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Home My WebLink About55374_GERMAIN, RICH_20100415JF]ICAMA / ❑ DREDGE & FILL 53. 7 GENERAL PERMIT Previous permit# INew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources t } f ) and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC [LRUles attached. r Applicant Name I ' Project Location: County Mj i Address ,; � Street Address/ State, Road/ Lot #(s) , n 11 i City i ! ( State I' / i 1( ;t. i i j i (' / Phone # ( ) Fax # (,), Subdivision�— Authorized Agent City - 1 ZIP I ElCW [t]*N .PTA E ES ❑ PTS Phone # ' ( ) "r t. lover Basin Affected i ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A i N 4 ' L ~'� AEC(s): Adj. Wtr. Body + ! �: ' -- nat n�an unkn El PWS: El FQ r/,I Closest Maj. Wtr. Body ORW: es no PNA es . no Crit.Hab. es no Y Y Y - Type of Project/ Activity (Scale: ) Pier (dock) length _ Platform(s) Finger pier(s) Groin length number - - - Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp _ Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length 1 !r r SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no , Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions (V Agent or Applicant Printed Natpe / Signature ** Please read compliance statement on back of permit Application Fee(s) Check # `- . .)7`Va(.J - r-_ ❑ See note on back -regarding River Basin rules. -, The time period requirement for this development is suspended until 12-31- -J 2010, pursuant to Senate Bill 831. The Permit Officers Signature effective date of expiration for this r..- permit is issuinguate Expiration Date Local P6n1ngJ isdiction L- RoOerFileName 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. (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 Apalican,: Date: S Describe befOIN the HABITAT disturbances for the application found in your Habitat code sheet. All values should m ch the name, and units of measurement i 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 im ac impact amount) —temp im acts amount Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Olher ❑ Dredge, ❑ Fill ❑ Both ❑ Other Dredge; ❑ Fill ❑ Both ❑ Other r.] Dredge ❑ fill ❑ Dolh ❑ 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 ❑ y North C-aroh is Depa� meat of Environment and Natural Resources Dj ils,ion uf C 0 a S MPI Managam+a RECEIVED, APR 9 2010 l40reheOc7 Ci4 oCM Michaei F. Easley, Governor Charles S. Jones, Diractor Wiliam G. Ross Jr., Secret' try Date _ A.laplicant Name —RlC4 �r G-:& ,K M-A /n) Mailing Address _j L4 1.:� 4 cOELs�- UJ--4`i Lj C- g ) ��--V, to act' on my I certify �.;iaat I have a�atliaos-izezl a�es�1: l� = - � befall', for tlae Purpose oa applying for and obtaining all CAINIA -Dermits necessary t0 install or Construct (actiAty) Y— 4)14;?rT-1--- at (location) l� i _ �1 U l l✓ X"-3 ,g Lv'b This certffication is W RIi'rl thru (date) Saanature �O�-� e A-_IJJAC.ENTKJI-.`A,HIAN FROPER'I'Y OWNER STATEMENT (FOR A RIERIMOORING PILINGS/BOATLlFTIE OATHO SE) #11 7 � �• I' hereby certify that I own property adjacent toC''`'"'�"� 's (Name of Property Owner or Applicant) Mailing address if different from location address /``�/Z +a�L', '� 5 C-j/,,9I y-" PECEIVEP (town, state and zip) A A/L) 74.1q APR 9 2010 phone numbers you can be reached at i ��J % 3-7� �� ANoreheacl city oCM property located at _ 12-1��s/�'�� (Lot, Block, Road, etc.) on /�1!-%l1 -,in A 1ViA-1'4L / 5-' l 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/mooringpilin.gs/boatlift/boathouse --- -- - must be set back a minimum distance of fifteen feet (IS) from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. .mta� I do wish to waive that setback requirement. initials DESCRIPTION ANTD/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) kpr'Pos�D 6"'t--r w ' -------------------- --------------- --- ------------ ----------------- Signature Print or Type l;a-me 2S2p Telephone Number STATEMENT - (FOR A PIER/MOORING PILINGS/B OA TLIFTIB OATHO USE) ff 1 hereby certify that 1 own property adjacent to (Name of Property owner or Applicant) Mailing address if different from location address /�`'f✓� i�C'i�'�<- I2'/q iu (town, state and zip) :'��=J� t �h ��./C_' 7 APB 9 2010 phone numbers you can be reached at / r —�� d "oreheoq City, nCro property located at 1 v [ (3 ri V ✓/ (Lot, Block, Road, etc.) on )%ii/ f1 61A1 �9 _ in %� / L f ��,�� i �L F�'C-f 'y 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. initials DESCRIPTION ANTD/Old DRAWING OF PROPOSED DEVELOPNEENT: (To be filled in by individual proposing development) L'T-. ��. J� -- - ------------------------------- ---------- ------- ---- -- --- -- '{levpoS it IaA 3 - ---- -- ---- --- ---------------------- ---- Siemature _ r Print or Type .N arn-e Telephone-Nlumber SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 DATE ( La 4660 66-112/531 TO THE ORDER OF CDS 4 s DOLLARS u D..4. o.uu°°° ee�x. :: BRANCH RANKING AND TRUST COMPANY _ 1-800-BANK BBT BBT.com J FO 1180000466011' 1:053 10 11 2 11:0005 2 L0SIB 4066110 w m