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Home My WebLink AboutGermain, Richard�CAMA DREDGE & FILL GENERAL PERMIT Previous permit # 17New [:]Modification ElComplete Reissue ElPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources rcT-- Commission and the Coastal Resoues n an area of environmental concern pursuant to 15A NCAC �1 Rules attached. Applicant Name J Project Location: County AF f" I Address t, A V Street Address/ State Road/ Lot #(s) Cif, -)State zip--, Phone # C;/Fax # Subdivision L. ""N' �Authorized Agent City A t* i-I if. Ill I 1, )ZIP i A 11 0 CW JXEW El FtTA DES PTS Phone # (WRiver Basin , ( ff I( El -1 Affected 0 OEA D HHF 0 1 lH UIBA 0 N/A V . AEC(s): El PWS: DFQ Adj. Wtr. BodyL-L,--f�-,' S, J(C(nat 4man unkn) ) P ?-,\ Closest Maj. Wtr. Body 01RW: yes / Qo.,, NA yes/ �no ) Crit.Hab. yes no Type of Project/ Activity rl'Yl, Q 0 "�m 1,;"/ IT t*( Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel 0-v'_ 1U' cubicyards Boat ram P Boathouse/ Boatlift MENNEN MENNEMMENERMI MENNEN MEMO No Sol ozin Beach Bulldg Other MENNEN MMMEME'N.MONVA IMMEMN IMEW MM W MENEM AM rl MEMEMEMMEN NOMMENEENNEOMM W, Q1 kill • ■� �ii ■■■E 01 MENEM MEMMUMMEME Inc A building permit maybe requiredby: See note on back regarding River Basin rules. Notes/ Special Conditions -o a V)I, J 17 7- 177, 777 Agent or t ache Permit Officer's Signature ,pg1jcanrPri7 Mre, *!,Please Mad compliance statement on back of permit" Issuing Date Expiration Date n P Fee(s) Check f # Local Planningjurisdiction, Rover File Name 14lication 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 0 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 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: Richard Germain Date: 4/24/14 GP Habitat Sheet Permit #: 63807C Address:121 bayview Blvd Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Shallow bottom 312sf 312sf n/a n/a ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to CC—eyyl scyI ry) 's (Name of Property Owner) property located at 1-2-1 '�Yyk_ k) 2t—kl tb (Address, Lot, Block, Road, etc.) on , in i47taou+re, Og-17� , 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 proposing development must fill in description below or attach a site drawing) I I-1 SAYV IEuI s — WAIVER SECTION understand that a ier, 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 Owner Information) (Adjacent Prop Owner Information) i ature i to . ��h�2r� �• 2►�i�-3iNa, Dwr C mot[ Print or Type Name Print or TypePafne , Mail' g Address Mailing A�ress� Ci SAtipCity/State&ip as�06 p Telephone Number Telephoto umber S Date Date (Revised 611812012) ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -K'C%'q'1>-b Gog-tvMVarfillI 's Xrame of Property Owner) property located at 121 wAYOt--k) 13L[/�y--horle (Address, Lot, Block, Road, etc.) an , in 7L14aJ-�iC �&Z— 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 f 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) 12t is Ag232014 _..---- ---••-am. 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 requireme (Property Owner Information) Signature Print or Type Name 12.1 -�R/y1b Mailing Address &r 4 &[ ! e- RE etc' . -Zg�5117- City/ tate/ip ( *j4 ) Telephon6'Number Date (Adj Information) Signature ,61,,,� Print or Type Name Mai�ipgJadA�G City/Sta �te/Zip T ephone Number lq -n io- 0 SSG Date (Revised 6/18,,2012)