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HomeMy WebLinkAboutDickinson, John W.AMA/['.DREDGE & FILL k- GENERAL PERMIT Previous permit # E�New ElModification DComplete Reissue ElPartial 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 I SA NCAC 0 Rules attached. Applicant Name nf-; In Project Location: County I Address' Street Address/ State Road/ L0 t #(s) City, i-T"ail V. C-1 State -,Z1P hone # Fax# ,Authorized zed Agent Affected 0 CW 10 EW -1� PTA DES 0 FTS I AEC(s): 0 OEA 0 HHF 01H 0 UBA 0 N/A 0 PWS: EIFQ ORW: yes no' PNA yes f`no Crit.Hab. yes J/no Type of Project/ Activity 0, Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length__ avg distance offshore max distance offshore '—� -1 -� — � Basin, channel 0 cubic yards r 0 r- q Boat ramp Boathouse/ Bo4lift Beach Bulldozing Other 'Shoreline Length 45T (TSAV. not sure yes fio Sandbags: not sure yes no Moratorium: n/a yes no bn- Photos: yes no 0 Waiver Attached.: yes . A building permit may be requ Notes/ Special Conditions Subdivision City ZIP ,- Phone # River Basin ,J'11! if Adj. Wtr.Body (7,'t r a'njunkn) Closest Maj. Win Body- - I I (Scale: 1 -1 -50 MMMMMMMMEMMM=MMMMMMEEMONOMMMEMEMBEEME 11"�'111: �IIIn::w:w::ww::::::: MMMMMMENOMMENIMENEEMEMENEEMEMMMEMMMMmm 1E111 11■ OEM" "Ir mwwwwlwwlww■ 629 E=EMMEENNMMMEENIB=ELIEMNEEMEMEMEMEMEN i�iiii�ie���i��i�iii■iiiwiiiiiiiii MEEMIMM NoMM MHUMEMEMEAMMEMEMMUUMM =M MENEM MMMMNMNM MEMEN R EMEN 111 MEMO EMMEWHEMEAM by: n I V1 I*) , -�Z 10, " I - El See note on back regarding Ri Basin rules. s n /:7 a i i"I, Y r Pl.ni✓- , 5 n X J ,Agent of Applicant Printed Name Permkofficer's Signature Signature Please read compliance statement on back of permit " Issuing Date `� Expiration Date Application Fee(s) Check# c Plannin' E�cA gfur'isdiction 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 I) 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 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 Citv 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 Citv 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 f . CAMApermit Jpg Gmail Page 1 of 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that l own property adjacent to r C h e �^ (.✓ O,�t<�``�'s (,Name of Pr perty Owner) property located at 13- � i C k i ►1Sa�-- L"t "'C LS'eau. 6Q-� (: 2 frrs/4 (Address, L}�t, o k, Ri�oa ,etc.) on I� �Oast`� Waf{�-w , in 9celK, ^-T �.. e �'� _� N.C. (Waterbody) (City own 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. 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) ,(CW to low ti1a�e►� 3 3 _3r _4 r LO�tJ W r 3 , 70� 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property O.Ter 1 fqr ation (Adjacent Property Owner Information) � CIN G vrzatur .. 1 t� `.SoN S , tt Iu .J �� �.J ► GE � < <—S ° `' J c-rE.•G U, �` c � fLYw Cyr.✓' Print or Ty e Nar�a Print or Type Name --MA C� /G� %r, /' t S� C{�� i ►� Soh/,:6p�.'L ltil ng Addr s.MailingAddress , /6 /aiC',E'iNsyAr L1��t/� City,'StatelLip city/StatelLip 25-2-- s og - o� 9454uAoer 446 89 Telephone Number Telephone Number 'R--la —0 C/ J 9 - 778-- h4440 Dare Date p o 1.3ol' 013 (Revised 6/1B/20121 https://mail-attachment.googleusercontent.com/attachment/?ui=2&ik=b609l9b003&view= .. 8/29/2013 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to • i� ih inJ GY i �-s t 's 11 (Na a of P petty Owner) property located at t S ;C- � t ►•So f-- 1- 4 -e �'4 �-c � f' C, 29,57 (-. (Address, Lot, Blo k oi�tla on-1->-.� hAcoct-c rf In�gerwav in �-ea� �y e C&.4? f` 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. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposi development must fill in description below or attach a site drawing) �I 6 2� �CJ 1 pa "'1 70/ 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.) do wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. (Property Owner Info mation) (Adjacent Property Owner Information) ,mature Sign rem r Ty Name Print or Type Name ��iC(rLq Mgw 11>J t%tLS�t�Sa► ls-� R►ling Address Mailing Address Pau f-d;:+,)V ,C. 2$3'/b f4c 3-8V;0 City/S_tate/Zip City/State/Zip Z � -1-- 5-0 �^ 2�LG�� It IR 7A.9 _Q M% Telephone Number Telephone Number 9 — Ito --13 115 -7A�, -es Date Date (Revised 6/1&2012) PAC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Dickinson Date: 9/9/13 General Permit #: 63012C 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 SB Dredge ® Fill ❑ Both ❑ Other ❑ 6,160 6,160 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.nccoastalmanaaement.net revised:02/03/10