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HomeMy WebLinkAboutBrothers, Jim (2)VJ C3AMA /] DREDGE & FILL GENERAL PERMIT Previous permit# [�1New El Modification ❑Complete Reissue fDReissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources j�+ and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC! ! Rules attached. Applicant Name t t ") ' 4 r �'"'.�.y Project Location: County i ({"t `! �, �J' Street Address/ State Road/ Lot #(s) Address -� r w City,t,nt� �tr;sState` !' ZIP:_, !Phone # (� `') ' " ? r .- i Fax # (_ ' Subdivision / ;Authorized Agent. City ZIP r. ❑ CW �EW �C�PTA �ES ❑ PTS r Phone # ( ) River Basin ?A r.; Affected r-,, IV .,z ❑ OEA ❑ HHF LiIH ElUBA ❑ WA f t, /�Ct' i.0 AEC(s): Adj. Wtr. Body ( ->�1 .4 nat! man unkn ORW: yes / (no- PNA yes /,ono. ` Crit.Hab. yes(/' no Closest Maj. Wtr. Body ..r Type of Project/ Activity (Scale: l r-� 9 ) Pier Plat r Fing Groi length 1 number ■■■■■■■■Il■■s■ ■®e■ �+��■;■■■■■tom■■■■■■■■■■ offshore ME ■IN11110MINNEEN .■.. cubic yards �J■�■■■■■■■■■■■■■■■■■lr�lll■■■■■ .Si■■■■■■ ■■■ ����':■■■■■■■■■■■■liiii■■■■■■■■■■■■■■!�■■ ■®■■■■E�■■/111�■15�1■■1�■■■��■■t�■����lrJf�f1■Qi� Bulldozing ■■■■■■t�■■■�tl■E�■L��ti�it■■iil�i�■�i'�L'f�■■■■Er1 ■liilfLl■■■■ ■■■■■�■■■■■■■■■■■■■■■■■■■■■■ dine Lenzth ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ iags: notsure yes no �J ,'BU1kAeAdFeUprap avg distance A building permit may be required by j .l ` , i .'i M' _ ( ❑ See n to onack regarding River Basin rules. 77 r }( / r Notes/ Special Conditions 'i�'s • ' i; ; i t.� (',1-,;"` ! !'',� t ! •� _ 141 SS Agent or Applicant Printed Nam Permi�Officer s Signature a f Signature leasread compliancestateme h6ackofpermit ` Issuln;Dace, Fxpirationbate j { �ni, r 'Application Fee(s) Check# Local Planning)urisdiction Rover File Name 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, certify that this project is consistent with 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 tint tl. (;arolincr Pat McCrory Governor GN Denclftert of En'viron nerir and Nat'a;a Division -)i Coastal Manag(zent Eraxton C. Davis Director Date / a4kev- APplicant Name — 7'�,� Mailing Address,-, r 1ka I certify thati I have a tthori2ed (ageait) F � N _ to act on my behalf, for the purpose of applying 1 br :mct obt 'ni 1g all CAM, Permits necessary to install or construct (activity) h, at (location; Resources Joan E. Sxvarla, ill Secretary 400 Corhmerce Ave. Mo::hez d City, NC :'.8557 Phone: �52-808-280- . l Fi X 232-247-33" ) Internet: wuvw.r ooastalmanagement.nd An Equal Opportunity %AM TGOV Attic i Employer NoithCarolina Naturally I hereby certify that I own property +alIdjacent to property located at .� qa&Qa �. Lea on CJ � (Waterbody) ' k,-\ I (Name of Property Owner) (Address, Lot, Block, Road, etc.) in , N.C. (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. T- I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual pro*ing development must fill in description below or attach a site drawing) �r u WAIVER SECTION I understand that I 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 b 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 nerinformation) (Ad' cen� Property �wr�er I flmation) � �ti 1 l. f I \ 1 I or TvDb Name clingtddre\s v '517 CitatelZip ty/ Ia- LeD9-lava Telephone Number Date (Revised 611812012) asa..�-o � �/� /-2 ,02/19/26e6 21:07 2527264092 INTRACOA5TALMARINECO PAGE 02/02 l herdby cerffl th 1t l own pnaperly adja mnt to n prop$rty locabad trt sAddress onl ER- Y MER $TATt"1Vi t l �g -VI tnd f) (Manilrof Property Owner) ! C N.C. The Opli has described to me, as shown below, tF,e development proposed at the abov® l on I have no objection to this •proposat l t•ave objections to this proposal G SCRIPO N AND/OR DttAvAmG OP PROPOS D Dl ELOPMENT (Indjvi5g p FOP a�sdng deva'l,aPmeff m ust feif fn cf ip ort below or attach aells drawing) ,t it r V 7< dc�N f Vino S vfAIVER $E ) II ersta d the a pier, deck, mooring pilings, breskmder, boathouse, lift, or groin must be set ack a ' irlum distance.uf 15' from my area of riparian access unless waived by me. (if you wi lh to &(J thB setback, ;Iou must initial tho appropr ate blank belcnN.) •-I wish to waive the 16' setback requirement. l do not wish to waive the 15' setback req airement. (Property Own or R ormad n) (Adjacent Proporp► Owner lnfamution) f/Am,ax Tohiphwr—t Ar /I l// 14 we .4Frov, vA Z2-Yz6 — F-s` (Revised 6/1 &2012)