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Home My WebLink About55756_PERETSKY, DREW_20100611i ..�- � __ fir;: 'T - ,g ... •.. `.a+ .;..:. ; D CAMA / Q DREDGE & FILL GENERAL PERMIT Previous permit # 'nNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources t`"1 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules attached. - - Project Location: County_ Applicant Name j Address / ?Vf Street A 0pess/ State Road/ Lot (s) City '_.•'7l C'k State Phone # l'r / ^ 7Fax # ( `-j-- - Subdivisi n Authorized Agent' r"f�( L. �� Z"�f ; �? `1 �.1(' S! `/I City l%� ZIP Affected O CW )EW ,PTA VIES ❑ PTS Phone # River Basin ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A- ,�i{ .�? _.�f '� t I- � AEC(s): Adj. Wtr. Body £ '1, nat Imanjnkn ORW: yes / no PNA yes / no Crit.Hab. yes / na Closest Maj. Wtr. Body Type of Project/ Activity n N W rl r 1 C 1' (" Pier (dock) length Platfo Finger Groin Bulkh Basin, BBB Boath Beact Othei Shorel SAV: Sandb Morat Photo Waive i 11 (Scale: I = � ) r rt m s 10 -, pier(s) - - -1— �— length number ead/ Riprap length avg distance offshore _ max distance offshore channel i, I ubic yards mp--- - --- -- 1 i Bulldozing. - - -- - - - — — -� --- - L_ - i ine Length I notsure yes no - ags: not sure yes no orium: n/a yes no--�- 1 - - s: yes no I � J i; �-- _ _ � � I � - r Attached: yes no A building permit may be required by: k C .) CO (_d i +V See note on back regarding River Basin rules. IF Notes/ Special Conditions 'i0 11 !'• E' , C ` I AO wo`I rl s ' eo a P �`n +1 �Pfar .�`�' n ,-) IV cr f/PS, 4 11 r�LA L� 'Agent or Applicant Printed Name Signature Ple com re.-�- Ee statement on back of permit f r `J'tJ Application Fee(s) Check # Is uing at -Expiration Date 1 >< Local Planning Jurisdiction Rover File Name A building permit may be required by: k C .) CO (_d i +V See note on back regarding River Basin rules. IF Notes/ Special Conditions 'i0 11 !'• E' , C ` I AO wo`I rl s ' eo a P �`n +1 �Pfar .�`�' n ,-) IV cr f/PS, 4 11 r�LA L� 'Agent or Applicant Printed Name Signature Ple com re.-�- Ee statement on back of permit f r `J'tJ Application Fee(s) Check # Is uing at -Expiration Date 1 >< Local Planning Jurisdiction Rover File Name Is uing at -Expiration Date 1 >< Local Planning Jurisdiction Rover File Name 1 F 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 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. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 ` ■ Complete items 1, 2, and 3. Also c ete S- item 4 if Restricted Delivery is des' ■ Print your name and address on t O-reverse so that we can return the card to 'u, ■ Attach this card to the back of the fkailpiece, or on the front if space permits. Article Addressed to: C h r '�s b>_O ILA-1 Becuc SCY-tz'k 4"Cl P�y af *,I,() C_ NC ate) o A Signaturg ❑_ , � Agent. ❑ Addressee 13,43eceived by (P d Name) C. Date of Delivery y' `j ' , D. Is delivery address differ from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail ❑ C:6.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7004 0750 0002 3353 4702 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid LISPS Permit No. G,10 • Sender: Please print your name, address, and ZIP+4 in this box • BROAD CREEK CONTRACTING cdon C 28556 ■ 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 mailpiece, or on the front if space permits. i 1. Article Addressed to: kas b (� � ,nt Lirs� NC COMPLETE THIS SECTION ON DELIVERY A. SignatureAgent X LGYCY► ❑ Addressee B. Re�iyp ((Printed amen ` 'iL C. ate of Deli ' D. Is delivery addr ss different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail 0 Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7004 0750 0002 -3353 :4658 (Transfer from service label) i, PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE • Sender: Please print your name, address, and ZIP44VlMt i s box • I DIN BROAD CREEK CONTRACTING Marine & General Construction PO Box 88 • Merritt, NC 28556 �;��rel Z� Ilii!�i!!1!f�fif}iJl)lllt7l�tifllltifffl!ISk�tlli�llllliffl!{i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent toRrefz.K,s (Name of Property Owner) property located at I C1g6k 51d-P Dr i U e �Q (Ire (Lot, Block, Road, etc.)'j�on �C�{ �S in palm � l C d0LcM 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. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: I (To be filled in by individual proposing development) I L I >6' --� f �c 0 �SO�------------- iafett �c-------------'-`'-1,031 _--------------------------- �B°`�a--------------- Signature Print or Type Name Telephone Number Date: May 10 10 02.12p Cathy 2522491697 p.2 AM #A. .. WDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Govemor James H. Gregson, Director William G. Ross k., Secretary Date 1)0� 10 Applicant Name De�'w ► G �'-L 1iC�; Mailing Address • • NX N W-HION I certify that I have authorized (agent) t' ,-b, C( L� �Ck�-�� Ct1t 1o1,,�o act on my behalf, for the purpose of applying for and obtaining all CA -MA Permits necessary to install or construct (activity) D&— at (Iocation) ( Z C eZtC..SI6Lt This certification is valid�ru (date) LI Sul ( � Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone_ 252-808-28081 FAX: 252-247-MO 1 Internet www.nccoastaimanagementnet An Equal oppotff*y l Aff=o ive Acton Employer— 50% Recycled l IC%Pcst Consumer Paper E091-61 E091-57 E091-56 E09152-1 \ � PERETZKY DREW S ET UX E091 -62-2 E09153 Pamlico County, NC PROPERTY MAP Oab pmvitled on IM1b rrep are NC I— propla Ne I Pe . areal W^partY Pw vdlun Pamlico GouMy. aM ara werpXetl mm recatlotl phh, tleeds, aM olMr Wac remrLLs arW Aata. This Mb b for Mb imbmetl—purposes oNy erq srioWE nor Ee sWsfwmtl rot a tore uarcri, propaM ppre a'cal, wrvey, a for zonip wrlbmn. E09152 One Inch = 100 Feet BROAD CREEK CONTRACTING INC PO BOX 88 MERRITT, NORTH CAROLINA 28556 (252) 745-4252 PAY TO THE ORDER OF. 66-7,51 5 4 First ►South Bank (� GRANTSBORO, NC 28529 9447, FOR-�'L II'd OOL447n' �:253L7162L�: s 1447 mi:de-cnxk ram 66-7162-2531 DATE � s 60 lyp 68009577941I' NC Dhrisior5 of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Drew Peretsky Date: June 11, 2010 General Permit #: 55756C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) amount) temp impacts) amount —impact OW Dredge ❑ Fill ❑ Both ❑ Other ® 588 588 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RtCOAST :: www.nccoastalmanage nerpt.nO revise-4. 02iO3AC)