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Home My WebLink AboutMorgan, RobertGE & FILL PERMIT Previous permit # ElComplete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources f and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules attached. !Applicant Name. Project Location: County ddress L, Street Address/ State Road/ Lot #(s) !'Cel ZIP 7R K City�n. t It StatState Phone# 71,1(5-, Fak# Subdivision uthorized Agent t-1 � I U - ' - 4 City ZIP Affected 0 CW EW PTA ,bES 0 PTS Phone# River Basin El OEA [I HHF 011H 0 UBA 0 N/A C (G AEC(s): Adj. Wtr. Body a0man /unkn) 0 PWS: DFQ -I Closest Maj. Wtr. Body ORW: yes /1'no-- PNA yes no Crit.Halb. yes /,,n'o Type of Project/ Activity (Scale: /% Pier (- Platf P1 Fingq Groff Bulk Basi Boat Boat Beac Oth Shor fSAV-1 Sand, �Mofrl Ph.t waj�l i1ouse/ w pler(s) length■�■■ate'■ i number head/ Riprap length__ avg distance offshore MENIMENIME M 0 NONE JJJ=MJJMMJ1 Now ME I guJIME mom I ME11111 max distance offshore— i�wviui ,channelm�i� cubic yards ramp Boatlift Bulldozing NONE INEMENON ME SOMEONE 60tsure n I I I y Dags: not sure es - no� torium:, n/a yes s� yes� ln er Attached: MMMEM—Now M—K A building permit may be required by: E] See note on back regarding River Basin rules. Notes/ Special Conditions b il -- -------- - A gent or Applicant Printed Name Permit Officer's Si at �e oil Jf Signafure "Please read compliaAce statement on'back of e7jiE. IssuingDate ., Expiration Date ApplicationFee(s) Check,# 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, 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 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 NC bivision of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Morgan Date: 8/27/13 General Permit #: 63018C 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 OW Dredge ❑ Fill ❑ Both ❑ Other ® 289 289 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 ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised:02103110 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Z Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent�,�,V(,:>,u E �0) arc. to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) n, 1,,je r ,�nj n/A,-kAf 7 at (my property located at) Z`S- /,C4Z1,0 OrL;?rixd ,Ra,Pht*TNC This certification is valid thru (date) 6widib,J /3 Property Owner Signature Y Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to d 's (Name of roperty Owner) property located at (Address, Cdt, Block, Road, etc.) on .S'bu4A 7Z►ul- , in I?,-, Lj= 7 PS1L , N.C. (Waterbody) (City/Town and/or County) The applica t 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) a -P1Cs b U o' 0 rZD' — arto", Cxx/st '- S+e1a PAP 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.) I do wish to waive the 15' setback requirement. IX— I do not wish to waive the 15' setback requirement. (Pro erty Owner of nnation) Si tune Print or TyiYe Name Mailing Address 41-tr,uu►lIr . AIn City/S(ate/Zip - ( 'Z S'Z _ Z le one Number g dj? Date ailing Address lt/ r ,JC _ 7t7611 1late i1Z p At')i = Q S71 T p�Number PE3 Date (Revised 6/18)2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1?0Spd 9-. tT,,, A A4)1o1;Aj 's (Name of Properly Owner) property located at (Address, Lot, Block, Road, etc.) on Nu4L, 21 ,t r , in_ Z,- ,,4,4 7-&7-a , N.C. (Waterbody) (City/Town and/or County) The Von. t has described to me, as shown below, the development proposed at the above locaf 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) of q'j 7�q l P11`u3J Alb DW o o M n Cx rs-,NS w5 II 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. (P erty Owner nformation) (Adjac Property O er Information) f�portiol ig ture Signature Print or Type Name Print or Ty0e Name Mailing Address Mai ing Address A, -JC- rlS// City/S ate'a. City i C-Z I - TeI on Number Tel h ne Nu ber 8 ate Dat (Revised 611812012)