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Home My WebLink AboutFields, Jean'�PAMT A El DREDGE & FILL GENERAL PERMIT Previous permit # TNew ElModification ElComplete Reissue ElPartiall Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources 1-1. ) 7and the Coastal Resources Commission in an area of enTironmental concern pursuant to 15A NCAC Cl) s attached p . Applicant Name Project Location: County C Address Street Address/ State Road/ Lot #(s) City_ (t State t ZIP -, # Fa x # ized Agent Affected 0 Cw 'E�Ew -PTA AEC(s): DOEA DHHF 41H DES 0 PTS 0 UBA 0 N/A El PWS: 0 FQ ORW: yes It10 FINA yes /,np Crit.Hab--yes4-no- Type of Project/ Activity n A. r — i 0 \ Subdivision City ; 11 Phone# Adj. Wtr. Body Closest Maj. Wtr. Body ZIP I /H--)River Basin I --r, I, c (Scale: Pier (dock) length Platform(s) I, Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards -- Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length ,SAV: not sure Sandbags: not sure yes noa Moratorium: n/a yes no.' Photos: yes Waiver Attached: Yes no mom■MNMMMMMMMM EMEMMOMMMMMEMME ■■■■■RifMEMMEM■■E MU1EM WMNMMMMMMMMMMMM ■■■■■■� MMME■ MMMIMMEMMMEEMMMIMNIM L"JEEMEMEMEMMEMOMMJI )M mom EN ■■■■■■■■■en■�a�■■�.a.■■■■■■■■■■■■■■■■■■■ Uolo ■■■■■■■■■■■■■■■■■'� No ■■■■■■■■■■■■■ .................: 113012WEEMEMEMMEMNIMMMIMME MMMEMEMEMEMEMENN I amaROMMEMEM ZMEMMUMMEMMEMMEMMEME Uo I (—�Jj El See note on back regarding River Basin rules. A building permit may be required by: k I Notes/ Special Conditions f i'\"I I �J- f an-r i J11 0 v f' M) 1J J, Agent or Applicant Printed Name PerTit7 fficer's Signature q 0-0- lssuir�Date Expiration Date Signature Please , , read compliance statement on back of permit" Application Fee(s) Check# Local Planning Jurisdiction --Rover File Name J 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, certifythatthis 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 City Headquarters 400 Commerce Ave Morehead City, NC 28557 - 252-808-2808/ 1-888ARCOAST 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 Name: Jean Fields Permit #: 65232C Date: 9/22/14 GP Habitat Sheet Address: 125 core drive west Habitat SF of Disturbance SF of Disturbance IF of Disturbance LF of Disturbance Open water 1740 1740 n/a n/a High ground 48 48 R&CEi;VED SEP 2 2 2014 DCM MHD MY N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property �er Applying for Permit: Mailing Address: 1-7�% L. I. certify that I have authorized (agent) I 1/yk rs to act on my behalf, for the purpose of applying for and obtaining all. CAMA Permits necessary to install or construct (activity) 1'4�5 "' - at (my property located at) This certification is valid thru (date) 10— M Owner Signature Date ��;� �C�iV,lfi► SEP 2 2 2014 DONT b1,HD C1Ty ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to •-e- —r, 1dS 's property located at /Z S Go,•e 4p^ &W5,1 _ of P Y Owner) oy e So v`r (Address' Lot Block, Road ate.) on / _, in t,"x � �Z Gt��, . 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. u=*umr 1 run ANDIOR DRAWING OF PROPOSED DEVELOPMENT individual prOPosfng development must H11In descr/pftn below or attach a sHe drawing) RECEIVED SEP 12 2014 WAIVER SE ON I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must set 1tEC81 4 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 InWW the appropriate blank below.) �! I do wish to waive the IN setback requirement. r I do not wish to waive the 15' setback requirement. SEP 2 2 2014 AC:11 hSHD Gar (-4%Io11LY Owner Information) (Adjacent Property Owner Infoa 'on C�.fs � F.•elds � Signature Si Ptart or Type Name Pratt or Type Name Mailing Address 729 Akidr+ass CitylState/Zip �ty�tet�e2P -,�w 37027 Telephone Number /S - `j y Telephone Number Date VVI S A mT- Q D0., 00 Date (Revised &1&2012) I hereby certify that I own property adjacent to1�� s 1 9 ':::� Name of roer) prope located at - ,A„ on (Address, Lo Blo Ro-d,eetc. 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. 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) SEP 12 2014 WAVER SECTION;;. 7DCMMMCITY I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 1-T from my area of riparian access unless waived by me. (if you wish to waive the setback, you must Initial the appropriate blank below.) 1 do wish to waive the IS! setback requirement. I do not wish to waive the 15 setback (Propertyflwner Information) or Type Name 2'3 Cd7r—Z A -7. k✓ Mailing Address ITC AJ e-- d4':: City/StataOp Telephone Number 5 2-r1�-(�- Z-Z� Date RECEIVED Property Owner Information SEP 2 � 2014 sYgnature Print or Type Name Mailing Address City/Stateop Telephone Number (Revised 611812012) RUCWION ISO fhm*Awamuw6MmDbwdCMV.J9C28557 fu3mm Dom Rorie --- w ,tST SEP 12 20%. sEi W�tC�, 1 (It V6 j 1� j la REc aG j SEP 2 2 2014 All I tog ICA- COOS ` 606 WES 1