HomeMy WebLinkAboutNorth Shore MHPIVIA El DREDGE & FILL
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A B D
GENERAL PERMIT,
Previous permit #
1,New 11 Modification ElComplete 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 I SA NCAC
Applicant Name JO A
5Q Rules attached..
'Project Location: County -4-f
Address
Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # QP -Mail
Subdivision
Authorized AgentV"
City ZIP
Affected DCW L EW [$,PTA DES 0 PTS
-1
Phone # 3_River Basin i, c
AEC(s): El OEA El HHF El IH E USA El N/A
Adj. Wtr. Body . (nat man /unkn
0 PWS:
ORW: yes/ r"I"11 I PNA yes o
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Closest Maj. Wtr. Body '.J,
Type of Project/ Activity —AL " r I �k� _-
.
Pier doc len h
Fixe
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Fing
Groi
Bulk
Basii
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Shor
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Wain
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ing Platform(s)
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length
number
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Notes/ Special Conditions
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Agent orApplicanerinted N,
e
PermitOkicer s Ante
J.
(arr�
Signature Please read compliance statement on back ofpermit,
Signature
Application FGe(s):,
Che ck #
Issuing Date:,
ration Date
,
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, certify that this 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 Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastaimanagement.net/
Revised 08/27/14
['rCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
wPreviouspermit#
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B D
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New ❑Modification El Complete Reissue El Partial Reissue: Date previous permit issued
As authorized by the State of North Carolina, Departmentof Environment and Natural Resources
Intl the Coastal' Resources Commission in an area of environmental concern pursuant to I SA NCAC
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Iicant Name I�+; `:e\�{ 'n c i
PP i r
Project Location: County.
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River Basin
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Signature
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Issuinj Date
Expiration Date
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03/30/2017 08:47 12527262865 A B COOPER JR PAGE 01
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Dote
Name of property Owner Applying for Permit:
>� rY,� 1L..1-C,.,,...,,.
Maims Address:
1 certify that I have authorized (agent) _ �p.,c, � , fv\�-1=� to act on ,my
behalf, for the purpose of applying for and obtaininp, all LAMA Permits necessary to
Install or construct (activity)
at (my propft* t�catd ate NA,
This certiticadom Is valid thru (date) � - 30 - lcz \,I.
APR 13 2017
,'03-28-17:09'08 :From'Edward Jones To'9194009183 :8666045090 # 1! 1
hanlbv COO mat I own onmeriv a' mrit toLao
Nvne of proporty
property locobd at 00 r(1 DY C
on N.C.
(Wody) (CHY/To m andtdr County)
The appliloftnt has deaarlbed to me. as shown below, the development Proposed at the abovo
I hea nn nt" to this pmrmsl
., I have objections to ttft proposal.
DESCIMPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(fth hoot pr"Wdng develOmim>,rf mwt4W n derr+cr"m Mower a jog em • atria *awwV
See_ 94Ya�
APR 13 2017
WAMSEC';'tQN ®CMn MHD CITY
tar3datata�J tt�t a pi+ ' dock mWi v paste, bKokwako, b xMmusk ilil, w Uycm► 111ug J* M
hv* a minimum r mmme of 1 y trom my ans at npanan X"Itt Mott volvoa by mo. (a you
wish-tooe setback, you moot initial N-rh *Vropriate bw* below.)
f do wish to watve the i!Y setback requirement.
I do not wish to waive the 'i V setback r *ftment.
Property Owner Inca radoul
SM
(ftviod M2014
01-28-17:09'08 :From'Edward Jones To'9194009181 :8866045090
T
i horobv cM that I awn orQwrty ad vaant to M�
N+l o of ipropatty s
r�
property located at DO � y C b o
JAMMU$ LOL tssacscti mc.l
on in i(lamN.C.
(Waterdody) (Ctgrliown andlor County)
The appli t has d"Mbed to me, as shown below, the devMoprnent proposed at tho abovo
I have nn n*fm to this rmpmtf
I have objeWons to this proposal.
DIMCRiPTION SIN DIOR DRAWING OF PROPOSED DE LOPMENT
t*mMdUW prvpoeW revetomenl ,tmrst4Vin ds@CAW sr bsbW orb s a" drawiag)
wee 44�&�
irrlderatand tit A
V . bKmkm'. �?[7fltilfllr$Ei„ �. KA �rr7H! r11it5t t� �tlt
hark a minimum mt me or TY mom my arrs of ripan2n xmtt uniscc anwad by me. (it you
wish-to7wv1hG "d** you must Ntftial trio appropriate Ili* below.)
I do wish to valve the 13' setback requirement.
I do not wish to waive the i V soft* requirement.
l'rW of Too Affi m
owner In aaanakioa2
O%viud dl a,1014
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that r own property adjacent to
property located at
(Address, Lot,
on k', �dLts7r.� — rtJdL , in
(Waterbody)
own and/or County)
N.C.
The .applicant has described to me, °as shown below, ",development proposed •at ttte above
locati ;
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)
Sfiv'Ae
APR 13 2017
WAIVER SECTION. ®CM- F I D CITY
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.
(Property Owner Information)
(Adjacent Property Owner Information)
nature
/ n
ature.
Print o pe Namey
Print or Type Name
Mailing dress
Malhgg(I-_ D C T k
City/Stat
a4ty tateaip
Telephone Number
IT /Zt--/
"1
Tele hone ;Number
- 6-17
Date
Date
(Revised 6/1&2012)