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Home My WebLink AboutGodwin, Jerry'C;kMA El DREDGE & FILL 6iGENERAL - PERMIT ]New ElModification LIComplete Reissue ElPartiall Reissue 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 15A NO Previous permit # Date previous permit issued. Rules attached. Applicant Name 0 )1 Project Location: County Address Street Address/ State Road/ Lot #(s) city, State!/zip i") Phone# Fax # L vision I Agent lr�l i:- 0 V�� (,k 14 i . ..... w C- zip Phone # River Basin El CW '�LEW ,PTA E3 ES E3 PTS Affected ID OEA 0 HHF AEC(s): 01H 0 UBA 0 N/A ( I r)','V�, Adj. tr. Bo (nat /man /unkn) 0 PWS: DFQ 011W: yes Eo PNA Closest Maj. Wtr. Body, yes Type of Project/ Activity 1' 'k v (Scale: Pier dock len h 3 Platf Fing Groi Bulk Basii Boat Boat Beac Oth( Sho SAV-.1 Sand M opr. Phot --i KEENE length il number o iead/ Riprap length_ MIN EEMINNEEN�■■■■■'■■■■■■'■'■■"■'■■■ S MEN MEMO max distance offshore-, channel cubic yards ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■sl■��■■■■■ ramp (N �j Bulldozing ■■■■■■■®■■■®■■��■■■■■f�■■■■�� WOMEN r 1010■M. I I ■■■■■■■■■■11MUM 1:■■■wa �'','I"0■■■ Ane Length Big not sure yes i,n EMMMONEEMEN ME Dags: not su re yes, orium: yes, Ino ME a ®■E■■■■■■!!I�ii�lln�I®it��■��■■®■■■��I�� r cl�ecl-. A building permit may be required by: El See note on back regarding River Basin rules. Notes/ Special Conditions 1: Agent or Apple Printed Nie # Permit Officers Signature 'Signature Please read compliance statement on back of permit Issuing Date Expiration Date k 'Application Fee(s) Local Planning jurisdiction 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 andvoid. 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/ I-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: Jerry Godwin Date: 7/24/14 GP Habitat Sheet Permit #: 64117C Address: 237 Old Causeway Road Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Open water 56 56 N/A N/A AU6 2 6 2014 DCNI MM CTty It ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ 3 15P-P-1 G bb CJ //J s (Name of Property Owner) Property located at �? ZY, t. o �( fj " + (Address, Lot, Block, Road, etc.) on ebP D in A'T 1. toPr t RC -AIM PI—r (Waterbody) (City/Town a dlor County) The applicant ha -described to me, as shown below, the development proposed at the above location. ✓ t 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) � Ij (' $,""V0c, LI � JI ii_ i 6 7014 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, gb, %9rg(rr1gust be set back a minimum distance of 16 from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) iMCl~IVED I do wish to waive the I& setback requirement. I do not wish to waive the 15' setback requirement. AUG 2 6 2014 (Property Owner Information) (Adjacent Property Owner Information)6CM-m DCrW Signature Signature (� Print or Type Name rint or Type Name Mailing Address 61_6, 0 FA,I-s or-,L,8cis C IZ o tV�ailing Address - 11-C16 N NC a 7C /J— City/StateMp City/State/Zlp Telephone Number TelephoneNumber -t7 --1Y Date �o,) --I ht is Date (Revised 611812012) `l pvxc— . ,. . /. 1 r^% i, t 07/15/2014 14:46 9192863205 TOM MITCHELL AGENCY. PAGE 01/01 ADJ X RIPARIAN EMPERTY OWNER NER'STATEMENT I hereby certify that I own property adjacent to eP— C//.' E? f ,$ property located at Q (Na � of Q�rQperty Owner) {Addresrs, l_ot, Block, R oad atc1) " (Waterbody) (C yit /Town an for Co ry' N.C, The applicant has described to me, -as shown below, the develo location. pment proposed at the above l have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OP PROPOSED DEVELOPMENT (Individual p opo�ssin,q.dev� pment must tint in descrfjpflon below or attach a site drawing) �p ip 4 WAOMB SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or groin must be set back a minimum distance of 1V from -my area of riparian access unless vualved by.me ou wish to waive the setback, you must Initial the appropriate blank below.) - Yt I do wish to waive the 161 setback requirement. I do not wish to waive the I setback requirement. (property Owner Information) Signature Print or Type Name Malling Address QW1state/Zip t erephone Number Dane (Adjacent Property owner lot i z�1� fo mation) AUG 2 6 2014 I%CM--Mm CITY �vrrre C-P► LC. K'FV OW O (ReviS tl 8/1"012) P. rn t PO } _Mor- 4zwlei 4z �- �'7 -Z5-31LJ I N.C. DIVISION GE COASTAL. MANAGEMENT AGENT AUTHORIZATION FORM Name of Property Owner Applying for Permit: Mailing Address: c �,\aV4-Vj C- V" I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) l ,rVT , at (my property located at) v*2'j'2 a6 L3> C .rJ,j"VW fl� R-rGY4Nrltv- -t-z.c*4 This ceJ-.ti.' ication is valid thru (date) erty Owner Signature Date RECEWED AUG 2 6 2014 DCM MIID CjN Aug 261412:03p Town of AB Inspections 252-727-7043 p.1 IXCAMA / C DREDGE & FILL GENERAL PERMIT ew ❑Modification DComplete Reissue ❑Partial Reissue 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 NCB Applicant Address No Previous permit # Date previous permit issued Project Location: County_, t Street Address/ State Road/ Lot City Statedm ZIPen Ll} f Phone # { r Fax # ( ubdNision—a Authorized Agent ,(,, ity. .• Affected ❑ CW XEW ;2I,PTA :I Ins C PTS `Pone # (� AEC(s): ❑ OEA ❑ HHF ❑ IH C UBA ❑ NIA Adf �o c i C PWS: ❑ FC: 1 ORW: yes ! .N PHA yes 1 � Crit.H o Closest Maj. Win ^ ^ - A-0% kN I- ^ Type of Project/ Activity 64117�. ZIP ,�-� 1 Basin!., (Scale: Pier (dock) length i Platform(s) I.._�.....I.........._ _... _..i----------' -- - -- - - - - - - ; - Finger piers) , Groinlength _.._......_-'.. .. , _ ......! .. _...�- .._ _.. ' E ---I - ._...� - _j_ I _._.._ _ _.............._...__. I t l i 1 �. number.. I I ! -- --- -- — Bulkhead/ Riprap length ; I i _. I � ! i , avg distance offshore - 'r---�-------1.. ..1.. _i...__ - -----1..._i....l..1._.._._:.........._I.._:.._-.._. ... , max distance offshore _........ II i ..�_ i 1. ..�....t... i Basin. channel , i 't'-- :.._..I_....�---._....,..._ cubic yards t }} C Boat ramp _ _j.�__._._...f_..�.._j_._! _.. .----....�._.�..- Boathouse/- --- I i-........._... I Beach Bulldozing Other l f--; I -� J t- i --- 'l�' '�- i ! - al�G 2 6 $O94-1 _ .. .. _...... - — - ... ._ _T Shoreline Length I_-_+• I—! .._�_....... 1. ;. ! SAV: not sure yes Sandbags not sure yesi.._......— a ,... Moratorium: rt/a yes i , I i Photos yes _.... ( .� - .L_.... �_ ' _ � ��.13U L ' ! i 1 Waiver Attached yes ..' . I .. i_ . �... I . A building permit may be required by: rL ^ n %! ] See note on back regar ng River Basin rules, otes/ Special Conditions %LO "Vc it� t rint l Permi cer's SI U.- Sig a aread compliance statement onback ofpermitImuingDate ExplrationDate ,I ApplicatlonFee(s) Check# Localning][urlsdiction Rover Pile Name