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Home My WebLink AboutGardner II, Garry C.7 C m A/34EDGE & FILL J C GENERAL PERMIT Previous permit # dNew ElModification El Complete 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 r) rARules a; ch d. ;ec Applicant Nam Project Location: County--�, il' i rr Addresst is Street Address/ State Road/ Lot #(s)a;[ Phone # StateJi Zi P H,-I' K # Affected 0 CW XENW XPTA AEC(s): 0 OEA 0 HHF 0 lH 0 PWS: 0 FQ ORW. yes /�n no 1PNA yes IC Type of Project/ Activity Pier (dock ylength Platfi' Fing Gr), Bulk Basii Boai Boai Bea( Othi Shor! SAV. Sand �1?10 Phot Waiv . I OES 0 PTS 0 UBA 0 N/A Crit.Hab. yes / no Subdivision city -IM, 1 I I i f Phone # Adj. Wtr. Bocly��Al Closest Maj. Win Body F ZIP ' X, River Basin V-1 o (Scale: rm(s) MUMEMINE1 LIP r pier(sy— M 0 to aw Emil I length number ,channel cubic yards ramp.... .................................. -iousel Boatlift— mom ONENEENUMMUMUNSWEENNENNNNNEENE Bulldozing I NOMENEENNI—aw 01,1MENOMENEONNNNEEMENO -mom NONE M1000 ONONNUMM MGMEMENSIONOMMENEEN WEENK �Owwoffiallw I OWN line Length' IN ON 1111 HEINOMM111111 NEE 104000 0 0 '1101 0 not sure yes 1,n MEN NEENEENNNNON: Dags: notsure yes n torium: n/a yes 90 yes no 0 ONE■ENENEW OEM -r Attached: yes A building permit may be required by: El See note on back regarding River Basin rules. o vr t, c n Notes/ Special Conditions bliVo A", 6), Agent or'An licant Printed Name-- r" ims ien. um Signature **Tlease read compliance statement on back of lquing Dit 'Application Fee(s) Check#, LoUPlanningJurisdiction Ekpiration Daie 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 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/ 1-888-4RCOAST 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 -Mail 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 � 11 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 3 " ?j ) " LI MUM Name of Property Owner Applying for Permit: MAR 31 2014 Gacd�e (' I 1 DCMmmG7TY Mailing Address: aAckYk— ,-s c� , �3C s 12 I certify that I have authorized (agent) V lankSft106 0-e- to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Cc ArL t ,A k K < W c4 � A at (my property located at) 0) This certification is valid thru (date) U" 3� $— It'-[ 6m -::n� ef---. Property Owner Signature 3-31-1L— Date ,,. RECEIVED APR 0 8 2014 DCM-mmc fY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to CRAVC IJ Awrfl (asp Q!:uA &A9-0s.Jt:Q 's (Name of PropertyOwner) property located at SC l I, [:701z:r rntaco,.J =a 71 1: 63 SS 13. 13.0 669 ood (Address, Lot, Block, Road, etc.) 1 on r_rys" w+uv - CrZP'¢V— , in O'ii.A..-s�iL N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. xsp� 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) tV-35'i>,�w N �� c5vt�,�kG-a.D o 1= A.PC'2�, 1 � �+-'E N � ► �1 ti ►� rtto� o'F G�tSi lT tjv�lGFio+1� ��n►1 1S MAR 3 12014 »cmmcar 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. X ';:!��c I do not wish to waive the 15' setback requirement. trlrup y vw ation) Signature Print or Type Name So t 5. fro tt. i ww.c.uJ Tt p Meiling Add Ws //�J.•i �" t"c- CitylState/Zip Z5Z- Zy0•q&AZL4 Telephone Number Dare (Adjacent Property Owner Information) Si at re 1t, n n D Pnnt or Type Name 1 Mailing Address �'-C " 'n Cdy/State/Zip :3C (6X) Telephone Number Dalo APR 0 8 ?r:4 (Revised 611812012) DCM MHD CrrY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to CcLAVCW Nb"cAA &AM-p F-?- 's (Name of Properly Owner) property located at ? O FotZ.t� v�ntaco,--► � 714 6.565, 1.5.13.0 66s am (Address, Lot, Block, Road, etc.) on Y`tie•�� vv�gy _ c26F , in A-aAo-i�tZ- TL , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio . 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) 1V-4S Orr--"— t-V'0" % OF Fes%".J Cs - MAR 31 2014 DCM.hMMY 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.) ✓R, I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement {P�ro`pe_�y Ovv9pr Information} (A 'acent Property O er Information) Signature Suture �� CRAvE � C��.¢��,�EQ R�-�K�1, ty - Ce Print or Type Name Pnnt or Type Name " --�)CL4.j yv�Aco" it,,� 4 �.,e� �/%°'� 20. iX iing Addre s -n - , mat NC. ZAcl [X�+'"ailiJoitd�+�7''1`C i� AC1y A., � City/Stafe2ip Ci4q&ate/Zip ZSZ- Zoo-qyZ� RE�.,4'�-'�11- 0)Q8' Telephone Number Teleph ne umber Date APR? DCM MHD CITit (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that 1 own property adjacent to eta &A.i4"F-e 's (Name of Property Owner) property located at*r-yQ I > r-O'lIr v+AZacn,-A 'P14 6.3SS Is. Is. 0b6q Gob (Address, Lot, Bloch, Road, etc.} on Y ...a V"Atav: Ci tes , in '"' ', iG. , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiop-011 . 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) N r-.. r5%1tJ4 ex14> o Wit, �, 1 `� V6 N GI - A Yr'C�O � � �' '�ii�i ��1 � ZT 1�jtiif�,li'GAy`�• �� j 1 S �L""�� 1Z. j 01�1� 1 �`.f� b.�-'L? 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.RECEIVED I do not wish to waive the 15' setback requirement. APR 0 8 2f 4 lnfpt731ation) Signature C'i�t3..srw t�t�,T:t'�r�EtZ Print or Type Name o t 6 5;0= Vv%&Co" t� iVl%iling Address Cityls'tatelzip z - Zoo-Q'A?a Telephone Number 3-to--L14 Date ,(A.diacent Property O er information) VDCM Mo CITY Signature VAqLAr". c.er.:) Print or Type Name A— Paill ddress Gi4gstate2ip Teleph ne umber _. '!/ (Revised 6/1 &2012) ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to C1X&%X N n.*+n Nb"E!A Go.r1.pNStZ 's (Name of Property Owner) property located at? O L Fo fZ.'vwtaco�-r V=> PI' 63 8S - 13. 13.0 66 coo on (Address, Lot, Block, Road, etc.) ` on WY�.-� v�nc��E cl � , in ��i.es.��i4- R , 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) 1 V-4 S i ► -a r. t F' w Tw uV-AC-�D o f k,.?V fz I t2> r V5 r-J G' i A U-1 jroo►—+ % Of G��S i *� c� i t�'F, �'��• i ►s f-ro.«.ti" cam: - .: ItE�EIVED APR 0 8 2P -4 DCM MHD CITI' 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. X 'ZSMc I do not wish to waive the 15' setback requirement (Prro`pe_ OOw rInformation) Signature Print or Type Name ?o t W1 ww.eo" Tin M fling Add Ws t City/State)Vp Zst- Zyo-g4e, - Telephone Number Date (Adjacent Property Owner Information) Si nature k w\-% r Z) C�e►.r (�o"n r Print or Type Name Mailing Address ' Ci& tate2ip Telephone Number -�M(KrOn \01 aoly Data c� �. (Revised 611812012) PIC �3�7ri��G� 7t i�z�F` SUIt� �2yi�' � � "� i,�'t Fl � ae :�`.'�.c �i �! a �L LGdi.y,a.`_-.�t •✓.I�JLJ�., .I..�.f •n.�n'_,L,� Applicant: Date: y Describe below the HITAT 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. (Applod 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 ' 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 ❑