HomeMy WebLinkAboutLassiter, Richard A.C?AM. A 0 DREDGE & FILL
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GENERAL PERMIT
Previous permit #
0
New ElModification Complete Reissue E]Partial Reissue Date previous permit issued
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As authotized bythe State of North Carolina, Department of Environment and Natural Resources
and the Coastal ResourcesCommissionin an area of environmental concern pursuant to 15A NCAC
Applicant Namely )
0 RAes attached.
Project Location: County;I -r--7
Address
Street Address/ State Road/ Lot, #(s)
City State 1, ZIP
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Phone #
Subdivision
Authorized Agent` -------
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City
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Phone#
Affected 0 OEA 0 HHF 011-1 0 UIBA 0 N/A
AEC(s):
Adj. Wtr. Body. %i I 4at
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0 Pws:
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/(no' 10
Closest Maj. Wtr. Body
yes yes J
Type of Project/ Activity 47\x- n 4
11 111 — —,
(Scale: e:
Pier (dock) length 13FRaQ U F-1
Fixed Platform(s)
Floating Platform(
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Finger pi.r(s)
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ME
IME
MR=
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Groin length
number
Bulkhead/ Riprap length"—
avg distance offshore
max distance offshore
klan�m
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Mw
IMIRM
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SIMMONS!
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MENOMONEE=
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cubic yards
Boat ramp
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Boathouse/ Boatlift--
III
MINE
No
Beach Bulldozing-- —00�MENIN
ry,
Shoreline Length
SAV: notsure yes -O''mmlimmmmmm
Moratorium: ;
n/a yes,
Photos: yes
Waiver Av.96ed: Vf-% %n)
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11010110101
A building permit maybe required by:
Note Local Planning jurisdiction)
Notes/ Special Conditions
F'A
421
El See note on back regarding River Basin rules.
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Agent or Applicant Printed Name
Signature Please read compliance statement on backof permit
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Application Fee(s) Check.#
PermitOfficer's Printed Name
Signature'
C/
Issuing Date 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 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 ❑ 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/ I-888-4RCOAST
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, 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/14
•05/19/2015 13:57 2528309451 NORTH STATE STEEL GV
Jan 1103 06:16p Ted and Leigh Johnson 2527266'195
y 'ADJACl WT RIP RIAN p p�o �� sy��
i hereby cel* that i owrn property adjacent to do
PAGE 02/02
p.2
's
on Lsa .,, . . ■
(Watwbodyj {C.ItylTo�m artdlor ouMyj
The apprIoW leas described to me, as shown below, the dWe *M*,t proposed at the above
location
i have no objection to this proposal.
i have objections to this prgpo=L
DESCRIPTION ANDIOR DRAWING'OF PROPOSED DEMOPMENT
(iRdlodua/ pmposing dfs Wopmertt must fig fn dewdption below or aftwh a site alYarvtrrg)
vVALVER sEc Ito
t understand that a pier, dock, moo" p7in9 breaicwelter, boalhouso, !"dt, or groin must be set
back a minimum dtsianc8 Of 1S from -MY area of riparian access unless WA ved by roe. tit you
wish W waive the setbad� you roust Initial the appropriate blank below.)
l ddo wish to vraivethe i g suck rOquirwneM .
i do not, wbh to waive•the 16- setbaok.requlren5
(Proo-M owner Information) {
aon)
sicwft-n
.A A' r /Ofl�4Tr-
RECEIVED
MAY 2 7 1015
O n.n_h;±4t? t�14*
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(Revised 6✓1=012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that 1 pwn property adjacent to
on
in
of F
(CitylTown and/or
. N.C.
The applicant has described to me, as shown below, the development proposed at the above
location
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING- OF PROPOSED DEVELOPMENT
(Individual proposing development must flit in description below or attach a site drawing)
1NAIVER SECTION
I understand that a pier, dock, mooring Pilings,. breakwater, -boathouse, !A or groin must be set
back a minimum distance of IF 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.
MAY 2 7 1015
1 do not wish to waive -the J 6 setback -requirement.
(Property Owner Information) (Adjacent Property O or Information)
sioudu Te d Signs iU� �i�6�N
Prim o Type N e {� i Print or Type Name
Cott! oTpuy Cam`
Mailing Add ssa S j.� Mailing Address
ie city/3tafe�p
tat
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Telephone Number Telephone Number
Date
Date
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