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Home My WebLink AboutGoode, Rick6 NCAMA El DREDGE & FILL 2 2 4- 6 GENERAL PERMIT ' Previous permit # XNew ElModification ElComplete Reitssue, Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources --1 41 / � I "-- and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC M Ryles attacheqj. Applicant Name. Project Location: County_ Address, 1116 yi `7, t, I Street Address/ State Road/ Lot #(s) StateNr- ZIP 0 hon e#( Fax # Subdivision I Authorized Agent t f1j t-f E City ZIP Affected El CW -M EW PTA OES El PTS Phone # River Basin 0 OEA El HHF El lH 0 UBA El N/A -'�-/man /unkn) AEC(s): El PWS: OFQ Adj. Wtr. Body k� '0C at ORW: yes / Closest Maj. Wtr. Body r-, ,170) PNA rrs / no Crit.Hab. yes, Cno,'- Type of Project/ Activity Pier Platf Fing Groi Bulkh Basi Boat Boat Beac Oth Shor SAV- Sand Moll i Pho Wai� (Scale: .r pier(s) S)..■ length ■.■C ..■�■■■ MIN , number ead/ Riprap length �■■■�■■�■�ii■■i ■i■■ice■i■■■■■■' avg distance offshore MEN max distance offshore ,channel cubic yards ramp M■0 ouse/ Boatlift MMMMMMMMMNMM M ...■MEEMMENOMME Bu ozipg ■■■■�■■■�■■■��:■,�■■■■mow■��■■■�■�. _ not sure yes'' n ■■■■ MMMMMMNEMMM �■®,�I��■ ■■■■■■ :)ags- ,notsure yes n tonum* n/a f:n y s s:1 n rx Attached: ��,,yes in A building permit may be required b': ('n, ',-J- See note on back regarding Ri er /Br/'n rules. Notes/ Special Condition- . I J V 1�rllApklriP�inted Permito 1 or ;f. ss Signature **P c iance statemAt on back of perr �e read IssuinjDate 'Application Fee(s; Check# Local Planning Juri I 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, certifythat this project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules ❑ Other: 0 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 1 , Nd Division of Coastal Mgt. habitat Impact Computer Sheet Applicant: Goode Date: 5-13-2013 General Permit #: 62246C Describe below the HABITAT 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. (Applied 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 OW Dredge ❑ Fill ❑ Both ❑ Other ® 525 525 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: wwwmccoastalmanagement.net revised:02/03/10 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 5 _ Name of Property Owner Applying for Permit: 141 Mailing Addre s: C cyeS am- b l I certify that I have authorized (agent) e.* to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) date �-�,1 This certification is valid thru (date) Property Owner Signature _8, /331 Date 1 t . • , ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacer:t to -p— i k-- e— 's (Marne of P ope ty Qvinar) property located at _ vt�5 b� Address, Lot, Block, , Ro e -) on e? �k Crc:e�� _ in ]eau Jv/, N.C. (Waterbody) (Cityffown andlor County) The applicant has described to mc, as :shown balov;, the davolopmei rt proposed at the above location. 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) 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. I do not wish to waive the 15' setback requirement. (Property Owner Info mation) - > Signature "/Z Ia.-- �� Print,//orrType Name (� Mailin Address J:Paw t" r4, ✓V Z$�/� City/State/Zip Z,Sz- 226 -Z/ zZ- Telephone Number 7-oi'z-. Date (Adjacent Property CM -der I fogmation) " Z - -,.. Signature Print or Type Name /(2s- ties c' M ' ' Addreq'S, City/State/Zip �sz — Sa t(- 4 J?Oo Telephone Number Date (Revised 611812012) t ADJACENT RIPARIAN PROPERTYOWNER STATENIEN7 I hereby certify that I own property adjacent to ! G f� ��•- 's _ darn of Property Owner) property located at f�� o►�es �L T 'jj,� (Address, Lot, E k, RO , et a) on (Waterbody) (Cityl7own and/or County) i'he applicant has described to me, as shuxii balov,, the developmeot 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) (ate Z- v \- 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. I do not wish to waive the 15' setback requirement. (Property Owner Info r ation) Signature !7-, '-J'— Print o Type Name n AC eThes Mailin Addres e� avr7` City/State/Zip ZJ Z '72fs- Telephone Number Date (Adjaqoq PSoperfy—Ov�elInformation) A /. Telepho umber i3 0, 2a 13 Date (Revised 611812012) jRoz+,, ) - 7c) N