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Home My WebLink AboutBroadbelt, Curtis/ ❑'IDREUGE & FILL 7CAMA ENERAL PERMIT Previous permit # A B ` c D New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources 0 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 1 1 ' `• i C9 Rules attached. Applicant Name _ t" , r i- Project Location: County Address J t>' <% ' V ` �` j) ' ' (� t Street Address/ State Road/ Lot #(s) City `i f+; ; a i ' YC-'�gtate Phone # (�i) i' r E-Mail s Subdivision Authorized Agent City 'f ZIP ❑ CW AEW PTA ❑ES ; ❑ PTS Phone # ( { ) River B in i/ t�d r fr.! Affected ❑ OEA ❑ HHF ❑ IH ❑ USA `❑ WA Ad Wtr. Body�r i ; ' " (av /marf-Junkn ❑ PWS: ORW: yes [wno,� PNA yes /� o Closest Maj. Wtr. Body Type of Project/ Activity �.-{.�1'r'' f / t t t r (Scale: Pier Fixe Float Fing Groi Bulk Basil Boat Boat Bea( Othi Shot SAV Mor Phoi WaP SEEM �Enumber length avg distance offshore SOME max distance offshore- mommullmmmo NEON 1001101001101 ,channel cubic yat4ds ram MEMNEEMOMENE iouse/Boatift'J'. NEE SOMEONE EMEMMEN MEF31011111111111 MUNSON ME 11001011 No 1111101001IMMENIME MONSON ON No ME MENNEEME dine Length MOM RIM not sure yes no�i SOME A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions jj f ar`t . J gen ` or'Applicant: Printed Name / Signature **Please read compliance statement on back of permit ** Application Fee(s) Check # ❑ See note onbackregarding River Basin rules. s Printed Name Issuing Date` / Expiration Date 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 landowners). 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 ❑ Neuse River Basin Buffer Rules 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 Resources. Contact the Division of Water Resources 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 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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 - South of New River Inlet - and Pender Counties) http://www.nccoastalmanagement.net/ Revised 08/27/14 Yam` ,a I hereby certify that I own property adjacent to 's ,�('lN�s of Property Owner) property located at p� � V..l 4J_) 0 C'' (\ -- _ (Address, , BI ck oad,-e n� - on , in tJ 7k , 'U��.� S , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above to ti n. �T . 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) 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.) RECEIVED - r-- - I do wish to waive the-16 setback- requirement-jut01 2015 I do not wish to waive the 15' setback requirement. '-w)U \ Property Ow er Information) (Adjacent P. ope Owner Information) t natur Pr' t r ge Name Print or T ave Name l� �J� �^�� l ea 0) 0� �w �a;��As , � g Addre s �VJ to d ` lLC S Ca y6i Sw$$/Zip City/State2ip to 0 . ( Tel go�eNumb, l TelephoL' Nsnbze31 t Date - Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY QWNtK 54 - MtN i 1 �s- --� 1, if - h----- -- I hereby certify that l own pr7��—%�'qLk rty adjacent t .) � - (Name of Property Owner) property located at (Address, t� Block, RQ tc.) on JQ�—, inN��►.b�1O:S , 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. 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) WAIVER SECTION ` I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin mta��qE%pt back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to aive the setback, you must initial the appropriate blank below.) JUL 01 1015 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Ow er Informa_(t�ion) � a��l S' Pri t ype Name o � v M. Q!a: re g at a 5� -1 2 T le hone Number Date (Adloght ,, Property Inf ation) ature Print o pe Name r I D aiffing Ad r ,� s C !� BS C9 1J2�. ,vim C� City/State/Zip Teleph e Nu bjpj� 2 a l Date (Revised 6/1WO12)