HomeMy WebLinkAboutBunch, WilliamType of Project/ Activity., �%' t a C 16 r f
(Scale: Ir p
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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4Age
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Peemkofficer'
i
ted Name
Signat ;ease read cornpii t e �on back prryiit
21" 6 Vo
Signatur
APP,6cation>Fee(s) Check#.
Issuin ate
Expiration Dad
aG'%,6r
0
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 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 complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
Washington District
400 Commerce Ave
943 Washington Square Mall
Morehead City, NC 28557
Washington, NC 27889
252-808-2808/ 1-888-4RCOAST
252-946-6481
Fax: 252-247-3330
Fax: 252-948-0478
(Serves: Carteret, Craven, Onslow -
(Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet- and Pamlico
Tyrrell and Washington Counties)
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)
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.nccoastaimanagement.net/
Revised 08/27/ 14
AMA / O DREDGE &FILL
ERAL ` P RM IT Previous permit #B C> , D
❑Modification XompleteReissue, ❑Partial Reissue Date previous permit issued
authorized by the State of North Carolina, DepartmePt of Environment and Natural.Resources - t• -
y.
the coastal Resources Commission in an are of environmental concern pursuant to I SA, NCAC
t ; XY
attached
plicanf Name _� Project Location: County' '
dress ` i Street Address/ State Road/ Lot #(s
.Y., C /' {�>J
d f-U State t ZIP rJ j� i �"'t
tr
one #:( F) E-Mail Subdivision
thorized Agent City e le I ZIP
Fected ❑' CW ElEW ❑ PTA El ES ❑ PTS Phone # O f 8 Ri er Basin X, i
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A``
C(s): Adj. Wtr. Body �•. s •� nat man unkn
❑ PWS:
tW: yes / no PNA yes / no Closest Maj. Wtr. Body ei r -
ie of Project/ Activity 4 W 610 r i x �r � � �'1 1 v
(Scale: )
Boat
.Boat
oth,
Shoo
MEN
MMMIMMME
MEN
avg distance offshore
max distance offshore
cubic yards
ramp
fline Length
not sure
yes
ing permit may be required by:See note on back regarding River Basin rules.
Local Planning jurisdiction)
Special Conditions
�iicart•R Prated [fie'"
"ee(s)
y PermitOfficer' i ted Named
r
es 4
em on.back° p r wtom} Signature
Check# Iss6ingPit,
e Expiration Dat