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Home My WebLink AboutHowell, Glenp Of' EICAMA 0 DREDGE & FILL 'Kill 6 11 4i G 8 U %� GENERAL PERMIT iE]New � A B (J;) D Previous permit # ElModification El Complete Reissue ElPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources —,7 I'l /,A? ') and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / ,, 7' 1 , � — .111 Rules attached, Applicant Name Project Location: County Address f, "'V Street Address/ State Road/ Lot #(s) city_JL a. State I ZIP Phone# E-Mail Subdivision 3 Authorized Agent city— ZIP - El CW DEW --bPTA -t]ES ,AMPTS Phone # River ver Basin Affected 0 OEA 0 HHF 011H 0 UBA ON/A AEC (s): Adj. Wtr. Bod --Yl V -h (nat/man. /unkn 0 PWS: ORW: PNA !- r ii c 11 1�2 Closest Maj. Wtr. Body yes kno jl'yes no _A Type of Project/ Activity (Scale: 0 Pier 1A-AA 1-1, A Float Fing Groii Bulk Bash Boat Boat Beac Oth4 Shor SAV Mon Phoi Wain it IM IM MEN MISSION MIMMINE MM1U length number MINE iead/ Rlprap length--' avg distance offshore — max distance offshore MONO MEN ,channel cubic yards ramp iouse/ Boatlift SOME NEENNOMMON MEN MEMMEMENEENNE IN= :1 Bulldoz,ing r SEMEN HOMINE loommill�m MEW No MEN IMMUNINIUMMMI-1 ONE NEON 1 1 I ME! dine Length mom mom mommomm�liommms momommmmm not sure yes == WERE& 1101111111 MINIMMIN 0 [mom 1 IM1 torium: (�a; yes no- 0 SWEEMIN LIS: yes IMMISEEMEN NEON VP_q A building permit may be required by: l trJ c) t I El See note on back regarding River Basin rules. Note Local Planning jurisdiction) ! Notes/ Special Conditions IA t ..`Agent or Applicant Printed Name Permit Officer's Printed Name ,I J I 1 1 li / Signature ** Please Tfad compliance statementon hack of permit Signat1re.. Application Fee(s) Check # Issuing DateI Expiration 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 I) 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 CarolinaCoastal 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 comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-411COAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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, Cur: ituck, 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 - South of New River Inlet - and Pender Counties) http://www.nccoastaimanagement.net/ Revised 08/27/ 14 NCOENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor .fames H. Gregson, Director Dee Freeman, Secretary Date � - b /' ✓ • Applicant Name Mailing Address -a MIAO; �" r I certify that I have authorized (agent) k. act on my behalf, for the purpose of applying for and obtaining all CAIVIA Permits necessary to install or construct (activity) at (location) X kAl This certification is. Signature .k . \14 RECEIVED JAN 2.9 ��►�=MNr3 cm 400 Commerce Avenue; Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX.: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal opWnt *. TAffirmative ACfiM Employer-5G°!° Recycled l lob Post Cmumer Pa s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT i hereby certify that. I own property adjacent t 's q� p (Name of Property Owner) -.p !aerty.:lQcateg!ate_. qU'p q (Address, 0tJ3I0c Ro d, etc.) ~ on -40 ., , N.C. aterbody) p tylTown 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 r DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing cfe% e/o ment must rill in descn' pion below or attach a site drawing) ✓jf ' z I understand that a pier, d back a minimum distance wish to waive the setback, I do wish I do not (Property Owner Info AIVER S TION ick, moorin pilings, br akwater, boathouse, lift, or groin must be set of 15' from y area of iparian access unless waived by me. (If you you must 1 tial the ap ropriate blank below.) aive the 15' etback req iirement. RECEIVED to waive thE 15'setbaci requirement. JAN 29 ,•rn-F Lion) (Adjacen operty Owner Informa4cn)-mi,o c►iv 12�c� l'e IV � Print or Type Name Mailing Agdp ss Q4VState/Zip "/e/r AVM Print or Type Name CitylState/Zip Nv�b2/T, A/C Telephone Number 4R5a )67/-a62 Ae - Date (Revised 6110012) I hereby certify that. I own property adjacent t ` � °s (Name of Property on v j' — _, inN.G. Naterbody) G tylTown and/or County) he ap icant has described to me, as shown below, the development proposed at the above to I I have no objection to this proposal. I have objections to this proposal DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing c4evelo went must rill in descrition below or attach a site drawing) �17 \ I understand that a pier, d back a' minimum distance wish to waive the setback I do wish tqA I do not , moorinj pilings, br( 15' from Iny area of .i must 1r4tial the ap the 15' to waive thl 15' (Property Owner Inform ion) Print or Type Name Mailing A dps. City/State/Zip, 2 kwater, boathouse, lift, or groin must be set Darian access unless waived by me. (If you opriate blank below.) RECEIVED irement. JAN 2 9 1015 requirement. ePWMFI�3 e,rn rty Owne4 Informati 01griu�ure Print or Type Name a.511 Ili UUIGJJ NC 8�r ewflyr�' `7a 6- Telephone Number Date j (Revised 6/18/2012)