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Home My WebLink AboutChaffin, JoeC A F/ //V i� � I CAMA / El DREDGE &FILL .aY GENERAL PERMIT A Previous permit# B t C D New ❑Modification ❑Complete Reissue El 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 an area of environmental concern pursuant to 15A NCAC ! • /' ��;'� El Rules attached. Applicant Name {.'' ( I Project Location: County Address t E Street Address/ State Road/ Lot #(s) City 1 € f , 1'I' % Statefi Phone # ( L:) !'�*`1 E-Mail Subdivision Authorized Agent City t ,�%w , '; , , : >,^ r t ZIP ❑ CW Ewe PTA ❑ ES El Phone # ( ) '''r River Basin Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): gri r' ; , , r = ° t.i" i Adj. Wtr. Body nat (_ -' /man /unkn ) ❑ PWS: ORW no ' PNA /ono ` Closest Maj. Wtr. Body —� yes /' yes Type of Project/ Activity f ;S r� F'�. r< ,r.. �+ t r '-" 4` (Scale: ier Fixe Float Fing Groi Bulk 1 Basir Boat Boat Beac Otho Sho► SAV Mor Phoi Wail NOON ME OEM NONE WMWMMMM ONE 0 ramp Bulldozing MENOMONEE not sure yes MENEM �mm�mmmmommomm RM MEME 2ME ,torium: n/a yes �_n.'M=MMMNN MOMMENJIMMOMEMEEMMMIMM &.ran!, ❑ See note e r S. A building permit may be required by:(''t 1 ` + �� ( Note Local Planning jurisdiction) Notes/ Special Conditions i Agent or Applicant Printed Name `` fr PermitOfficer's Printed Name Sign ture Please readcompliancestatementorrbackofpermit Signature f ApplicationFee(s) Check# Issuing Date Expiration Date ., . 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 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 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-411COAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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) 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 - South of New River Inlet - and Pender Counties) http://www.nccoastalmanagement.netl Revised 08/27/14 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT f I hereby certify that I own property adjacent to J 0 G� s (Name of Property wner) property located at 0� 07 el J�—_p P fK �� c��k (Address, Lot, Block, Road, etc.) on , in Se- A-1AQA1 , N.C. (Waterbody) (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. 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) RECEIVED -OCT 1-9 2015 WAIVER SECTION DCM- MHD CITY I understand that a pier, dock, mooring pilings, boat ramp, 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. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name 1141 Ga d'en¢�w . Mailing .�Address S ? y City/State/Zip 706, - 3 Telephone Number/email address Date 'Valid for one calendar year after signature" (Adjacent Property Owner Information) Signature s. �'kELavRN� Print or Type Name ` 8'1 Z oLn in"aaug Maifirkq Addres IUMV Ja i NG 27371 Ciry/State/Zip 75'?42s ZI24- Telep one Number/email address 91i ` hs Date * ❑ (Revised Aug. 2014) t a 7 CU L ` RECEIVED OCT 19 2015 DCM_ MH® CITY four I�G a 7 CU L ` RECEIVED OCT 19 2015 DCM_ MH® CITY four I�G 1 5 DECEIVED OCT 19 Z015 DCM- MHD CITY No, - c CA -la - _*A ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to c oy Fy 1 �// 11 ±EtP_muq-n�!, Ur /S G,Q (Name of Property Owner) property located at �k R�• (Address, Lot, Block, Road, etc.) on ili D�� 5 G R GAP , in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Indmdual nropos�ng develoninent must fill in descnntfonbelow or attach_ a site drawing) 99� OCT 19 2015 DCM- MHD CITY WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set b ck a minimum distance of 15' from my area of riparian access unless waived by me. ( you wi h to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. a4 /on.¢._�� I do not wish to waive the 15' setback requirement.'a (Prope y Owner Information) Cvu t ature ,1 O F (fNR FF, rl1 Print or Type Name / l l/ r 0 vg4)Tn-v Mailing Address City/State/Zip 70r—3/0-0!43Z Telephone Number/email address 9-,7— IS — Date *Valid for one calendar year after signature* Information) Print or Type Name f'CoH L/ /- /— / Mailing Address ) Al / ag5� City%St te2i �—Q —?s-2-'7 Telephon Number/email address , r Date (Revised Aug. 2014) k 1 'E /s ck K ?4wX60-1 A)�. RECEIVE® OCT 19 2015 ®CM_ MHp CITY U 1��5� Boer <i-F-r ( X7` G RECEIVE® OCT 19 2015 DCM- MHD CITY 6?X1 Nor TO gci - tpe, a 15. c k)Sck 1'vA-p a 4 c-AAf,T A N C 0,�P-IQ