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Home My WebLink About56022_PATRICK, BILL_20100615Ito a i i S 1 ❑CAMAS/ ❑DREDGE & FILL -may �IU `{^� GENERAL PERMIT r Previous permit # Y.Nev1 ❑Modification El Complete Reissue ❑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 15A NCAC , iiules attached Applicant Name V a } ) �Av%.'C Address 5 S 15 L-(j,? —R City e 4CT-, f " � t�onC�. State X Phone # (— ) Fax # Authorized Agent Affected ❑ CW EW ( PTA ElES ElPTS AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA ye's ;/ no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) 11 C) i�' d3 C� LA Subdivision City --�1O�E' lei ZIP Phone # ( Z 1) �� 7� � River Basin f C", Adj. Wtr. Body k: --tq.' LZ4, �'t' q (fiat /man /unkn) Closest Maj. Wtr. Body N6A��r1 �. Type of Project/ Activity Pier (dock) length '7[ir k 4 Platform(s) ��xIC7r Finger pier(s) - (Scale: Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing { Other - I — I - - I —} i - --� - 'I — -- —� I a -- - I -- --I -i— - _ � — ` _ I I Shoreline Length SAV: not sure yes Sandbags: not sure yes Moratorium: n/a yes Photos: yesWaiver Attached: yes no A building permit may be required by: ` Notes/ Special Conditions ❑ See note on back regarding River Basin rules. Ca 4proi C N" iJN4 r 171% � C^ Agent or plicap Printed Name 1 i Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Office 's Sig lure , � 1 Issuing ate Expiratio Date Local Pfanning Jurisdiction 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 (910-796-72 l 5) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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) Revised 08/09/06 DQc,y- I p tA� a ,-M Ad ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the maiipiece, or on the front if space permits. 1. Article Addressed to: 5 G' C- V B. Receivhd by (Printed .. D. Is delivery address dill If YES, enter delivery, rli APR !1� ,k ❑ Agent ❑ Addressee yate of Delivery ? ❑ Yes J�No n 3. Service Type ❑ Certified Mail all Annoft ❑ Registered ❑ Re for Merchandise ❑ Insured Mail 11 C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 1680 0000 0312 3185 (Transfer from service label} PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 UNITED STATES POS-I l t`dWik" � � ! � i 1 {1 P: i P ' I `' First -Class Mail Postage & Fees Paid USPS Permit No. G-1 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOA,) TLIFTBOA THO USE) I hereby certify that I own property adjacent to WI LLi t\M PArk-tc k- - is (Name of Property Owner) property located at Dt L6t4E (Lot, Block, Road, etc.) on W Ft t TC K UiZ S i CRt'-G�- _, in t (-L, U CC-,STCIz , N.C. (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 objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) v'e�I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Lf eXiSti 1 80(4- 0-t" # 16t.177 Print or Type Name Telephone Number f Date: c-1 Q �l —)3Z-use -�z i- z'��-sGS� 63-7953-2631 1903 .irfefGi': Date s Pay to the order of 3 KENNEDY SPACE CENTER FEDERAL CREDIT UNION 300 S. PLUMOSA ST, MERRITT ISLAND, FL 32952 - -- For n . 1: 2 E 3 L 7 5 3 21:00000 2 4 40000 7ii- L 90 3 a , .1"- NC Division of Coastal Mgt. Habitat Impact Computer ST Applicant: Bill Patrick Date: 6/22/10 Permit #: 56022C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Shallow Bottom Dredge 0 Fill ❑ Both ❑ Other O 480 480 Open Water Dredge ElFill ElBoth ElOther Fx1 1600 1600 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑