S/, $ee torte ar back cegard;ng Rarer &as ei ; tGes-
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Notes! Special Conditions
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"GMP(CAA / ❑ DREDGE & FILL Vl( N9 77164 A B 0C D
ENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality n
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC tl za
3,0Y
�t �� Rules attaahhed.
Applicant Name T ( V 0y c(d Project Location: County
Address W5 (-;Pfii& i✓ ,die- Street Address/ State Road/ Lot #(s) c-7,t1"
Phone # (9W) ZA T1 d D /✓ot E-Mail
Authorized Agent WT be4A f S
Affected ❑ CW kfW kFTA ❑ ES ❑ PTS
AEC(s): ❑ OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes /n PNA yes 0)
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s) �
Groin length
number
Bulkhead/ Riprap length '
avg distance offshore_
max distance offshore
Basin, channel
cubic yards d
Boat ramp
Beach B dozin
Other
r
Shoreline Length / U l./
SAV: not sure yes In. --�,
Moratorium: n/a yes
Photos: yes n
Waiver Attached: es no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions L /h
Name
**Pease read compliance statement on back of permit **
r l r/1/_
Fee(s) Check #
Subdivision
City ZIP
Phone # (_) River Basin W &k
Adj. Wtr. Body i U$e PAY AnaV/man unkn
Closest Mal. Wtr. Body P'W
❑ See note on back regarding River Basin rules.
I —k _—
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
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ I-888-4RCOAST
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
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: pA rr 16)�-, 4 H Ar r fJF Joys -p
Mailing address: `7 1 h C o m T ✓
13emo 1-6rT
Telephone Number: 15 -1- - J q l - <� Z
I certify that I have authorized In) t 0,Q N ML 5 (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of T N S TA61 tX s A
t4 I L.c 1'1 i til Fyi,sFn
at my property located at 21 5L. COMA 1- )✓ r
l-l�h✓/ar ' A
- ok
This certification is valid through _ l - (date).
(Property Owner Information)
Signature
PA I rl'r.k, dov r �P
Print or Type Name
P 1/ f G k Y-
Title, co. owner or trustee for property
Date
RECEIVED
Telephone Number SEP 10 2020
6 V CC Nc) AG 56 C O/ \ DCM-MHD CITY
Emai dress
40
m
IIJ,6
Y"rf,--" OHM-44JO
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to F,4_ r 1`Gk T G/'id Loo-P tf bUC-C 's
property located at
(Address, Lot, Block, Road, etc.)
on rit/`AtJ,S C✓'eel(, in e 4:1/ e✓ P.% Co N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
f V6 1✓100-111 �
r).o ra- To b e
New 6®tkT L.IFI
IN �(lST6H� Slta
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 you you wish to waive the setback, you must initial the appropriate blank below.)
)I I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
NIy i l��r�✓icll �o�r e
IT(� 0
Print or Type Name
Mailing
7 I 6 LOO tJ
=\-1 �.? n r-
Cixestaila� l %i. C ri
TeLlephone Number/email address
�Lq I $ 75h
Date G "-O 1-0
(Adjacent Property Owner Information)
Sig ature*
PAN,- y
Print or Type Name
?f C�Ma- brr
Mail' g Address
City/State2ip
g 14 - 3b9- �6 a2
Telephone Number/email address
q Ar/2 o
Date
*Valid for one calendar year after signature*
(Revised Aug. 2014)
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;�'. f➢•�p�..
`- �
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at / /h (,0/A e J U /' D't'4V r--oY t /lr,L—
(Address, Lot, Block, Road, etc.)
on L✓ArJs ClkeP,1, _, in PV\gp,r C c> , N
(Waterbody) (CitylTown and/or County)
C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
t3o,T LtFt
New �
/N FJJJIMJ
'<—�Y,s ( F-("Tr�l
[ze? I he e c
e . ) o be Pepljfeel
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.
(Property Owner Information)
rm
J
,',`,N Zo M e.? O >^
TelCityeSt8� A6 /Y , C �17b 6
ephone Number/email address
r�RJ-- )--q i -- if 25h
Dale G/)-$P-O d�-p
(Adjace Property Owner Information)
Y.i
Signa
obew*E. [3WweIt, -JA
Print or Type Name
212 Cllde+ DR -
Mailing c dressfn+ H-�'FO!t k c a
City/State/Zip
Z!Z 8d85329
Telephone Number/email address
SR-2L3 -ZO
Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*
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