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HomeMy WebLinkAboutTown of Emerald Isle 78991CM,CANTAA / E,DREDGE & FILL GENER/AL PERMIT MNew trModification IComplete Reissue EPartial Reissue 'As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant N9 78991 AB C D Previous permit # _ Date previous permit issued_ to l5A NCAC at rQ Applicant Name Project Location: Count), Vl, Address f,4^ t.a Street Address/ State Road/ Lot #(s) ztP Phone # (_) Authorized Agent ,qrl- *|tg f*\a,\a.t E-Mail Subdivision Uc tll City {puaqt,q lE(o ZIP ;Qq . *CW -rEW ,PTA Affected AEC(s): oEA HHF lH PWS: ORW: yes / no PNA yes / no sft trUBA tr PTS trN/A Phone # (_)River Basin Adj. Wtr. Body-- (nat /man /unkn) Closest Mal. Wtr. Body UJ, )C Type of ProjecU Activity 1e t, ,ni fa 5q 0 )/"(Scale: Pier (dock) length -/ Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore --L- I Basin, channel cubic vards'- Boat ramp Boathouse/ Boatlift / r -l---+ €-t yes no yes no yes no yes no Beach Bulldozing ./n4 ,Other Shoreline Length SAV: not sure Moratorium: nla Photos: Waiver Attached: A building permit may be required by: ( Note Local Planning Jurisdiction) t rt t4+ (0"I fl S"" note on back regarding River Basin rules. i;t ,lJ t I :#* I I I I AI ,,{ I I t ]- I1. I I+J I tl t-t :H*t' '.+f{t&-f- a {rF-f-+-;T;ra-T- _l--+-r *L J- iJ-+ {45++t u ,,1.,, #]--]-]--J J-+j -lI I I+ I I-!- ! a l! Notes/ Special Conditions I fl{I I .h4,rA*, n -- ? It l*F 20 ?,0 Agent or Applicant Printed Name L Signature x* Please read comPliance statement on back of permit ** 3 ll Itou lssuingApplication Fee(s)Check # 7 Date City_, State -i--"""i"ti l -t-rPJ; + _t -1-" I ,+"+" ..L!J -r-"t--+-- iit-t---1.-*f ' t--*t'. J--1 $ .l' ,l -'t- -' .{t.+-t-f ltliii.*+---t---! ) e..-i.ffi .."tl.i"ilr.u-" Signature Statement of Comptiance and Consistency This permit is sublect to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subiect the permiftee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the prolectsite and accessible to the permitomcerwhen the proiect is inspected forcompliance. The applicant certifies by sitning this permit that l) prior to undertaking any activities authorized by this permit, the applicant will 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 certilied mail return receipt has been obtained from the adlacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and beliel certifythatthis project is consistent with the North CarolinaCoastal Management Program. E Neuse River Basin BufferRules lf indicated on front of permit, your proiect 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 (252-946-648 l) or the Wilmington Regional Office (9 I 0-796-72 I 5) for more information on howto complywith these buffer rules. Division of Coastal Management Ofiices River Basin RulesApplicable ToYour Proiect: L ] Tar - PamlicoRiver Basin Buffer Rules Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 2s2-808-2808/ r -888-4RCOAST Fax: 252-747 -3330 (Serves: Carteret, Craven, Onslow - North of New River lnlet- and Pamlico Counties) Elizabeth District E othe.: Washin$on District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax:.257-948-0478 (Server: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-72t5 Fax: 9 l0-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Countles) 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) http://portal.ncdenr.orglweb/cm/dcm-home Revised 7/06/ I 7 A-GElrT AUTHORTZAION FOR GAMA pERMtT AppltcATtght, Mailing Address:DSoo- D*da( 0. DL ut- IEsq,{ Phone Number:L.(- (s Email Address:#.,pr| ."o^,h^ ^6 p*JI hL'r,..o"o lcertify that I have authorized A.tlta t^.la'\\d - Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development;ftttrlnl* ua\\ erv u at my property located at r \.+\ l+ s^..^[L^"lsJq-c(f in (.rk County I furthermore certify that I am authorized to grant, and do in fact grant permissrbn fo Division of Coastal Managemeht staff, the Local Permit Officer and their agenfs to enter on the aforementioned /ands in connection with evaluating information related to this permit application. Property 0wner Signaturc J^\ 6*."*\r"^ Pint ar Type Name fla.,.,t".,, \\n a+o ^ lyiilc RECEIVED Date MAR l7 2020 DGtft'MHDCITY This certification is valid through Name of Property owner Requesting Permit: -.Io.l^ ^[ D,*r\d f,\t '' -- -s-,-l-,ljL ADJACENT RIPARIAN PROPERW OWNER STATEMENT I hereby certiry that I own property adjac€nt to T*^ od &t^r,.tl6-L s property located al .r . (Name of ProDertv Ownerl )s+\ J+ *icsr )--"kul. \^.^r- \J (Address, Lot, Bl etc. on ,tn , N.C. fltraterUoOyJ (CityrTown r County) DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lndMdual prcposlng dewlopmqrt ,nust lill in descrlptlon betour or allach a slte dnwlng) WAIVER SECTION I understand that a pi€r, 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 unl€ss wsived by me. (lf you wish to waive lhe setback, you must initial the appropriate blank below.) I do wish to waive the 15 setback requirement. ldo wish to waive the 15' setback requirement. (P fe (Adjacent Prop€rtgowner Information) .-. ,. ...;.2//-4 ' t', ;r t- t'**b*r+n€ v tugar5 Pint or Tvoe Name.tJO'r,"c.J,t 0- addrass Pint or(8 Name cJ Malling Address /244 &6tL l,tL t4ur3 ll^r, "MfX'rZ1o.T L-i5-1(,/ c{vt(ush,' a t:.a (.ttL o'b Tetdphone bddross RECEIVED (Revlsad Aug. 2014) MAR 17 2020 Mailino Addressff UL ),LC4.{ Telephone Numbar / -l'lr.lrr Dflle Dote* t)'t2 DCM-MHD CITY The applicant has described to me, as shown b6lo\ r, the development proposed at the above location. ---\l_ I have no objection to this proposal. I have objections to this proposal. \-) lnformation) 'Valid for one calendar year afrer signature' I hereby certify that I own property adjacent to (N Property er) property located at The a plicant s ,in Block. Road, Pr**tL etc.lA{t , N.C. (Waterbody)(City/Town and/or County) has described to me, as shown belorv, the development proposed at the above I have no objection to this proposal. I hav6 objections to this proposal DESCRIPTION AND/OR DRAWNG OF PROPOSED DEVELOPMENT (lncllvldual prcposlng dettr,lopment murf iitt tn detr,crtryon bdow or attach a site drawlng) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement I understand that a pier, oo"*, .oor'nffif,oE#0, breakwater, boathouse, rift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waive-d by me. (lf you wish to waive the setback, you must initiil the apprdpriate blank below.) rty Property Owner lnform {. .onn t€E Pint Name G s )- ation) Print or Type Telophone I \1.c.21s3\ 1 .LI1 LL-ac ot Telephone Number / email adctress t1 RECEIVED s (Rovised Aug. 2014) MAR I7 ZO2O DCM.MHD CITY Dale *Valid for one calendar year aner signature* Dole* 13-LoLb ADJACENT RIPARIAN PROPERTY OWNER STATEMENT on htformation) RECEIVED MAR 1? 2020 DGM.MHD CITY j tss i I i v- tt* %r E F $ $ I i * & E I I t B t i Ii j t