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Home My WebLink AboutMarek, Stanley1 AfjjA / El DREDGE & FILL GENERAL PFERMIT Previous permit#��.�=; ❑New ❑Modification Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources ,-� r ► �`% and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC_ ('t r( + 1'•� i _ _ l Rules attached. Applicant Name - t i I ; # ,` i � Project Location: County f!J 3 i w�, t°, a: Address t x 1 P� `� � l � f Fr`j � �`� Street Address/ State Road/ Lot #(s) t .� Y � �' t State l ; �' ZIP . t: Phone # ( .} ' I� j� rt�x'Fax # (- Subdivision Authorized Agent -— City ZIP Affected ❑ CW - EW _b PTA ❑ ES ❑ PTS Phone # ( ) ,r River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A I /' — AEC(s): Adj. Wtr. Body ! t { s s; f j I �Nt f 1 (nat) /man /unkny ❑ PWS: ❑FQ _? ORW: yes /'no--' PNA yes /(n Crit.Hab. yes /i no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dockl length Platf Fing Groi Bulk Basii Boat Boat Bea( Oth, Shor SAV- Sand Moll Pho) Waiv (Scale: / f / � ) 5 length number o■a■ uua■■e avg distance offshore NOON MEMMOMM MEN NONE ON max distance offshore cubicyards ramp � ' '�iN�� ii � ONE' a ■�iiii�� Sline Length MENUMEMEMEMEM MIS ENOMMMEMMEMEMMEN �'I Lgs: not sure yes nAMM tr Attached: yes, �o r7..�_... /.� r�.. A building permit may be required by: Notes/ Special Conditions or Applicant Yripted Na SignaturePlease read compliance statement on back of per�m�)it ** F J Application Fee(s) Check # ❑ See note on back regarding River Basin rules. PermrtOfficer s Signature /7 1, �-- Issuing Date / Expiration Date Local Planning Jurisdiction Rover File Name ,f 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 andvoid. 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 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 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/ 1-888ARCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT A I hereby certify that. I own property adjacent to % ►�-►� I Y l� I'h ��'� 's (Name of Property Owner) property..located at - . _ .:14 ya A k s Tr, 6..e emu (Address, Lot, Block, Road, etc.) on A/e w p o 2T (L , v ert. , in eFo 1.4 , N.C. (Waterbody) (City/Town 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) •i RECEIVED OtT 14 ZON D C M MH, D C �I 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.) t� I do wish to waive the 15' setback requirement. Saw-r�l do not wish to waive the 15' setback requirement. (Property Owner Information) Signature i-r+ n l av r2 • w�� ti�,rc Print or Type Name y yd &k e-7', ►, �oa Mailing Address ,e 4 'u Pd !L I ,tic- 34- 5 J !o City/State2ip 19!�- a a4/ LS01- Telephone Number N• M (Adjacent Property Owner Information) T.ag Aaar ss rty/St�� _ Telephone Number J Date (Revised 611812012) .. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that. I own property adjacent to T Yi-n l r2 - M A4-e— tc 's ame of Property Owner) (Address, L on IVe-wao,&-I' (Li ac-z , in_ (Waterbody) Dad, etc.) '9-0-L.- I*otiT (City/Town and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above locatV. 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 i drawl g) aS3 RECEIVED OCT 14 2014 DCM-MHD CITY 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 requirement. (Prop Owner Information) e - 0�� Signature s7'yq n I P y� P.. mg-4.ejz Print or Type Name Mailing Address Mailing A a9s�b City/State2ip -2<- a - '9 c.9oy Telephone Number Date (Adjacent Pro Signature Print or Type Mame , Information) City/State/Zip� Telephone Telephone Number a d Date (Revised 611812012)