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Home My WebLink About55736C - Johnson❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT f Previous permit # MrT'ew ❑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 15A NCAC F Rules attached. Applicant Name ('V--_j�- 1 Address City i �� State `; IP', ' Phone # -�C : Fax # ( ) Authorized Agent Affected El CW �A[-] ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA 'yes / no Crit.Hab. yes / no ) Project Location: County Street Address/ State Road/ Lot #(sJ Subdivision City j; -_1.�.:� ZIP �� r y — _�--, Phone # River Basin Adj. Wtr. Body t'� �� I nat man unkn Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) Pier (dock) length — Platform(s) - 1 - - Finger pier(s) i Groin length ` number Bulkhead/ Riprap length ►i L `` ^ -. �! avg distance offshore max distance offshore � I Basin, channel ---- - - - ------ ---- — - - ------ cubic yards Boat ramp Boathouse/ Boatlift _ Beach Bulldozing J r h _ J Other f � i Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no _ I Barring a major shoreline change due A building permit may be required by: /} ?. L. , - c } ' SeEto a storm or other significant event, � � the alignment of this structure must be Notes/ Special Conditions approved by a DCM Rep. within 120 days of the onset of construction. The time period requirement for this development is suspended until 17-11- Agent or Applicant Printed Name Signature "Please read compliance statement on back of rmit Application Fee(s) Check 2010, pursuant to Senate Bill 831. The Permit Officer's Si nature effective date of expiration for this permit is S—t Issuing Date , Expirationn,D Local Planningjurisdidion Rover File Na e 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 A clicant: �- Date: Describe below the HABITAT disturbances for the application. All values should match the name, and uri' of m asurement 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 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 C] Other FJ Dredge ❑ Fill ❑ Both L) 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 ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to vo-ZZ,4 /P jflLi,vi ors 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on n.i?/i2�� N.C. (Waterbody) (Town and/or County) AppIicant's phone #: FAO AK~ 6618Z Mailing Address: 18d 0 ,� .je✓czj� He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. ,<c--A WA L.L- -------------------- --------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) nocK 14 jY zy (Information for Property Owner Applying for Permit) /610/ Ad. Mailing Address City/State/Zip 9119- %S- 418iqz Telephone Number Sig ature Date IL !y a 25w of st4WAEL ,o4q,2T, AT E57=nCJ DocK ANo E2L%"Az v- To (7 r`T s` rf,& brTc 01 ��aptlt`[y Lz��tc` RECEIVED MAY 2 0 2010 Morehead Ciro e,� (Riparian Property Owner Information) n Signature L Loal Print or Type Name Telephone Number Date ADJACENT R?PA?JAN PROPERTY OWNER STATENIENT I hereby cet tits that 1 own property adjacent to 7or-oy ,,t tt" Lzrwl�, osa ti 's (Name of Property Owner) ��5 0 property located at a?+7/a7 /`%✓Y.?V /`il-�✓0ye'/� W C. .243=S:7 (Lot, Block, Road, etc.) on ('rA��J C'R � , in 6PR7R-R€7- �o��e'Ty , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 9/9- 94' -49Y.Z Mailing Address: 1860 8X4.rWe!--11 �c/ He has described to me, as shown below, the development he is proposing at that location; and, I have no objections to his proposal. Ara/A�L ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) f.f.r H&,:J zY 2501 of LJACC �L S' kfa P--Fr!� T i` ursTrr c� p�CK l��so ci�.T�rtQzuG acr5Tr+,r DzTc 1. 1 IpRape-siz-y LzatL' T JAY N RECEIVED �a "- MAY 2 0 2010 n Morehead City 0-CM (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 7b'4�0 xfxw1e✓� /1 Mailing Address Signature ,w 14,45alo( 10� Z7J-77 City/State/Zip 919- QVIs-owz- Telephone Number Sig ture Date j Nomv5 Print or Type Name CH 43� 7g-A C Telephone Number Date STAFFING SOLUTIONS® 1-800-796-2946 cl lad -b $'g Z www. maximstaffing. com