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)
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Phone # (_)
Authorized Agent
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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
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Type of ProjecU Activity
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)/"(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
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Basin, channel
cubic vards'-
Boat ramp
Boathouse/ Boatlift /
r
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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.
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Notes/ Special Conditions I fl{I I .h4,rA*,
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Agent or Applicant Printed Name
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Signature x* Please read comPliance statement on back of permit **
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lssuingApplication Fee(s)Check #
7
Date
City_, State
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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
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Pint ar Type Name
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RECEIVED
Date
MAR l7 2020
DGtft'MHDCITY
This certification is valid through
Name of Property owner Requesting Permit:
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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)
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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.
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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
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.onn t€E
Pint Name
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ation)
Print or Type
Telophone
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1 .LI1 LL-ac ot
Telephone Number / email adctress
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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
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