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HomeMy WebLinkAboutManer, James 76656CICAMA/ DREDGEIFILL GENERAL PERMIT Applicant Name l Address As autho;ized by the Sate of Nofth Carolina, DePartment of Environmental Quality and the Coastal Resources Commission in an area of environmedal concem pursuait to I 5A NCAC N9 76656 ^ B(5., o Previous o€rmit # Date previous permh issued- 7 / ///(,,t, ERules attached Proiect Location: County i . l' Street Address/ Sate Road/ Lot #(s) City Stat€r'_' (zlP Phone # (1 )'E-Mail -City_t-ztPAwhorized Agent _ ] PTS N/A Phone# ( ) _ _ River Basin__ _ Adi. wtr. Body_- (nat /man /u!rk!) Closest Mai. Wtr. Body (setey(,) Type of Prolect/ Activity Pier (dock) len8dl_ Fixed Platform(s) Flodin8 P6o.m(s) Firger par(s) | Groin length BulkheaqRip'ap lensd' ,l iy' a!,I.dBrar|ce ofishore ( / i I lI mrx dishnce oflihore Basin, channel Boat ramp Boathousd goatlilt Z trI --+--+---F--+-- I 1Beach BulldozinS Other Notes/ Special Conditions Shoreline LenSth SAV: not sure yes Moratorium: ry'a Photos: F{9 yao .rG ve l+ ffi|" {Iffit!l-I- A building permrt may be required by: ( Note Local Planning Jurisdiction) ASent or Applicant Printed Name Signa&re * Please read compliance statement on back of permit * Permit Offi cer's Printed Name Signatu.e Agplication Fee(s)Check#Expiration Date )<>dNew - EModification EComplete Reissue E Partial Reissue SuMivision . CW EW PTA irESAffected'-.- - --- OEA HHF IH UBAAtC(s): PWS. oRW: yes 7 no - 11',14 ,., 7 no l r ffi cubic Frds H # lf -i__ _r_ Y I I See note on back regarding River Basin ruler. lssuinS Date Statement of Comptiance and Consistency This Permit is subiect to comPliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subiect the permittee to a line or criminal or civil action; and may cause the permit to become nullandvoid. This permit must beon the Proiect site and accessible to the permit officerwhen the proiect is inspected forcompliance. The aPPlicant certifies bysigning this permit that l) prior to undenaking any activities authorized bythis permit, the applicantwill confer with aPProPriate local authorities to confirm that this proiect 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 adiacent 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, ceftirythatthis proiect is consistentwith the North CarolinaCoastal Management Program. River Basin RulesApplicable To Your Proiect: lf indicated on front of permit, your proiect is subiect 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 (252-945-6481) or the Wilmin4on RegionalOffice (910-796-7215) for more information on howto complywith these buffer rules. Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules l l other: Washington District 943 Washington Square Mall Washington, NC 27889 252-946-U8t Fax:252-948-0478 (Serves: Beaufon, Bertie, Hertford, Hyde, Tyrrell and Wa;hin4on Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 9t0-796-72t5 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) Division of Coastal Management Ofiices Morehead Cit], Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I -888-4RCOAST Fax: 252-247 -3330 (Serves: Caneret, Craven, Onslow - Nofth of New River lnlet- and Pamlico Counties) Elizabeth City District 401 S. Griflin St. Ste. 300 Elizabeth City, NC 27909 252-204-390t Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) hnp://poral.ncdenr.org/web/cm/dcm-home Revised 7/06/17 Mav.3l 2020 5:47PlVl No. 47l0 P. 5 W AGENT AUTHORTZANOil FOR CAUA PERi'TT APPLICATION Name of Property Orner Requesting Permit:{A^Cs t--ly'la^e, Mailing Address:€r U); tli**skn, fll {. uz n- Phone Number: Email Address: t certify that I have authorked Lr* 3 +G,lgL? / Conlractor (t .(1 Nard r to act on my behalt for the purpose of apptying for and obtraining all oAMA permits necessary fur the following proposed development:s EA NALL at my property located at h eno[r{ tn Qa-"{e'ot Cou nty. Signdturc 7y'- I furthermore ertify that I em authorized to graqt, and do in fact grant permission to Dirnsbn of @astal'Management staff, the Loiat Permit Oficer end lheir agents to enter on the aforementoned linds in Onnection with evalueting information related to this permit application. Property Orvner lnformation : \-a .T^^e,e ill ea-l. r Jr PlntorTW Name Tifle -b C ,-o' ,-zlrd- Date This cerrificarion is valid n-rgn Svh-1{t--ULo May.31.2020 5:4iPM ADJACEI{T RIPARIAN PROPERW OWT{ER STATEXIENT I hereby certify that I o,vn property adiacent to Ja G. rlb^e,,3 property located at +dc n.{ot Orner)r on I Cotte (Addreca, Lot, ,in eva-5 (*N.C. (wateibody)(Cfi/Town and/or CountY) The spplicanl has described to me, as shot n bclorY, the devalopment proPosod at the abovs loc5lioa. -,-r/ I have no objedion to ftis proPossl. I have obiections to this proposal. OESCRTPTTOII AND'OR DRAWN G OF PROPOSED DEVELOPMEilT in dip,c,idotr 0Etos q rt,r, e riL.Mrg)lnilnU.art rroonsitrg ttcrnslult mwtf,l, waq LIay evie4,'a l'lo. 4i 10 P. 6 ) "-g{^ [( N4a> te* w a-( o'^- L@Ve' WAfVER SECTTON lUnderEtandthatapier,oocr,moorinilh9s'uoetramp,bfBakwater,boathoUse,liflorgroin must be set back a minimum bistairce-oi lsifrom my area of tipsrian access unlqss waived by ... irir., *i.n to waive the setback, you must initial the appropriate blank belort.) ,..\ ,/r)z--r' I do wish to waive the 15' setback requirsmert' I do not wish to waive the 15' setback reguirement' (PropefiY Owner lnformetion) SOtcwQ<F Wl Qe"e. PlintuTWfnb Lz<- st MaitinsffJe;cl ,>--sk^. N{-:-inzW%z-Tvl-'7qTr Telept'poe / en?€il add6ss o ,A-V hlu..'le (Adiacent Property ouner lnfo.mation) fuint or.{Name-fa<ca o-4 r[c, )((/ JSa - {66-arb? Telopt'on€NumtE,r I e,,r6,il adctrces Dotc 1/alid tr one cdendar year aftar signtlure' Ddre' + (R.v*fid Aug- n14) May.31.2020 5:4iPlVl DESCRIPTION AI{D'OR DRAII'IiIG (lndividual pfopo€,ing d6folo,,rroar fiust lltt in ,r-YPAy 5f /J.C citu/Sf€,b/ZiD'z<24+t^^l*s\ / email eddEss N0.4710 P 7 ADJACENT RIPARIAN PROPERW OWilER STATEXIENT I hereby certify thet I o\ ,tr pmpcrty adjacent to ]-qn*,-s € MaqLr's property located et L(oG Ubr{ La^f,. of Prope0 hrne4 on t ( Co.re (Addr€E, Lot,Road. etc.l v.o-Ld. Ts t<-, N.c.in t ft^-e (Waterbody)(CltyrTryn and/or C ounty) The applicant has desoibed to me, a8 shourn belor, the develoPment propo6ed st fie above loatooe/r' I have no objBclion to thi6 proposal' I have objedione to this Proposal, i^ql.o'tt Ned 5e4 k'ra-\\ ^toa a C-t9 J4 P*,'sG / do wish to weive the 15' setback requirement' I do not wish to uraive the 15' setbeck requirement (Property Owner lnfonnatlon) 7 a!^es F. (tAa-v'etz OF PROPOSEO DEVELOPMEilT deicrtpltoa o,,tow ot atach. ib davtng) lnfomation) WAIVER SECTION I understand hat I pier, dock, mooring pilings' b€t ramp,baeakwEter, boa0rouse, lifi, or groin must be set becl( a minimum distanca of 15' from my area of rip€rian access unless waived by me, (lf h to weive he aetboc( you must inltlal tre approprtate bhnk belo*.) Ptitilfa.I TYD9fi;E /Vem€{z 8) fe trvr' Numbr/emeil 2 -2 Date 'valld for one calendar year after eigtlt e' Date' (Revivd Aug. nlO NC Division of Coastal Management Cashier's Official ReceiPt 11160 ^ B@D 6b eo20 Received From:.l/oct \s il,lar\<tp, Permit No.:GQ 7Gt"5b L + ?cb76 Applicant's Name:4L Qal,/e- Projact Address: ,14 Date: o0 Ltlrlrl t9 Eoo-oo Check No.. t(fr 70 County:hrb ,g* Er Plsase relain rec€ipt for your records as prool of payment lor pormit issusd' Signature of Agent or Applicant; - Signature of Field Representative: Date: Date:e '/y'oou >O /a'