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Home My WebLink AboutBrooks, Braxton83278C MA 1:1 DREDGE & FILL ?NERAL PERMIT Previous permit # New ElModification ElComplete Reissue Pa eissue Date previous permit issued As authorized by the State of North Carolina, Department of EnvV@ir6t and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to i SA NCAC H, Soo 0 Rules attached. plicant liiiiilame Project Location: County t! �AcicS lres Street Address ate Road/ Lot #(s)f- f A."I State Zi- p I phone Fax # C_) Eg Subdivision Affected 0 Cw [7W CJiYA El ES Vn PTS AEC(s): El OEA 0 HHF El lH 0 UBA 0 N/A El PWS: EIFQ 01RW: yes /(nb' FINA res),Y no (- Crit.Hab. yes no Type of Project/ Activity Fier Platf Fing Gri Bulk Bas! Boat Boat Beac Oth Sho SAV: 1 Sand 'Mo Phot, City V -k k Phone # Adj. Wtr. Body Closest Maj. Wtr. Body_ ZIP :, �t i ._-j 1( River Basini r k,� -LCC i I / (na�t Vman & (Scale: Er r pier(s)* mill I.'C� MINNE11 WAAMEME ■NNNP_�Ir��1■M MOMMEN&■MOON am 10111111011111111111000=40 MENEM MEMEMINIMME MEN MMOMOMEMMUNIMMEMMEM MENE MMOMMENNI ism 1111 INN EmmommommoMMINE El ME ki MEMEM10 MMMMMM 'L I'm W -NMom�mM- sol INEMEM IMM=MMM IMME 1150,00.P.ME HVIN on. MEN■ 0 EMEiE�.NMNi�� OEM ME �MENINN =11 =Nam N 111111111110 eLngth—=ON not sure yes Lags: MEN not sure yes MEN riurni n/a yes s: yes n MEMO er Attac es hei A building permit maybe required by: El See note on back regarding River Basin rules. Notes/ Special Conditions S A r 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 officerwhen 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-411COAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 Applicant: Date: v Describe below the HABITAT disturbances for the application. All values should match the name, and unitnmeasureme found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Appleed for. Disturbancedotal 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)_amount FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact redge ❑ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ ,Fill ❑ Both ❑ Other ❑ 252-803-2303 :: 11-836-41RCOAST b,�n:�.n��c�astalnaar�a�r�a�nt.�� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date D(' 1 a) k ` Applicant Name11a� �ma ti Mailing Address Ne->2�(A- NL 7- LE 70 John E. Skvarla, III Secretary I certify that I have authorized (agent) �c�t �Ps^`f to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) (-eptcce- ADC3-..tc at (location) 2-5Q N�,.�r� s� ��, NJe ��r�- �tJ �- zZs7() REcEWEa This certification is valid thru (date) �itfT � 3 W3 Signature 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer DCM-MHD CITY NorthCarohna ,vatmalltY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT �j q dJ • I hereby certify that I own property adjacent to �'TDit/ iY)crroiti IJro��S 's D (Name of Property Owner) property located at 50 (-1 �Y,oc 2r5oN 0" (Address, Lot, Block, Road, etc.) on 6foad Crseek , in 1Q-et,,AUV�7 , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above h loc tion. y 1 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) 0 , �e GV 0 ��CEiV,Et? b 2013 WAIVER SECTION DCM'?IftipCITY 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.) I do wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Sig tune Signature X/ZQe-roi� %SIlDO�� 121cko�-A `C I-10✓W Vke Print or Type Narn a Print or Ty e NameJ�1}(( ZSD (-1 eno(,erSD � Or c i S� AI -VA oo/] p oa s Mails g Address Mailing Address WZ1, A n� c 2 �S 7 a 1,) City/StatelZip City/Stat /Zip 25z� 6-il -osq� Pa ).Soo( Telephone Number Telephone Number /o-,- ao11 ib-61-13 Date Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT t?1�� I hereby certify that I own property adjacent to AW A%eTo k) -- O l o rto-� Qlro a :s 's property located at 2.5r6 kJe1Ldpt.SyKJ jor, (Name of Property Owner) n (Address, Lot, Block, Road, etc.) on 1 /'o ad CY ve k , in f1-&Jdk , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location J / 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) 0 R1rC�IVEI� OCT 2013 nC'~ -WiD CiTy 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ,( X� 6�� z - Signature X,eRV7-V A-1' X r2PNfs Print or Type Name 2510 Nen�lP�s��✓ %Ji-iv� Mailing Address Yq/ City/S� C ip a gS 7 D Telephone Number 9-S2--671-OSLI Date / 0 _ / . ;- d/ 3 (Adjacent Property Owner Information) 7) Signature Print or Type Name Mailing Address A'-7 Z 1' e.)deon Dr. City/State2ip I/C . 02 F 570 a 52- 3 93 G 75 Telephone Number to- 1- / 3 Date (Revised 611812012)