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Home My WebLink AboutDickerson, LouisICAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# PNew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized b the State of North Carolina, Department of Environment and Natural Resources r� Y p and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r T,VzRules attached. iApplicant Name 1 (- W ![ 1( i F / Project Location: County` i I f t l�I -- Address F %! ►. ( (! i Street Address/ State Road/ Lot #(s) City k';� i State, ZIP i I Pone # ( )ij �'{ Fax # (_) Subdivision Authorized Agent! ( City _ i f i t ` l� / 1 ZIP Affected ❑CW `s ,eTA El ES ❑ PTS Phone # (�) /Ur' J River Basin t t° i Ai AEG s: ❑OEA ❑HHF ❑I j Jtr. oya /iji I i J: J t nat hinj /unkn ) ❑ PWS• ❑FC Closest Maj. Win Body ORW: yes /(no PNA yes / no Crit. lab. yes / no �, t / 1 Type of Project/Activity I ") t.( .( (! I `' l f j {"i `� � �.../ (t ! � ' — I~ , J( t t Pier (dock) �f (Scale: ) r. Finger pier(s) ■■■■■■Gift■■■■■■■®■�iFt�■■@tiM�!■■■■■■■■■■ Groin length ■■■■tf �■■■■■■■■■■■■■�■■■■■■■■■■ number Bulkhead/ Riprap length avg distance offshore■■■■■■ ■■■■M■■■■ ■■■■ MEN ■■■■■■■ ■■■■f� ■■■■■■■■■■■0■■■■■■■■■■■■■■■■ max distance offshore- ■■■■■■■f�■■■■■■■■■■■■■■■■■■■■■■■■■ channel■■■■'ail■■t1■■■■■■■■■■/■■■■■■■■■■■■■■ ■■■■■■■■■rl Ifi1■■■■■■■■■■■■■■■■ cubic yards!�®it, ■■■■r■�0 -,..,_. ®. ■■■■■■■■■■■■■■ Boat ramp ■■■■■■ 7■■■■■■■■■■■■ Boathouse/ Boatlift rfri%■i■■■■■■■■ ■EM■■■ ■■■■■■1.9■■■■■ ■■■■►lll �®■®■■■11ii®■■�■�I■■ ■ ■E■■■■a■■A■1►■■■■■■■■rti■ ■■�■■■�■��■tea■�� ►. ��■�ln■■■■■ i Shoreline Length ■L■■I IMINEENNOMMEN■■■■n■■■■■■■ iSAV. not sure yes ■■■■■ii�I![■■ 7■■■■7■■■■6►�[�■■■■■■■■■■ ,Sandbags: not sure (-n ■■■■■■■■■■!�■I��[®■■■■■,i■■■■■■■■■■ ,Moratorium: 111a, yes .■■■■■■■■■■■■■I�ii■!t!L�■IY■■■■■■■■■■■■■■ Photos: yes ■■■■■■■■■■■■■■i�■■■■■■■■■■■■�■■■■■■ �Walver Attached: yes , .ffiJI&by: See noti rules. Agent or Applicant nted Name PermitOfiicer's Signature /71 Signs re Please read compliance statement on back of permit Issuing Da ef—� i ; Ex ration Daze r Application Feels) Check #� Local Planning Jurisdiction Rover File Name 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules M 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 Headouarters 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 SIC Division of Coastal Mgt. bitat Impact Computer Sheet 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. (Appled for. Disturbance total includes any anticipated restoration or 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 MY 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02/03/10 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date I �)— 1 D 73 Name of Property Owner Applying for Permit: LOL')S 7j:)0 Mailing Address: I certify that I have authorized (agent) , M' v to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) � 2c)-J r ti�ticlY�U k�. OCT 15 2013 DCr t rMD CITY a 1 hereby certify that I own property adjacent to ( i ... 4�► 's j i ��,�� (Name of Property Owner) property located at `ice (Address, Lo Bock, Ro d,,etc.) �-y> L l�'a N.C. (Waterbody) (City/Town and/or County) The/�r nt has described to me, as shown below, the development proposed at the above loca 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) 1 � � RECEra>ry OCT 15 2013 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must10C1W 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 Print or Type Name Mailing Address City/Stateop Telephone Number Date Owner Information) SignaturebAAIA�Y `. Print or Type Na►e Mailing Addres City/State0p Telephone Number zo//W/ Date (Revised &18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toLol7iS :15DV-) 's property located at W -�j��. (Name of Property Owner) on �p h� (Address, L 1, Block, Road, etc.) in (�1 =I5 , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above � location. 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) RECEIM OCT 15 2013 DCM--m CITY' 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. 1 do not wish to waive the 15' setback requirement. o pd-"Cb +i� City/State/Zip 0-7 ( I q I lepho bo 1 0 Gz -�� Date �cr—) Mailin Address Z, j-ZA62 Tim .4c-A- City/StatelLip yL7, Telephone Number Date I t ^ 10 / Z (Revised 6/1812012)