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)
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(Revised 6/1 &2012)