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Home My WebLink AboutMontgomery, ScottQ'N.CAMA DREDGE & FILL GENERAL PERMIT Previous permit # [�New ElModification El Complete Reissue ElPartial 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 I SA NC.AC_% E Rules attached. �- Applicant Name'* 4'k A Project Location: County CLJ q I I Address ,-, i I I.R �-,- Street Address/ State Road/ Lot #(s) �, '%N-k- State rn A City ZIP . 1'�� Phone # 'Xo Fax # ed Agent Authoriz' Affected AEC(s): 0RW: �CG+,CW '9,EW )APTA El OEA 0 HHF 0 lH 11 PWS: r yes / Qo PNA (y, Type of Project/ Activity 0 FQ no DES 0 PTS DUBA ON/A Crit.Halb. yes / no Subdivision City_ Phone # River Basin I t, Adj. Wtr. Body 0. 1,U X)0 �,`l t,' in nt-an /unkn) Closest Maj. Wtr. Body ` t i j`,�- i� �.1 ^t-� t (Scale: Pier (dock) length tf, Y, Plati Fing Gro Bulk Basii Boat Bow Bea( Oth, Shor SAV: Sand Mon Photi ,Walv 0 Prm(s) !r pier(s) - 0 i length number MEN 0 WRAV max distance offshor ME I channel ■■�1i��A��■■�■■■�■■�Ij��iiii�■■�■■■v■■ cubic yards ramp ■■■■■■■f■1■j'i■■■ ■■■J' ■lyi■■■le�l■■■ ■■■■■■■■ Boatlift— MEMENNIM. RIMMEMEMMENNEM MEMEMEMMI MEMINJIM M MEN oil NEMENEEMEEMEME :i Bull ozing— MENEEMEMENNUMEN �Iine Lengt h ■■■■■■■■■ia■Nia�i�■■■°■iii■iW1n pimpmommomm not sure yes f"■EMEMEMENNEMMUMME ■MEMMEMMEMOMMEN �ags: not sure yes P.MWEENNSOMMOMME Ltorium: n/a yes no s: yes nq MMMEMEMENNOMENN■MEMOMMEMMEMEM Iff-I 1111MMIM ME■0 -r Attached: s nMM A building permit may be required by: t- I0 - See note on back re 'd N rules. Notes/ Special Conditions f-)A-.k,.Q It; it 0 14L3 j') I ILI I I t J"k Agent or Applicant Printed Nrne l Permit Officer's Signature Phase Issuing Date Signature compliance statement on back of permit" Expiration Date Application Fee(s) Check# Local PlanningJurisdictionRover File Name r 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 consistent with 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 howto 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 Citv 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 GP Habitat Sheet Name: Scott Montgomery Permit #: 64167C Date: 8/13/14 Address: 2411 Marsh tern lane Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance Open water 200 200 N/A N/A CW's above NHW ' 126 126 CW's below NHW 120 120 ^: MEMO AUG 19 2014 DCNf--MHD CTTY u ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of opertyOwner) property located at Cc (I >� � rS�- T" (Address, Lot, Block, Road, et ) on �� S _ , in 0--L N.C. (Waterbody) (City/Town a dlor County) The applicant has described to me, as shown below, the development proposed at the above location . r� 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) DTuLS Ccic 1 AUG 18 2014 CITY WAIVtK 5U;I IUN— 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 wishlo waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro erty Owner Information) (Adjacent Property Owner Information) SigS -D ature Sturn P P;2L(�(or Type ame -- ')-zr, L�., Print eName C&e'5TwC100 c Mailing Address J Mi�Addes j6A NGVgs QVState/Zip City/State)Zip —T Telephone Number Telephone Number Date Date JUL. 31 2014 (Revised 6/18/2612) DCNf ht:iD CITY 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to scoV4"^1'�e'W-e- - y 's (Name ofProperty Owner) property located at (Address, Lot, Block, Road, etc.) on , in N.C. (Waterbody) (City/Town and/or County) The applic nt has described to me, as shown below, the development proposed at the above location " have no objection to this proposal. 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) 1JTLt--S CI(�ctc to L01' D� IZ' R14 LA u toy �* RECEIVIZ L ��7 AUG 19 2014 WAIVEK SEGI 10 , I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin muWK$$}C.�'Y 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 Owner Information) (Adjacent Property Owner Information) SignJurve Signature Print or Type Na a Print or Type Na e Mai ing,�Addrgss Mailing Addrenl yc " �L City/State/Zip City/State/Zip as� ---Y( — 1'3G Telephone Number �, iREC>, e/e hone Number p p Date JUL. 31 20te (Revised f/18/2b12) DCR'IMHD CrrY