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HomeMy WebLinkAboutAmerson, Gary (2)IaGAMA / L',(DREDGE &FILL ° , GENERAL PERMIT Previous permit # j ❑New odi ic4tion,... ❑Complete Reissue ❑Partial Reissue Date previous permit issued i As authorized by the Sta a of North'Carolina, Department of Environment and Natural Resourcesf and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCACI) a V Y t v... i Rules attached. Applicant Name `- ai '_ Project Location: County 'Address Street Address/ State Road/ Lot _.(s) Y City ' �' ~%. �, State 1p Ap r`';� LA 1), KI I Phone # ();,— "tip "' � I�nt!1Fax # �) =�_.• � �, .a -Subdivision i � I 'Authorized Agent :, _.,.zaf�z'" ;`. t,, Cif, cj` Y`( l:t. (:� ' ZIP ' ❑ CW r EW J TA V&S ❑ PT s c �. Phone # (t�t�% •_ �' / : River Basin 1, { Affected - " ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ;'N4 � ~f �,(,j 1 1,, r t . j. i AEC(s): Adj. Wtr. Body(^`.�' t) , Al i .\ '� ' J zi(ht /rhanunkn) ❑ PWS: ❑FC: �'.. -r"N'; •-f;1 " 1 Closest Maj. Wtr. Bodyr ORW: _yes /no PNA yes / `no j Crit.Hab. yes / no Type of Project/ Activity ,M f) .,. I �' 11 �i;n r�. ��"Y1 � � � 1 i �( r ;"t`>�_wj' r7 I�� f� 1 li t.r _t l rl , �_..;' (.� )j�(r f ir?t,�"1;.�s -�t;; 1l t 4-.�,~? `lc-;/Z• I (Scale:' s Pier (dock) length Platforms) Finger pier(s) i Groin length umber 7 A Bulkhea Riprap length J avg distance offshore .' max distance offshoret ( Basin, 4hannel 1 n. 1 --•r cubic yards i I Boat ramp Boathouse/ oatliftr Beach Bulldozing +f Other '1n r Shoreline Length SAV: not sure yes �o Sandbags: notsure yes not Moratorium: n/a yes no Photos: yes o'• 'Waiver Attached: yes ro ,:��n ir WIN N ■■■■■■■■■■■lam■�■■■■!!!■■■■■',1�■■■■r 1".1■■■� � 11011INN MEO� OM ME ���■■■ w is yr��wr�c�®ia■■w■i�■■■s■■■■ ��■was■■■■■■■■cw■■�/■p■■■■■■■■■w■■■■■■■■ ■■■■■■■�i■■■afi■we■■■■■■■■■■■■�[!!!�■era%■■ ' ■�■/!� l�■.11►�iliii�i�■■■■■■■■■■lei iJ�3�■■■■ ■►■■■■i■■■�i■i■■■■■■■■■■■■■■U■■■■■■■■■■■w■ ■■■■■a■■r��■•w■e■■■■■� �s�w■■■■w■■win■ ■ wr�a■ ri�w■■®e■®e .�r■■■■■■■■ni■►■■��■ ■■■■■ ■■■ ■■■ ■■■■■■■Effilliall Sri■■■a�■■ ■■wM■■BERS■■■■■■U■■■■■NOW � / ���� momman■..■ ■■■■■ICI o 1 i ��■ A building permit maybe required by: ,: t .1 k f \4 ❑ See note on back regarding Riv/e�r. Basin rules. rr r Notes/ Special Conditio~ ns r1 f�'i ! t t �t��� fd f L /1�. ne-40 ./-11; IC-1 ;;:�^. y,' •� � �"ram ,./ _-j � .,.-. _.. - - .. - '��.1 �, -`h.i� ;Agent or Applicant Printed Name ':o r Permit Offi er's Signature f�-- ��sr � 1 a y`� N �ff� "may ,� �--' ,-' �, -r; ��• (� `�' I.��t'.�,li. Signature' *P�ease read compliance statement on ft'� r�%/__'=( I uiigDate {om„ f ExpirationDate "^, ApplicationFee(s) 4 ^ )f t Check# �anningJurisdiction ` t[ Rover FrleName 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 andvoid. 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 ❑ 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 Citv 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 C C C f I-13 Applican Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of urement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Diiturbance•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 Dred Fill ❑ Both. ❑ Other ❑ Art< Dredge ❑ . Fiil Both ❑ Other ❑ I 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 ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ 1 -808-23,3 :: 11-838-4VICOAZT uv:mmCcems2 amen. aes 6e�as��7:4t�,1a��19� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to G A/` H ► M a V S o n 's (Name of Property Owner) property located at e � n i n tx �� (Address, Lot, Block, Road, etc.) on E-6 North Qiver in 13PauForNC a8516 ,N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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 below or attach a site drawing) I'a"', /,h ;, as//? /S To �J!'o v1cle a/7 , 0/9e/7 C ah a l fp M a / 1274-c1 /r) /l cf 1//5 a le • FO wa ler a CCeos s r- all 01iel- prop er f5 owl?&,rs B� e ln,�q Lm a r e AOF Canal w� d A Can ran fed 7/0 o c✓n e,^s w / �A 42m a 7t" L, F 7L s , T�er'e Lore i op Aovse e /a D uoJZ,r-1-s ivy a w. dJA oF��%Ofeac`i 4F7; WAIVER SECTION 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) SignatAe' Gnr Print or T i3 a e Mailing Address Coy ,u Nc City/State/Zip 5 �9 - Q;Q Telephone Number Date ���le� YncTnnls A5eA' a5a-9,25-ayL/8 (Adj n Property Own Information) S' ature 49tryV r/ Print or Type Name Mailing Address Ci_ t lStatelZZ 0 6 Telephone Number IF Y _,0 Date (Revised 611812012) 25a- 795-2y�(ce�1) Wl vinj Tie WQIl tb-a.C� series 13.), 3� a' .3-#Cxlrc, outside oc-- '• S V Tn i-, cd Pc-r n, t-)-. _. fI }l � I 41.5 .5 WATers DOGE ��,5 (�►�SIN t5.� waxyy X1� L I X 90AT LIFT LIFT C'C�r1�Pr D� ana I 105' vintiL a�ikheua ! t05'( Cornple OeJ Men � 194 sLell—lnJ-ln:4i2J noFor+NC EAsin ProposQl, GARY lgmersorn dBrIL l a x a4 x 5 pro �y L w n 53 PPrt dsa-aa9- ��� eu6c ya�js of ma'�eriaI To 6e removed, BAS IO MR, LgMAO S�ls is�t r� a�nn� ear, -kc�-Ae---cgin► G(A o�—i�m_er�_o_aF Cove �sa�a�ayy8