HomeMy WebLinkAboutMorris, William 76368C*AMA tt1I5 A t DREDGE A FILL No. 76368 A B
p
"GENERAL PERMIT Previous pernit#
I ttvt r ;modification i, lcolnploto Relmtm, e. 111m nai Reissue Data vi us Permit issued- -
As autt>M•i:ed by the State of t,4wt;r Cal s.una. De rai Ununt u(EuvlCann, �nmt Quality
end file Coal'" Resourct. Car% maslon Inno ar ea of 0ronmtntal concern purautnt to f 5A NGAC. � �`�.� --_—.
ApplicantN+zTe l %� y t 1 1 j Prriect4.ocatlon. CountytTi(
Add e ' j t 6,
j�^s�r C � Street Afdure/ss/ Suite R d/ 1 �,t �},(s) ti j
City ' .i, Y
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Phone #
. .i�?€"jE•1( �tt ••,-` { . Subd._i.visio }I
�i Pal
Authorized r\gem "'( j( !P 1J City
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Affected t:w C,I-W 1,PTA i CS PTS Phone ll (fit 7!1 WrBasnz i fj1, i., I
AEC(t). !OEA NfIF !_,lH UUA iNJA Adj.Wtr. Bod -t� t n {�nkn}
of 1C y
ORW: yrs i n PNA yes ! r o ) Closest Mal Wtr. Body
Type of Project/ Activity � _�� i Q;. =
�
�/` wI xf `I
FI<uc'rg Plac(orm{s)'�`'.FviCAt (_.._.t_i_.;,_------ fi
C.rein length-
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number � I 4L I
RuiFheaQ/Ripiap length
avg distance offshore.
maz &,cane offshore- j i r
Satin.:hanncl _.._ -� _� ' a 't, 1� `ly ll�l `�rf j�
-
_
Boat ramp_____,
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Beach Id in
Jdker
tt,/_ 7 _ I.
tip
I
ShoreFne Length -•= —'4 * - f
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SAV:not Sure Yes o -� k !
if
Moratorium rota yes no )
f horos: yes
Via ver Attached. yes t ' °
�- A building permitmay be required by _5� r�— ' See note on back regarding River Basin rules.
Not s/5P iaiConditiottis,_,__
-
'Q corA pi'ex1t Pantedt anw Pe+N Oit�teis ' ttu , e ``fir -
QI(
,turn leAseready Sign ea1
.Check it Iszuln [)ate ExpiA nDate
App aitioii ree(sl
aNkIC�CAMA / ❑ DREDGE & FILL No. 76368 A B �D
ENERAL, PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date vi is permit issued
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of v' onmental concern pursuant to 1 SA NCAC
Applicant NaTe 1 11��� ON � -� Project Location: County
City 1 ate_ZIP�
Phone# �1 E-Mail
Authorized Agent
Affected LiCW ❑ EW ❑ PTA ❑ ES ❑ PTS
Affecte ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PW
ORW: yes / PNA yes / o
Type of Project/ Activity
ner
Fixe
Float
Finge
Groi
Bulk
Basin
Boat
Boat
Beac
Oth
Shor
SAV:
Mor
Phot
Waiv
A bu
�L (Scale:
OMEN
witriai
ME
M
l
NO
ng Platform(s)
ME
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max distance offshcI
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.channel"
■■■■
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cubic yard■■
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( Note Local Planning Jurisdiction)
or
cure ** leaseread mpliance statement on back of permit**
Application Fee(s) Check #
Date
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 BufferRules ❑Other:
❑ Neuse River Basin Buffer Rules
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 complywith 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 j
252-946-6481
Fax: 252-948-0478 ,
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal brive 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
0w' �_
Name of Property Owner Requesting Permit: �� �'avn M°r ri S ;at
Mailing Address: Zo 8 E. A?o ,r 5��� �/ 7%r
Atia�t;c QPucl, , Nc Z18 l�
Phone Number:
2sz- -If -7-
Email Address: 5+ov i « 0 V 7` � ��,. COK"-,
�`
I certify that I have authorized _Z�1� J'"b ,
Agent IContractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: dock fe,�I1 it /imrdUemetj l
at my property located at zo b E• /9 ue SOv �% - fif/4H C QPGGti , Al G ,
-----r
in Car fP✓e f 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.
Property Owner Information:
Signature
o �, r
Print or Type Name
Own- r— RECEIVED
Title
3 I-' i l a d APR 21 2020
Date
DCM-MHD CITY
This certification is valid through
ADJACENT RIPARIAN PROPERTY OWNER STAT�:P.9ENT
- --
d' tto l�l �� \w I�\pJ -- 'S
I hereby certify that I own property a jacen
r
ropers located at C
(Nano, of Property Owner)
p Y
(llddress, Lot, Block, Road, Ac.
in�pll�viic_1Sev�<_.a_V\C_L`rS1 N.C.
on 1 t�Pri� LL%�-: � a ---
(Wateat rnody) (CitylTown at-cd/cr ti,auntyj
The applicant - s described to me, as shown below, the development prupusea at Me above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEt.OWiAENT
(Individual proposing development must rill In description bVJQw or arzacir a sr.a dravvin
Ae-
�e 0� \�
CAI
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless nuivcd by nt®. (If you
wish to waive the setback, you must initial the appropriate blank below.)
_I a wish to waive the 15' saiback requirement. J
I do not wish to waive the 15' setback requiiemeitt, 0.0
(Property Owner Information)
Stgnpture
l,t) %(�tAvK W l�yv its
Print or Type Name
Z O—b E -B06U.E SD.,�y.'t> Q �Jc
ailing Addres '
\va k AC1,�2'�;12.
City/Stale/Zip
2C2--1lr(-\o Z`6
Telephone Number
Date
(Adjacent Pruparty Ovine, Intumiation)
Sibc-Jtu�9
-- - --- .— - ---
Print oq{;c iJanie
Mailing Address
.phon Nt rrr e
Jute
RFGEIVED keviseo6PItt2o12)
APR 21 ZON
C)cM-MHD CITY
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Tracking Number: 70i0 0140 0001 0229 2048
This Item was delivered on 04/0412020 at 09:17:00
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RECEIVED
APR 21 2020
DUA-MID CITY
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The Manual Entry Acceptance screen will be modified to use the Pricing Engine for all rates calculations. Users will no longer enter fees for
Collect on Delivery (COD) and Additional Insurance: instead, users will enter the dollar amount to be collected for COD or the insured value
for insurance.
Tnacking Number: 7019 0140 0001 0222 2065
This Item was delivered on 0312812020 at 12:35:00
Q:TfItRd[•�SaaQlilRirin.RrRAi7
SiOnaturr.i �yn\ f^{jyyy/q(y{
i
940 KEHUKEE CHURCH
RCS SCOTLAND CHECK, NC
Add. e.c "y1
27874
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APR 21 2020
DCM-MHD CITY
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cavla�
EX is 4 I ng -Dock
17ia3NVO 2.
I9rofokd dock iwy
LJ�
I. Remove se4ion"/a° " ,h danc� insiall as shin in �rayraw� 2„
7. �Crnove 5PL'��ah'gih dragraw� ��.
3. ReL i Id sec-+ioh g as a Poa4in, cock and i'nS+(A)l as showvl
In dlr~SrUw, .2.
y. Install (-amp t'C"
RECEIVED
APR 2 l 2020
DCM-MHD CITY
Y � �