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Home My WebLink AboutLawrence, Darrel & PatriciaP/ 2 ' IPAIVIA DREDGE & FILL 1K 6 25'� �GENERAL P E R M I Previous permit qNew ElModification ElComplete Reissue El Partial Reissue Date previous permit issued As authoHzed by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an. area of environ Ven�tal concern pursuant to 15A NCAC Rules attached,' Applicant Name I Project Location: County_.. Address ri Street Address/ State Road/ Lot.#(s) : e i. . . . . . . zip Phone # -7) FYX # i Subd vision , Xu't'horiz"eid- Agent-:— City ZIP Affected El Cw QEW D,PTA [I ES El PTS Phone # River Basin E3 OEA El HHF DIH El UBA El N/A -,.)? AEC(s): Adj. Wtr. Body (2 nat jman /unUn ID PWS: OFC---, Closest Maj. Wtr. Body ORW: yes /,no PNA yes'/ no Crit.Hab. yes no MEMO =EN M ��■■■■■�►��■■■■®�■■ ■■■m■■■■m■■■=■ =MEN ME ONMEM OEM ■■■■■■■ �r IMMENNIMEMMEEMMEEME III IMENEM M. WM1EM1MW ME I M MINE ME ■■■■ ■�mmm=mmmm=EENM .- NI■■■■■ . '`■�■■■■■o■:■■■■■■■ MIMEN ■ ■■■■�MIMIIIIM■■■■■■ N IIIIIIIIIIIIIIIII mi�immmmlimmmmmm= NONNI .■■�� MEN M■gymmommomommmo f�g�nt o I r Applicant Printed Dame Permit Officer's Sarature Sig Please read compliance statement on back of permit Issuing Date Expiration Date Application Feels) 6h -7- '�eck # Local Planning 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 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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/ 1-888-4RCOAST 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 13C Division 0.1 cca-st'd LVI, H-Mb! MP13107 NIZZt Applicant: Date: 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) 4e Fill 0 Both 0 Other 0 Dredge ❑ Fill 0 Both 0 Other 0 Dredge El Fill [I Both [I Other El Dredge El Fill [I Both El Other [I Dredge 0 Fill 0 Both [I Other [I Dredge [I Fill [I Both [I Other El Dredge [I 'Fill [I Both ❑ Other ❑ Dredge [I Fill [:3 Both El Other El Dredge El Fill El Both 0 Other 0 Dredge 0 Fill [I Both [I Other El Dredge [I Fill El Both El Other [I Dredge [I Fill [I Both [:1 Other ❑ Dredge [I Fill [I Both El Other [I Dredge [I Fill 0 Both 0 Other El Dredge [I Fill [I Both El Other [I 232-803-230G::1l-336-4RCGA5-T:: revised: 02/03110 Mai 06 13 09:54a Caribbe Inn 252-726-2023 P.1 +! 411-Je �(!. .......''� _[JIL...... ...._._.. !rS t'k iil� S�l�ld +i�Ci,� ^i "• of /ki- 1: /1 �4j r� LJL_= ._..__._.�.__. ��►�•�aY�!'b�;i��}__...___-..._....,..T_. ._� . Fhe rap-pllcanC f7az dec-crinec t:7 me, as sho'� in 'e'�: lovi, tine : evalop-na r� ii proosL:l :fit ti:? �'j'7V location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND10R DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) � y g p z 0 I- iArto '-V'P s 5 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. L Owne Signature Print or Type Name So 9 - ra,*f-d Rd. Mailing Address City/State/Zip Telephone Number Date (Adjacent Property Ow er Information) fi Signature Print or Type Name JILX.�? i -- Z- -3 Mailing Address 1.r7 s"/W,v City/State/Zip Tele hone Number ' Date z. '7- /3 (Revised 611812012) to i May 06 13 09:55a Caribbe Inn 252-726-2023 p.2 ADJA(',-E °IT �Jk�.�.. � .1.,'F`',::i ca? i `r: *•J �'�'�iL a i�i�jj '1 i �Cl,�Q��'� �',_ Pf1-�_ i C,� ;✓Y �/l,�k/lLE.�% a e= .._. -. ...y `.y .-{•,, lr..vv:..:i ::I �� .._�. a.�'.._.,.`, rC.�/'� I�)/j �ni Oilate!•body) ` he app;icant has described is me, as shown '.);310w, tile dt-'Ve'-'c- an; propose. at location. cez> . I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) fawn Pga"r—lo 2oY �flx ! i WAIVER SECTION ' 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Property wrier Information) Si nature Q / Print or Type Name 3 e 9 G-. 1/'6— /l�lica.l �d R/! 'ling Address City/..State ip r LTelepho a Number ��2- ;_3 Dale �— (Adjacent Property Owner Information) (:�"- e�' _ Signature may. Pri t or [Type Name 1,tA� •3O t 67• Fo1Z 1 M illy Address t Ll►.3 i 3 c+T L ` YS-1Z CiVStatelZip Telephone Number S— /— 11 Date (Revised 611812012)