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Home My WebLink AboutGreen, Floyd & RebaM- A 0 DREDGE & FILL rV GENERAL PERMIT JL A B Previous permit # D )New ElModification ElComplete Reissue El Partial 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 Applicant �ame-,L N ( I El Rules attached. Project Location: County- Address— r %Street Address/ State Road/ Lot #(s) Ci C State --Czlp I b 01 t Phone# E-Mail Subdivision -- Authorized Agent Azip .,-"N city 1 XCW '[9EW 'KIPTA DES 0 PTS Phone # 1�59)4[T River Basin 2 Affected 0 OEA 0 HHF 0 1H 0 UIBA ON/A AEC(s): Adj. Wtr. BodyPam} I I -r7A- �Aat /man /unkn 0 PWS: A ORW: �es Y no 1PNA yes 0 Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier Fixe:�l Float� Fing! Groff Bul Basin Boat Boat BeaJ OthJ Sho SAV; Mow, Pho Wai Platform(s) ng Platform(s)■i►�■r len gth'--- ■ MEN MEMEMEMEM U =1I 0 ■ �i�ii� A ber ■®ii■■'�■ ■■ri■■■ii■■r Riprap length ■■ ■■■ avg distance offshore max distance offshore— MEN 11 M MiNIME MEN "'I IMMEMMUMIMEMEM IMMEME 1111MOIN MEMEN ,channel IBM I cubic yards MEN 0 MEN No MMMM ME MOMMIMEMIMME MEN MOIJIM■ �■■■nm MEMMENIM0 ON= house/ Boatlift-- 10 SEMI= WIN 102 INNIS i Bu lldozini Iq r i K W-A 25=MC a.■r■■■■■uIN MIMMEN No E 0■1100 IN 55 Mrs, mom■ME line Length "'es mom■IN 0:0 .4�ww mm ..It mm�EMEMEM I not sure no IZ: J E■ENO so■MIEW ' torium: n/a yes r9 I wu --------- :":s: yes er Attached: yes NEWN11 9 - on M M MMMIMMI A building permit may be required by: Note Local Planning Jurisclicti?k) Notes/ Special Conditions \(A -2 A'f- ❑ See note on back regarding River Basin rules. ((t -V Lk Agent or Applicant Printed Name Permit Officer's Printed Naiiie' ,igq,at_ure ",Please read compliance statement on backof permit Signature Application Fee(s) Check# Issuing Date i=xpiration Date 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 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-411COAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 1367 U.S. 17 South 127 Cardinal Drive Ext. Elizabeth City, NC 27909 Wilmington, NC 28405-3845 252-264-3901 910-796-7215 Fax: 252-264-3723 Fax: 910-395-3964 (Serves: Camden, Chowan, Currituck, (Serves: Brunswick, New Hanover, Dare, Gates, Pasquotank and Perquimans Onslow - South of New River Inlet - Counties) and Pender Counties) http://www.nccoastaimanagement.netl Revised 08/27/ 14 l��`O 1-t 1511d ,390Gd rM :{53- 2.iW")I'�+r d' �?yidi E Applicant: � Date: 1 L 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. (ApplAed for. Disturbance -total includes any anticipated restoration or temp ! acts) ) FINAL Sq. Ft. (Anticipated.final disturbance. Excludes any restoration and/ortemp imp t 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 mo Dredge ❑ Fill ❑. Both ❑ Other CW Dredge ❑ Fill'[] Both ❑ Other r Dredge ❑ Fill ❑ Both ❑, Othe\rEk Dredge ❑ Fill ❑ Both ❑ Other 4 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 ❑. r�Z a SR 1 - N` - _ TRACT 2 /j a r , poi F�'pO SIP CO o \ �, r,Na�SO&B - �-�� Cana 3 o ` sp No P \ an 0 Sib scone � / Date hnnentalCmum \i '.-` imycbteclsCLSb4=OMP .ems.-t—Omiek-i- ` z. WSf10i�L10-�S'.=Y�:iYS-Q¢�PO- — —1 is.s;�:.DfYaarl�es------------------------ . - mtt�rtsx.3 oposeaor lbtri ►samepr -g �, 6 ws w. -- — — — c.P�- GRAPHIC SCALE — FEEhmtDa!th=C�.ff&=ofsbeais- — — — — vie 44td RECEIVED s a�CENED APR 29 1015 P N1ti1 _ _ - ��.�� ern ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Irk4 I hereby certify that I own property adjacent to r-413 is (Name.9f Pro Owner) ,property located w. (Address, Lot, Bloc Ro d etc.) on 50QA)-b in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locat* 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.) RECEIVED I do wish to waive the 15'setback requirement. APR 2 9 2015 I do not wish towaive the 15setb ack requi rement. (Property Owner Inforiiiation) (Adjac nt Property Owner Information) S1 nature Signature 2* 68 / -- CooV AS7 &d161"ee 4'vew ) I Wt / I � 4.4, �: / /— L. "' �146, n e- r A I/W&I.114116f 'Iciv/"s aip Telepbone Nymbpr Dt?v le Print qp,7�vnd Name / 0 Mailing Address City'VI ta 1, Telephone *Number Date (Rev, d 611812012) t . ADJACENT RIPARIAN PROPERTY OWNER STATEMENT i hereby certify that I own proper7ez nt to �� (am of Property Owner) property located a. •(Kddress, t, Block, Road, etc.) on, in , N.C. Mlaterbody) (Cityfrown and/or County) The applicant has described to me, as shown below, the development proposed at the aoove 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) lr WAIVER SECTION. understand that 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) 9C SIZpature na re Prim or Typ Nam Print or Tvbe Name 411� Mail' gAd5 MailingAddresss RECEIVED p�-` APR291015 / /L0 J�v City/State/Zip Telephone N mb Telephone Number soy �� .�7�� 0 Da%;2 _� lov � Date" {Revised 611812012) p15 ro SIR ♦gyp � Q� 4 TRACT 2 Joe Ex00 ' LO SIP �OC3) n ro / s 1" ' O KK NaD p Carte s o sP No P *` .,ci�- 6S�ibi W&Msefteckum/ A -� , Date I NximentplCenmm = CWw L nkFsrm- =Over:s�ssa�L§te4- �� voSfarts -_' = YarP'9PISEMS ( arPR3POSS*- — — mettEmm.2mllm da me saetepopayrarstmr> ion- — — — — — GRAPHIC SCALE — iiortO=Ca.r>nesafs4reels- — — — k Wd4h aytd J"J�h lLq� .4,1 V- 41M �W/Ot m ��G�NEo p RECEIVED APR 2 91015