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Home My WebLink AboutDavis, MelW"C GE & FILL 62181 G F0E PERMIT Previous permit # ' 4 N ElComplete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources -- N .20C, and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC , )V Rules attached. Pro V— Applicant Name �a Project Location: County_ )'/V V 0 Street Address/ State Road/ Lot #(s) 'Address t I ity State NC zip Phone # Fax # Authorized Agent 0 Affected CW EW E) --,PTA El ES 0 PTS AEC(s): El IDEA 0 HIHIF 0 lH El UBA 0 N/A El PWS: OFQ /_1 0IRW: yes IC PNA yes Crit.Hab. yes Type of Project/ Activity Q� 1)Dr)'; P4 cr) ni- ^ (I FJ r Pier ork lenyth Platf Fing, Groi Bulk Bash Boat Boat Beac Oth4 :Shor �SAV; ,Sand MJ1 Phojtl 'Wai Subdivision I City. ZIP Phone # River Basin Adj. Wtr. Body— C: (nat ran '/unkn) Closest Maj. Wtr. Body 2 1 All r, 0 (Scale: Prm( !r pier(s) len h ■■ME ■ No NEW ME ■■■■■■■■ ■ ■ a ■■■■ i M MNWMMMMMMMMMMMMM MONSOON■ EMMMI EN ramp 1R.MMENEEMENEMEM —=EME=mmmmmmu=2=000mom iouse/ Boatlift■■■■■u■■■■�■■■��■■■■■■■■■��®■■■■�i/�■ Bulldozing MEMENNOMMEMOME �.M r MMMIN MM■■■■■®■■■■■■■■■ ine Length not sure as _yf bags: not sure yes nMM torium* n/a n yes n)■_��i:sr1■a�i1■■■�■■■■■■■■■�■�■■■■■■■■■■■■■ii■■ S. yes n LrAx?c'red: yes n ��■■■■■■■■■■■■■`■6'Ji��■■■■■■■■■■■■■■■■ e requirgda b 11 A Y, P. See note on back regarding River Basin rules. A building permit may b y: A'-6 Notes/ SpeciaConditions 0 Cry 14 Agent cvrAp��fi5ant Pri?lte4 Narpe PermitOfficer' S''g %ate 14\' Signature Please read compliance statement on back ofpermi Issuing Date Expiration Date Application Fee(s) Check # Local PlanningJuriscliction Rover File N ame 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 thatthis 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 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/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ;( I hereby certify that I own property adjacent to ^61 's (Name of Property Owner) property located at 919.1 esA�Sx-y V-6 c r4' A� 6 (Address, Lot, Block, Road etc.) on C.'my-x. CvxA-k =0 , in �k AWY4 , 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 rill in description below or attach a site drawing) M V` "� 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. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature Signatur MCA -J'In L.7�iS 311en Print or Type Name Print or Type Name 20'1 6Ai q ;-1\. 19 1 M-4 Ai So-i �� . Mailing Ad ess Mailing Address .�rYk 1JG. 2 t 8e r-d-' r`i Cr City/StatelZip City/Statem a S> S38 C0544 2 S T- 7 2 Fr- 4 Z4-0 . Telephone Number Telephone Number 0S-3d-13 Date Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Awl -i 540 ry-4 is // (Name PropertyOwner) property located at o%a4 15arSeu 14, -4VAIIIe nn (AdtWess, Lot, Block, Roa ,etc.) on CoY2 81PA , 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.: C/ I have no objection to this proposal. 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) 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 Meta ,n L—bcs'i 6 Print or Type Name ioltq a� /—A Mailing Adss p QeE ' aA N City/State/Zipns-v 034j 00sO Telephone Number Date (Adjacent Property Owner Information) Sign r Print or Type Name .s—J o Mailin ddre.p City/State/Zip 2 fc- 72�. Z69 a Telephone Number f! /2 -/,I Date (Revised 6/18/2012) NC Division of Coastal Mgt. Habitat Impact Computer Sheet ' Applicant: Davis Date: 4/25/13 General Permit#: 62181C 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 temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount OW Dredge ❑ Fill ❑ Both ❑ Other ® 162 162 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanaaement.net revised:02/03/10 MELVIN L. DAVIS SHERRY J. DAVIS 209 GATSEY LN. BEAUFORT, NC 2288516 7� Pay to the 585 15wo f Y�/•�1� 945 Date PrR �Iu tea. A'CBA Y , \ ForPNC Bank, N.A. 040 -. tir I:0540000301: 53 2107 299911' 05B5 Halt-dCWft