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HomeMy WebLinkAboutLevert, Richere 76617CAMA / ❑ DREDGE & FILL O N. 76617 A B C D NERAL PERMIT Previous permit # ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit Issued /// As authorized by the State of North Carolina, Department of Environmental Quality U / U and the Coastal Resources mmissi n In an ar of environmental concern pursuant to 15A NCAC(((J��� 111000 /� Rules/p'ttached. Applicant Name 1 C,�`'Ci`.'V'P ProjectLocation: County ( C'1YTP✓t+% Phone # Authorized Agent r Affected DCW r"" 'TA DES ❑PTS A Affecte DOEA DHHF OIH OUBA ON/A O ME: ORW: yes no PNA Type of Project/ Activity _ Pier (dock) length Fixed Pladorm(s) J( Pla Floating er(dm{3-1'-'eft'—' Finger piers))7 Groin length number Bulkhead/ Rlprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp athouce/ tijft Beach Bulldozing( Other Shoreline Length 1 I SAy: not sure yes Moratorium: Na yes Photos: yes Walver Attached: yes Street Address/ State Road/ Lot #(s) / C7 Subdivision City �$ ZIP Phone # (_) River its t Adj. Wtr. Body %`�C l' i" nat an unkn Closest Mal. Wtr. Body'~ 1��� l �■ ■ _ - _ ■ EEE �E ■■ ■ . EEE:. ■ ESE■ ■. /—■ „■■. ■ ■ 1 ME Ems �Ei1Gl�w � ■E Or EEE ■ ..EE j� E.E■...EE ■ .■ E —tart/ OVA ::i A building permit may be required by: _ ( Note Local Planning Jurisdiction) f Notes/special Conditions l L nS�yoher ❑ See note on back regarding River Basin rules. Check# IssuingDate n M Xe AMA / ❑ DREDGE & FILL N9 76617 A B CD NERAL PERMIT Previous permit#w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ��/ /�// and the Coastal Resources mmissi n in an are of environmental concern pursuant to 15A NCAC PPPJhed. (,9 Rulesjp'tt�ached. Applicant Name G�'� C %'UP Project Location: County Ct% Phone # Authorized Agent r P ;Z Affected ❑ CAN �;EW`rA ❑ ES ❑ PTS AEC(s): ❑ oEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes Ino ) PNA Type of Project/ Activity _ Pier (dock) lengtl Fixed Platform(s) Floating Platform Finger pier(s) f Groin length _ number Bulkhead/ Riprap length avg distance offshore I� _ max distance offshore Basin, channel — i Ali I cubic yards Boat ramp ` J19 athouse/�oatlj(t — t 1 - �� X 1 i Beach Bulldozing Other Shoreline Length SAV: not s�re yes n Moratorium: yes n Photos: yes no/ Waiver Attached: yes no A building permit may be required by: G i''4 +,Y ( Note Local Planning jurisdiction) Notes/ Special Conditions "/� C t Zia Agent or Applicant Printed Name VePlease read compliance statement on backs)))fI 'C'heckckk### Street Address/ State Road/ Lot #(s) Subdivision City � r� ZIP Phone # O River Basin t M Adj. Wtr. Body nat an unkn Closest Maj. Wtr. Body G+A/� Issuing Date e r j- ❑ See note on back regarding River Basin rules. O "2 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, certifythatthis project is consistentwith 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/1-888-4RCOAST 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 FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: -'R" wife 1 Beyer + Mailing Address: Phone Number: Email Address: I certify that I have authorized 1) S to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at l in /e County. I furthermore certify that I 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. Print or Type Name Title 5 ! S ! a0--20 Date This certification is valid through S I NC CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 21ACIk ..._ Address of Property: (Lot or Street #, Street or Road, City & County) Agent's Name#: L.ArtMailing Address: �Slcrvic� �� Agent's phone #: --�a 6 to C 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 letter. 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. Contact Information for DCM offices is available at http://www.nccoastalrnanagement.net/web/cm/staff-tistinu orby calling 1-888.4RCOAST. .- WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. (Props wri&1natIon) U i naha• Print or Type Name Date — (Riparian Property Owner Information) Signature Print or Type Name Mailing Address City/State/Zip CN Telephone Number/Email Address (Revised Aug. 2014) CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot o� Street #,"ttreet or Road, City 8 Cou nty) Agent's Name MOn I Mailing Address: qyi" Agent's phone #: � � �t ) I�p�« `, ��i C- 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 letter. 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. Contact information for DCM offices Is available at/rttp://www,nccq,�st In nar�uent.net/tveb/crn/staff-tistingorbycalNngI-888-4RCOAST. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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) (Riparian Property Owner Information) Signature 1- �e r� Print or Type Name �Q- ll 91� Dnte Signature Print or Type Name Mailing Address City/State Zip MA r I.Csrr1, Telephone Number I EEmail Address Vale (Revised Aug. 2014) postal CERTIFIED MAIL" RECEIPT o , FO1p�T�[� ERQY'i. 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