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Home My WebLink AboutMacon, Gerald/ DREDGE &FILL 62a04 JiFE RAPERMIT Previous permit# dicion ❑Complete Reissue 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 15A NCAC f Rules attached. Applicant Name Project Location: County Address r %'6 , t �. { '.j+k i --V Street Address/ State Road/ Lot #(s) !! ACity - Stated1k ZIP #` Phone # `( - Fax #' Authorized Agent�� 4 `i�' ❑ CW ❑PTA�7y ES ❑ PTS Affected AEC(s): El ElHHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FQ ORW: yes / Rio PNA yes / (ion Crit.Hab. yes // no Type of Project/ Activity Pier Platf Fing Grooii •Bulk Basii Boat Boat Bea( Othi ,Shor SAV- sand morl 1 Phot -Wai City `, ` `!, �� ,j ZIP Phone # (" 1�`� ~ I River Basin i. Adj. Wtr. Body n Closest Maj. Wtr. Body — (Scale: � ) �r pie th nOrkiber— avg distance offshore max distance offshor;--� INIMMEM■■■ ■■■NEN ■■■■■■■■■■■: MENEM cubic yards ■■■ramp ■■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MENOMINEEI ■■■INEES ■■■■ON ■t�� ■NE ■�(/ I Bulldozing ■■■■■■■■■■■■■■■■■■■■■■■■■■■■r■,.�Q1�.��■ �il ■a. =00 ■■■■■■■ Z�MM ■■■■ 7■, �Ii�irM@Mtn===M ■��■■nA■■■►■■�i�l ti•1MMM1MMR � ■ ■■n11■■■�IMMINVnINIMSH ■■■■■■ Length .SUL ■■ MEN go", �� ■ ■■■■■ ■■■■ �■■ ■■■■■■■■■■Y■■■■■®■■��■®■■MEN Ltorium.1111 yes■■■■■■■■PRUE ■■■■�■■■■■■■®■■��■■■■■■■ S: yes . ■■■■��■■■■®■■+�1�■■r�■■■■■■��■■�i■®■■■■■ A building permit may be required by: t (.; L. Conditions mkwaw LJ_$ee note on backfegarding River Basin rules. "'% t~T-.- fY i...? { •.'.! F +.' -.S �.. ,.� (..•`'L ,• f'. `.�-,4 y / r Ag nt or A',�scant Printed Name,-, Permit Officer's Signature —91 Sign ure. r* Pledsq read compliance statement on back of perms * Iss ,.�ng DaiJe �r 1 Expiration Date n " Local Plannin n Application sd�c Uon Rover File Name Fee(s) Check # g�u 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 F-1 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 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/ I-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 tril'�i 'L,y'? �i3+J1' S�` "S l'' aey�;{`•leriJ�S�:�rlfl.:yji;`:::i�au]`f3`w;')i' a L�:`d Applicant: Date: 6 1 Describe below the HABITAT disturbances for the application. All values should match the name, and units o m asure found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Appliiied for. Disturbance -total includes any anticipated _ restoration or temp im cts) FINAL Sq. Ft. (Anticipated.final disturbance. Excludes any restoration and/or temp impact amo t), TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or terhp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Ftlt Both ❑ Other ❑ Dredge ❑ FIII'❑ 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 0 Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ v0v!3 e4: 6/19/13 ConnectGIS Feature Report carteret2.connectgis.com/DomloadFile.ashx?i=_ags_mapaed5d077895f468e9f165a19a1497983xhtm&t=print 1/1 Aw , �A O'A) 0-- lle,-- -/-x e-r Sv�ra,.O ISLAND MARINE CONSTRItCT> M 1286 ISLAND ROAD To: HARKERS ISLAND, NC 2Mt 262-728-3419 From: 6 j MA Coal Re: Authorization Letter I WIACCIAJ authorize ---/�//Okij , L A w rC.0 c, -e to act as my agent for the sole purpose of obtaining/signing permits to perform work at �� ''ey•1iS loN e RECEIVED JUN 14 2013 Sincerely, Signature DCMMHDCITY �2 tQ C Print N a C v ADJACENT RIPARIAN PROPERTY OWNSR STATEMENT Iry a I hereby certify that 1 own property adjacent to 's ( ame of Property Owner) property located at on and/or County) The applicant has described to me, as shown below, the development proposed at the above location LIB p( I have no objection to this proposal. 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) k'"� "� �r oee-r4 3 / sr /VC'Lp U-9,"-2 REc>:WM I understand that a lAer, dock, mooring pilings, breakwater, boathouse, lift, or �& JnAs Ag 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.) DCMMHDCITY tk-' % I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Si G o /v Print or TpaAame 3IJ Mailing Address PC 2 O Gity/Stat /Zip Te ephone Number Date (Adjacent Property O/wr�ner Information) Signature L o Re-T�T(A Print3 / 7ypTA ie oox L ilk% N; P Orel, J Ci1WSta ip a��h�D$ 2 7�,C�—��%7 Telephone Number Date (Revised 611812012) Il I hereby certify that I own property adjacent to property located at (Address on )_ � , in (Waterbody Zor/ei c o - 's ame of Property OwM.. -/— Ie5'7a Block, and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above to have no objection to this proposal. 1 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) A C 0 pits eQ`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 requ (Property Owner Information) o � Print or TlrdvoZ-5 Nam '� / Y �r' -e Mairng Addre� i -�— �i N Ci /Stat 'p Telephone Number Tyr^EIVED aDtes—i— JUN 14 2013 nt. Property9wner Information) r Telephone Number Date (Revised 611812012) DCM-MHD CITY