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Home My WebLink AboutBriley, EddieCAMA / ❑ DREDGE & FILL 62708 WevNERAL PERMIT Previous permit # ❑Modification ❑Complete Reissue(tReissue 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 V 0 ...� _.. .. ,... �}_ ' - Rul s attached. (' Applicant Name �r i` �. C _. )\, i , Project Location: County ; Address 4`' a ! i` >ti Street Address/ State Road/ Lot #(s) City I4 1 ; ,:TcttC State t ZIP i1 r Phone # (#�:) , s x�OFax #,-(�) Subdivision Authorized agent �. ',' (�. '> t " t' f t ''' City 1` j �. ZIP {� fi� 1_t -� 11 ElCW *W L�PTA ❑ ES ❑ PTS Phone # ( )1 River BaWtlrt,(Q�,-a-�tlman ' Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A `�r ! 1 AEC(s): Adj. Wtr? Bo v'l ,L 1 1 unkn ORW: yes / o PNA yes / � Crit.Hab. yes / no Closest Maj. Wtr. Body ' i (� ' '� t Type of Project/:4ctivity^ i j1 �f. .f ? ��,U { C(i Pier Platf Fing Groi Bulk Basi Boat Boat Beac Oth Shor ISAV sand Mo ;Phot Wai r, (Scale: r�) r pier(s) NONE number avg distance offshore max distance offsho NO NOMINEE! !CI No cubic yards —MMIMMMMMMI ramp N ' MOMMOMMEMEN NEE NNEEMS 004 iEffillffllu M�MMMMNMMEVA=M ME IMMINUMIN 6, 1 ME M : 'r & I IMEN EMMENIN 161 0 0 �Ewl .9� ME EVEN SOMEONE MENEM NONE E 12 MENEM ON I E go .46 MOMMEMEMEMONMEMEM EMINE 0 IN NONE MEMOM MEMOMMEMEM A building permit may be required by: '!' : t 1 �. ` f -i t �'r J See note on ck regarding River B asin, rules. Notes/ SpecialConditions \ `� : 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, certifythat this 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 complywith 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 Headauarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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 tr-TIO ISJYX Sa011zs IVVIU `:;c '� J liSXiS 1u31 ?ii3n`.:{ �;%ai�'+f133`uF?i a �3�t; .•a `rApplicant: 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 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 am unt 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 [3. 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��e��-�w�^� ,. 'J a«ss�.•�56,�s>��„� n .. 'inn �„A�,s��T�s��Ba�a�,��=��y�o��t,�?��a u•Qrii:�s�: ��l�i��l� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to EpT;l b 'Bp�o Lv—'s Name of Propehy Owner) property located at 2'6 Y"ma(A G lji3 (Address, L4=0 k, Road, etc. on ?=� '� , inC— -Cl� , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above to i have no objection to this proposal. 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) 8 T% aD `POa.L ]RECEIVED 17 2013 WAIVER SECTION JUN 17 2013 ACMMHDCITY 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 MWMAVRI by me. (If you wis 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) Ah Signature 1 ��br►�as' Cam' . �,t!�l ,cS. �/ , � �, Print or Type Name Mailind Address Number 3/,2-/ (AdjacenfP-opertY irrtorm@ on Si 'metre Print or Type Name Maihf�9 Address City/StateMp Telephone Num er l�ZZ� i � Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to eD;;1 5�1 's Name of Propehy Owner) property located at 226 W%Ma( G Us (Address, L4=0+14— k, Road, etc. on ?ET9�, —' , in 6107C�k , 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 below or attach a site drawing) !I] �a � r i is tt>~c>riv�n JUN 17 2013 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, lbatuse, holift, or gro nBrret back a minimum distance of 15'from my area of riparian ass 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) Signasre Ptnt or Type Name Mailing Address I,/1LSr_ City/State/Zip Telephone Number le -13 Date n o ert _.Owneranformation) ' Signature Print or Type N , e Mailing Address Ci /State/Zip ��nJSo� o✓` �— � ��o Lf Tele hone Number _ q/g 6sl -_;�o7� Date d . '0' 3 bZ6/3 (Revised 611812012)