The URL can be used to link to this page

Home My WebLink AboutCrose, Ann Marie'r-AMA 0 DREDGE & FILL 0 GENERAL PERMI Previous permit # New OModification E]Complete Re *Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources q and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC [XRules attached. i4pplican. vim#Project Location: County_ J_ Ad dress J Street Address/ State Road/ Lot #(s) City X I I -I -�k ! ' )(! State)V ax # Subdivision Phone -13 City On 1 i. Authorized Agent ( ZIP Affected �'CW )�EW PTA OES OPTS , ^E A m LJLJE , lu M "0 A F-1 KI /A AEC(s): ❑ Adj. 0 PWS: E1FQ vvtr. Body A711�_ CClosest Maj. Win Body- ORW: (re�s� no PNA yes /�,no) rit.Hab. ye Phone# ('�� ?- )_ Basin \�'U t i f- L IN --)( LA\ \k � Type of Project/ Activity MMENC; MOMMERNIAME11 MMMIMO ON 1K 11 MIUMMEMEMEM MEMEMI ME *4 loan Vio, maz Nil s .1 E46 REM VVEN Ism= M MMMEMME '.. MMRVMiilMEME W_ Iffil Art V Rd3M IMEMERMEMEMMEME EMEMEMEME15,11mi CaMMMMEMEMMMM■0 MMMMMMNMEMMMEMM■0 MMMo■Elm■0 NXIMMEMENEmm MOMEMN MEME■11 Mrjvm� 14111MEMSEEM MM�IMMIIMMMM MMMMMWAV ■NEW NINON 0 MEMEMEMOMMMEME ■ MEMEN MEAN M ME 11 �MIMNMMMEMMMM M. M■ MENNEN MEMEM■ M ■ii 1■■■■mAll -d MIME MommOMMEMEM ;Ii�'ii�■ �l w M■ NNW NoMM ..... �; ME rAME M ESEEN MOMMO NOMMOMMEM IMINMMEME ■■■ ■■i■■■■■■n■■■ii■■■■■■■■■■■■■e■■ 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 landowners). 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 El Neuse River Basin Buffer Rules Other: 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 Headauarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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) 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 trJ�s� •�-a�•s��:�wt-a ��; �_��.s:�a�� a�r-�<<�•:.� � .a�;fi��r� �� il�-�ra��,�c �tt3�d`].�:?3� =?;i' 1Gi13>::`G !��` ' Applicant: - Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance -total includes any anticipated . restoration or temp impacts) FINAL Sq. Ft. (Anticipated.final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total Includes any anticipated restoration or ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑. Fill ❑ Both ❑ Other C4 Dredge ❑ Fill❑ Both ❑ Other d MA Dredge ❑ HI ❑ Both ❑ Other ' Dredge [I Fill [I Both El Other t. -OL Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ Dredge ❑ : Fitl ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ , Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ s��-a�?��-��fi'ys ,. 'J�:�e3��li,��s,��„�a .. Asa„�s,�aec�;�;�tOaaa�;��:s.,aa�oa�t,�wk �•Q�as�s�;+t��13 Jun.17. 2013 9:17AM MOORE SPORTS THERAPY No.0839 P. 2 ADJACENJ RIPARIAN PROPERTY OWNr=R STATEMr=NT I hereby certify that I own property adjacent to s property located at (N a of Property Owner) r. (Addre s, Lti Back, Road, etc.) on , in , N.C. (W terbo y) (City/Town andlor County) The aPPljcwt has described to me, as shown below, the development proposed at the above ioc n I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANb/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below orattach a site drawing) istan�! mamt W61c4VS eco..... ilnCe- WAIVER SECTION 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Lose Print or Type Name _ _ Telephone Number .-L • (n -13 Date rty %qq rformar n) or rr)ePr,om IgA 1- 7.2- Tole one Number //—/3, Date (Revised 6/1WO12) Jun.17, 2013 9:17AM MOORE SPORTS THERAPY No.0839 P. 3 ADJACENT RIPARIAN PROPEISTY OWNER STATEMENT hereby certify that I own property adjacent to roses —'s property located at on of Property Owner) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 51 —L—� I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF: PROPOSED DEVELOPMENT —(In . "vidual proposing development must n escrrption below or attach a site drawing) WAIVER SECTION '. 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner information) Signature � Signature A flJW(1. I;fOSG Print or Type Name Print or .Type Name Mailing Address M,lim4, de S ctys�ieCp 4rrQ,� nJG av��8�f Cc—yi. rsre/zp 4to-& r3-79'NLi er(ef57 �zL Telephone Number Telephone Number Date Dare (Revised 6/1&'2012) Jun. 17. 2013 9:17AM MOORE SPORTS THERAPY No. 0839 P. 1 Moore Sports Therapy & Rehabilitation 4251-E Arendell Street Morehead City, NC 28557 252-808-3151 Phone 252-808-4255 Fax FAX To: nea�7el cgyron From: vl l rf rod Fax: �f'7 �" R 3 d Pages: Phone: Date: Le - 1-7 -- t 3 Re: . CC ❑ Urgent ❑ Please Reply •Comments: