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Home My WebLink AboutBurney, ConcilL. Q1CAMA /j'REDGE & FILLID GENERAL PERMIT Previous permit# a4e` w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in i area of environmental concern pursuant to I SA NCAC PA Name's °.tf r '} Rules attached. Project Location: County Plicant _�{ Address ;" 3 11� €" , "rd=°� ✓ Street Address/ State Road/ Lot #(s) Cit), r, ..; State.'..r ZIP - ,l ,f �'" (� I`% :Phone # (_- ?)j~`�% 'Fax # �)' �. Subdivision Authoriied Agent jJ ` / , !°�,��,, t I J Ciry i' �" :� t" r d � r ' ,:: ZIP �°z` � �^ /�+ / 117 Affected ❑ CW -n .a PTA _p.ES ❑ PTS Phone # ( ) z River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): F , . Adj. Wtr. Body 1? �: / �' r a-V man unkn rr ❑ PWS: ❑FC: ORW: �`yes� no PNA yes (rno Crit.Hab. yes / no rr. Rnrly f C,1 �. L� �' <,.•,:• ' Closest Maj. W , Type of Project/ Activity Y t s IV , . ;.. ; it 1 G ' 'I" , :., io, It 3 (Scale: -31 { ? ) .Pier . ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■��r�r.■■■t�■■s�■■r�■■■■■u■a■r�rr�■■■■■■■■■ i length number ■■■■ilk■7�■■! ■i�i�■ti`E�■i��■'>■■■■■■■■■ 'm avg distance offshore : ■■■■■■■■■■■■■■■■■®®■■■■■■ ■■■■■ :■■max ME distance offshore ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ cubic yards ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■r■■��I�■■■■■■■■■■■■■■ ramp ■�■■■■■■■■■■■■■■■■■��■ram■■■■■■■■■■■■■■■■ ■H■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ A Bulldozing ■■■■■■■■■■■■■■�■0■■■r�■■i�i■■■■■■■■■■■■■■ ■■■■■■■■■■■■ME■■■■■��mt� ■■■■■■■■■■■■■■ ■■■■■■■■■■■![■■■■■■■■■■ ■■■■■■■■■■■■■■ ra�■■■■i '''JOE■■■■■■■■■■■■■■�■�■■■■■ Len not sure yes .. ■■■■■■■■■■■.■��:�..:.��.e-.Gs■■■■■■■■■■■■■■ lags: not sure yes vbcl, ■.■■■;■■■■■■■■■■■■■■■■■■■■■■��■mQ■■��■■■!S: yes ONE NEEMM A building permit may be required by: C t' :� ;` t! ' ❑ See note on back regarding River Basin rules. Notes/ Special Conditions clii ,/ �'tr. , t L- ///1 i 1 e ; !` t }. l t) iF; ' a /�� ;, i`r c ,, �? G • (1} G• t f Agent or Appl%ant anted Name PermitOff14er s Signature Signature "` P e read compliance statement on back of permit �`�` Issuing Date - pirati¢n Date Application Fee(s) ! Check # Local Planning Jurisdiction Rover File Name i ,' 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, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules ❑ Other: 0 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 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 -above 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) (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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at_ / 1—/,Vk4a LJ�'1 es (Address, Lot, Block, Roati, etc.) on i C La/_ _ , in (;11 8, Po, to k , N.C. (Waterbody) (City]Tow 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. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) �4A[,Itf PD-0 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. tomI do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) ca (Al vaz^ nre An rat� Sigraatu g�g t or y e Name.- Print or Type Name ISHke Mailing Address Mailing Address cit�ip cityistate&ip 2-�z v/zC 7- Telephone Number Telephone Number r �Q� Date —A ell Date (Revised 6118)2012) i 'd 89ZZ 'ON INdOS:L E [ 0 Z 'daS sztwZIP� Telephone Number bats 5r.r/G4/ZU1YWED W59 AM FAX No. P.001 x96�?� G00:aapd J BZTLtr6T6=0I 306£6QS2:woJJ 20!8T £z02-£0-d3S. ADJACENT MRIM PROP OWNER N R STATEM ENT I hereby certify that I own prQparty adjacent td � • $ property located at/Z-S- Ct- 1t . Pe., -- - �(Nhmeofrty Owner) on -rc�, in p_.�, � �?�' N.C. (Waterbody) (City!Town and/or Countul The appileant has described to me, as shown below, the development proposed at the above location. � � ` r t hive no obJeodon to this proposal., � -P� � jjo� j .� I have ob]ectians to this proposal /Z.-O� t1 DESCRIPTION ANDIOR aRAWING OP PROPOSED DEVELOPMENT (Individual proposing dovolopment must fill in doacrfpdoh.below oraKach a site drawing) VAIVE&H2jLQN t I understand that o pier, dock, mooring pilings, breakwatsr, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian accoo unless wAlved by me. (If you wlsh•to waive the setback, you must Initial the appropriate b(Wik below,j "! I do wish to waive the 15' seibEwk requirement. �l I do not wish to walve the 16 setback requirement. (Property Owner Information) (Adjacent Proparty t?rrner inlQrmatioa) M1�tuc b'kCC<CAF Rdnt or T Name / Mailing Address nl(, k- tirr_ bats �'�r G 10 (ievbed 611NOm IC ,d'd 091,6 '0N4 ,,,,.WdOS:L „Ml '� 'dag rUDEWR North Carolina Department of Environment and Natural ResOurc6s Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director Date S7'r'rr `b Applicant Name l Mailing Address John, E. Skvarla, ilk Secretary I certify that I have authorized (agent) L r to act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) at (location) This certification is valid thru (date) So,012o-- p Signature 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www nocowtalmanagement.net a4 Eque opporruul %AMn WaAcBon Employer One 9thCarolina Wura!! i 'd 89ZZ 'ON NdWL E[OZ '� 'daS SEP/04/2013/WED 08:59 AM h FAX No. P. 001 2M2TLt'GT6=aI 'W6£6ZaS"2%wQ-1.l '0:ati 2:108-£0-CUS I hereby certify that I own prpperty a4acerd prc on The applicant has described to me, as shown below, tho development proposed at the above loeatiori, I have no objection to this proposal. a•� t~ � � D U., I have abjeotidns to this proposal. r� DESCRIPTION AND10 DRAWING OF PROM$ED DEVELOPMENT (Individual proposing development must fi11 In dcscrlpdon. below or agach a site drawing) WAIVER SEfgIJON 1 t understand that 0 plsr, dock, mooring pilings, breakwater, boathouse, Ilk or groin must be set back a rninimum distance of 15' from my area of riparian aca69e unless waived by ma. {If you wish -to waive the setback, you must Initial the appropriate blank below,} t I do wish to wahra the 15' setback requirement- ..- - I do not Wsh to waivs the t 5' setback requirement, (property owner Informafion) (Adjacetrf Property Ownor Intonnation) K7 i �tLIL ccir cam= or Twe Name 3 19 Address _'P W09ripp t C , d�dfx�uun ��unww q balm x � 'di '-�LN 'OCBN (Ravlead 6/1&2012) �WdSti�6 `�IOZr'S��daS Goo,gIe earth tees 200 80