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'