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HomeMy WebLinkAboutGerhart, Davidsy Q 9"%AMA / ❑ DREDGE & FILL 62174 � GENERAL PERM1 Previous permit# EMew ❑Modification ❑Complete Reiss Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources —7/l and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC /"/ r� -0 Rules attached. Applicant Name V) �` � Project Location: County (fow- r/, Address (,.� �'�'Y v/iq c% Street Address/ State Road/ Lot #t(s) City } r^ j r' a, Stated ZIP / �! ✓! t i �, h Fax # (_) j Subdivision l r> Authorized Agent City .14 % �''`� ZIP :1 S 77 Affected ❑ CW 2EW ill ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑FC: ORW: yes /ono) PNA (yesy no Crit.Hab. yes / no Phone # ( ) River Basin �✓/` `t ( ✓.� Adj. Wtr. Body,/ i ! �r � i / f"nal/man 7unkn) Closest Maj. Wtr. Body — pINEMEMENENIMMEMM ::=IINIMNM MMMM=ME MEN l ®■®■■eWIMM■■PO■■eMEN lmllwzw�m- mm r. ME maim ■■■■■■■� mmm"U.M.0—W I■.0 am a.50- 0uKmo VJMW■ III ■®■ �e■■■�Il�ril''"'r..■■I�i�i■���■■■■■■■■ r/�■i�t'�1`�ii■ ■MEN ■■■■■■■1.��■■...u�.......'�■■■■■■■■■f�NONE ■■■ lam` ■■i� ■■■■■■■■■.■.rlln� ..""�'� .."'"i■ni ■■■111iwiMMN�M■■M. Ile■'MO■MEM■■��M■CO® - ■■■■ ■■■■�.r�9MENOMMEME ■■■e■■ ■■■■■■ems-�a■n�■■■� ■■■■■■■■ e■■■■■ii�i■■�:�■■■■■■iii�ii■■■■■■e�iME ■■ ■■■■■■■■■■■■■■m,■■■m � PAM C...... ice■■■ �...® •■■■■&:H■■■■■■■M■■■■■■■■■■■ ■ ■■■■■■■Mi■e■■ • 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 [)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 City Headauarters 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 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to batllW % - L41-4 � Pr%tares 's (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on �I [�i� _!1 C�e�/c in 4 Q , N.C. (Waterbody) ( ty/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. Y I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) �tcaax�i�a £lOZ I ddV WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' f ea of riparian access unless waived by me. (If you wish to waive the setback, your6ust initial t e appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Informatio ) Si nature d►Jt'�( 1q.0 av`� Print or Type llyyame Mailing Address M % rg . _A/ - 128S?`� - Ciby/S te/Zip 9 - Telephone Number ©1/—"U Date ( ent Prope wne Information) ignature — - -ed 914e—P Print or Type Name Mring Address m q r /1 a, .tlC 7-eS-7� City/ te/Zip Telepho e N tuber Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to b fvid d-h. m 6 e t- a,--f- is (Name of Property Owner) property located at / 9� 6r//ii�ehurs� 1�aard (Address, Lot, Block, Road, etc.) on �A l �� ��� !'e�� in , N.C. r (Waterbody) JCitylTown 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) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 1 ea of riparian access unless waived by me. (If you wish to waive the setback, yo must initial t appropriate blank below.) 140V,� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sr nature LL Ul � 6 QV rf Print or Ti�Name 19 S� GU%t�hurz� ,P�. Mailing Address Ale Cit / ate&ip ;7o- r4'v - W!9S Telephone Number O c/- o�f— eZo/3 Date (Adjacent Property Owner Information) ,-"I At 1, A I 'ODU Siture gn S /! Awe Print or Type Name Mailing Address d" 4 rR -q-, Cite/ ate/Zip rt52. - %a',=4/2I0� Telephone,Number Ddte, (Revised 61182012) bl(l4 194 Whitehurst Rd Smyma NC 28579