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HomeMy WebLinkAboutAmato, Frank & HolliGE & FILL N`2 82235-(" GENERAL PERMIT Previous permit # t4 ❑Modification ElComplete ReitssuPartial Reissue Date previous r it 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 14.1 ARules attachgd,. Applicant Nam Project Location: County k Address -1 2i� Street Address/ State Road/ -Lot #(s) City I State (ZIP J) Phone #.-.Fax # Subdivision 20 Authorized Agent J C ZIP PU Affected 0 CW \A� VP�TA El ES 0 PTS Phone # (174) (S11­)-_ r fiver Basin lc/ 0 OEA 0 HHF ON 0 UBA E3 N/A Y�l (naf Vman unkn J/) AEC(s): Adj. Wtr. Bod o bx1l t 0 Pws:-, OFC. Closest Maj. Wtr. Body — ORW: yes (PNA yes /"no I Crit.Hab. yes no 0 ) 4 I I - Type of Project/ Activity Basi Boat Boat Beac Othd Shod SAV 'Sand 'O'i Pho) VJary , (Scale: I ) ll� �1) ) EN01.5 6"W"NOW., 0 ME Ov"I.F.P. 2 =WINE 0 0-10&0, w"S M.P. do -WEE ON—w—bl"i'm ME M r pier s MEN■0 M■MEMMEMEMENEEMEW9=00 E MEMEMO NMENEMEMEMM■11 mum OMMEM SOMME MIMEMENIMMEMN MONEEMENOMME cubic yards IL M M ram p ME MOMEMEE M E■■■ ,11 111101111wM1MINI M MONMEMEMOMME NOWMNIMMEMEEMOM gN IMME on W61V MINMEMEMER H"N"NUMMEMEMEMEMENNNEM .n eL ength 1Up w"UNIOVAN I not sure yes�,�, c MEN =,Mfg - ■■■■■■;L�l■■■ MMMMEWMHIMMI ME A building permit may be required by: See note on bac/7k regarding River Bin rules. J Notes/ special,ConditionS —7 N At _j 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules 0 Neuse River Basin Buffer Rules F Other: 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) Revised 08/09/06 PPIZ 01, 'P,-ZL2Z',bQ1" 262OT".'. Applican Date, 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 Y TOTAL Sq. Ft. Applied for. Disturbance -total includes any anticipated restoration or tpmp 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 Impa FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge [I Fill 0 Both [I Other V Dredge [I Fill'O Both 0 Other 0 Dredge [I Fill 0 Both 0 Other [I Dredge 0 Fill 0 Both 0 Other 0 Dredge 0 Fill 0 Both 0 Other El Dredge [I Fill [I Both 0 Other [I Dredge [I Fill [I Both [I Other [I Dredge El Fill [I Both [I Other 0 Dredge [I Fill El Both El Other ❑ Dredge [I Fill 0 Both [I Other [I Dredge 0 Fill El Both 0 Other [I. Dredge 0 Fill 0 Both [I Other El - Dredge [I Fill [:1 Both 0 Other El Dredge [I Fill [I Both [I, Other [I Dredge [:1 Fill [:1 Both 0 Other 0 -f-M-230S, : 14$018-4RCOAST .1, vev-!S�sd. OW0311r", N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: and 0AI AM40 Mailing Address: 3a( �AOQK UIV-e NewPdgr N c 9-8570 ucr=13 ApR 2 2 M3 DCM-M0 Cn'Y I certify that I have authorized (agent) j ►'16w. O' S L—AZ1,,LC41-to act on my behalf, for the purpose of applying for and obtaining all CA_M�,If+ A Permits necessary to install or construct (activity) 0C, � � � 00 �..(J at (my property located at) This certification ' t ru (date) 2 �' Property 0- 7A 5 �laa-1a��3 Date 0/3 2_ 47- ADJACENT RIPA AN PROPERTY OWNER STATEMENT j( T I hereby certify that I own property adjacent to 0.XI & � (G' S Is Name of ro erty Owner)) property located at 3a3 BROOK 1..�N'E N o c gad (Addre s, L�" ppt, Block Road, etc.) on Z C-� in awtoE N� CR0.�'EI�ET , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loca ion. have no objection to this proposal. have objections to this proposal. DESCRIPTION A RAWING OF PROPOSED DEVELOPMENT (Individual proposing deve me must fill in description below or attach a site drawing) t3'`13asa x31, , f s,akb mac» APR 2 2013 DCM MHD CffY WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 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.) —C� I do wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. (Prope Inform ti ) (Adjacent Property Owner Information) Siwat&e N-W% ml cm, fmakv Si V & &A c Alto. c :k. Print or T e Name Print or Ty a Nam 3a� Fy3V- L N� 3a3�RWK L-AN� RVAO�Mail' Ad ress Mailing A dre �51� I-1 "r- S"lo �wro� Nc 2- City/Stat rp City/State2i a��`lS = t3ta 'M -1ae -15151 Telephone Number Telephone Number 4• tq•aot3 4 -k4jJo� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Q�.f'VVC hereby certify that I own property adjacent to 0.t 1 �c�'n� 's (Nam_ e of Pro erOwner) property located at 31°� ROOK lflN , i1EWQOR�. Nc a�5'10 11 (Address, Lot, Block, Road, etc.) on .7UfY1Pl�l6 ��N in NEvJPOR�. Nc CAI�'Cf.R , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description beer attach a site drawing) t3x�3 V"', �C Elks510 �� 1 AP pGM- OY WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back'a minimum distanceof 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.) do wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. (Pro wner Information) (Adjacent Property Owner Information) S1gF!atUgryeSignature ra K th c.�D o`'►" n10.'fD �ifl�`� �A N kw\ Print or Type Name Print or Type Name L o k -& ook ,a *U9 U00K l-AAE Mailing Ad ss Mailing Address o Nc a851p k Nc a�s�o Cit /Staae2lp City/State2►p �51-�,15Y�t3ta- Telephone Number Telephone Number 4•�;.ao�3 / �-a,a-ad'3