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Home My WebLink About60307_COOPER, A B; GREG HAUSER_20120629-r_ �:]ICAMA / _l DREDGE & FILL Imo'_ NO. 60307 GENERAL PERMIT Previous permit# 7-New ❑Modification ❑Complete Reissue F- 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 — _. d' ` ' Project Location: County r Address ? . Street Address/ State Road/ Lot #(s) City State ZIP Phone # (_) Fax # ( ) Subdivisi n , Authorized Agent - City ;` IP Affected ❑ CW EW ❑ PTA L7 ES __1 PTS Phone # (_ _) River Basin - LI OEA C. HHF ❑ IH ❑ UBA ❑ N/A q } �? AEC(s): Adj. Wtr. Body_ (nat /man /unkn ❑ PWS: C1FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity 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 r ".1 Other t I E �r Shoreline Length 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 Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: See note on back regarding River Basin rules. PermitOfficer's Signature Issuing Date Expiration Date Local Planning 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 thatthis 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/ 1-888-4RCOAST 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) Date. G� Describe below the HABITAT disturbances for the application. All values should rrtatch 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 tern impacts).im FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp act amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excluc s any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other / Dredge ❑ Fill ❑ Both ❑ Other ❑ Nedge ❑ Fill ❑ DDlh ❑ 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 ❑ c+.33 - ,1l+OA:.91 -".... .....•1+ 1\jo,fh Carols rDeparnnant of Environment and flatural DIvIsioq IV, co -,as al U.anagsm-"-r* --hari.as Jr'.ion.es, 01ractor G. ROS$ jI S8-P'3 Ily 44 4-v t to ati cerlif-Y that 1 ba-i:e auchorizoe, (agen't) er a , fqr tilt. pu,rpo se,,,f applyincy for and obtaining all CANV, Pe-a-MItS Aece."al-Y to ,lf thyxa fdate) �jgnuturc ftclpftD '"' 12 2012 DCMM,rra C,,Tj, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to. ` 4,q \15 G s r� (Name of Property Owner) property located at P S`Ct�-a (Lot, Block, Road, etc.) on C -1Pli t— , in 1, j "( �- `�Gtt CA , N.C. (Waterbody) (I'o vnand/ r Cr'.Q.uu41 Applicant's phon�# �� '��S 16!557 V1ailing Address: 367 iJ .S 4trX 1'*)N-Ic 3 cJ4 p4 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) `' 4. --DT> 1 k> RECEIVED I UN 12 2012 DCM-MHD CITY 1 =--------------------------------------- ---------------------------------- (Information for Property 4Avner Applying (Riparian Property Owner Information) for Permit) Mailing Address Signature City/State/Zip Telephone Number Signature Date Print or Type Name Telephone Number Date