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Home My WebLink About61031_JOHNSON, GRAHAM_20120913❑ wAMA / ❑ DREDGE & FILL N O . 61 O 3 1 GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name Project Location: County Address _. Street Address/ State Road/ Lot #(s) City _ State ZIP Phone # ()_ Fax # () Subdivision Authorized Agent i City_- ZIP_ Affected CW ❑ EW C PTA ES PTS Phone # (__- } River Basin — AEC(s): I OEA HHF C' IH UBA N/A Adj. Wtr. Body (nat /man /unkn) C PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body-. —_ Type of Project/ Activity Pier(dock)length X Platform(s) j Finger pier(s) Groin length number_ —-- --�-- Bulkhead/ Riprap length 9 avg distance offshore max distance offshore Basin, channel —" - cubic yards_ _ — Boat ramp — - - -- - Boathouse/ Boatlift ^ Beach Bulldozing Other ,t - ----- - - - r � e �� r'76'/ ✓ Shoreline Length � SAV: not sure yes no Sandbags: not sure yes 1 no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name (Scale: See note on back regarding River Basin rules. Permit Officer's Signature Signature ** Please read compliance statement on back of permit" Issuing Date Expiration Date Application Fee(s) Check# Local Plan ningJurisdiction Rover File Name 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, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules ❑ 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South 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 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date Applicant Name CNW 1 Mailing Address :3 LASS og- J ZVE I certify that I have authorized (agent) ��'T � NOY—r4�6CD�to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) -D6K- at (location) This certification hru (date) D/ 2 Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nocoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper Adjacent Riparian Property Owner Statement Page 1 of 1 c10 M'A.' *' t' A.d_iacent Riparian Property Owner Statement (FOIL A PIER/MOORING PILINGS/}SOATLIFT/ROATA- OUSE) I hereby certify that I own property adjacent to J 6 OV\ 'S nn '' Name of Property Owner property located at 0�5_ S '1- 6 iC V�v Uh Lot, block, road, etc_ on Q�'��,b 6,t r� �n`t�� , NC Waterbody Town and/or county He has described to me, as shown below, the development he is proposing at that location and I have no o'Nections t: tis proposal. 1 do not wish to waive the setback requirement. ! do e%7sh to :v:ivee the tb- r rei i f seE.-si�lc }i.1reiii�n„ Y-IrW of Proposed Development � 1 l r ignature X A ^A,,,\ *,At Print or type name X 203-- 417— 4411 Telephone number x gill Ilk hlGr✓ �icr '� Wes eS a �- �cD✓�h� � i 8 x 146 Sl;S p p 7 t:e 18 v 4� l,Qo�t< CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual applying for Permit: �rw��w� �V��►$d�n Address of Property: Lot 16 9,-,ae45 v,, .. (tot or Street 0, Street or Road, city & County) I hereby certify that I own prop" adjacent to the above referenced property. The Individual applying for this permit has described to me as shown on the. attached drawing the development they are pro "ng A description or drawing, with dimensions. should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coescai AfanagenMnt, 4W Commerce Avan&-% Morehead City, NC, 285b7 or cap (252) 806-2808 w/thirr 10 days of receipt of this notice. No response is considered Ehe some as no abjecdOn if you have been notrted b Ct ifred Ali. WAIVER SECTION I understand that a pier. dock. mooring pilings, breakwater, boathouse, boatiifi or sandbags must be set bade a minimum distance Of 1S from my area of riparian access unless waived by me_ (If you to wanre the setback, you must initial the appropriate blank below.) I do wish to waive the 16 setback requirement. 1 do not wish to waive the 15' setback requirement. (Applicant Information) P D �jc �' l Mailing Address O4r,r, k,•\ , CSC.�571 col1 � Telephone Number Bute. C#% c f e� u h Q% 0 Jr �u a, S;t- �'q �- aaa4� . Information) . natu o �� Pnn Type �Nftra&" x _-2 70 ( � Teleoww Number DOC i I'd 62b86b22S21:01 292712b2021 NUAOS:wo6A 82:02 ziez-Z-Nnr