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Home My WebLink AboutOsborne, JoeL ,CAMA / C.DREDGE,& FILL GENERAL PERMIT Previous permit# New . ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued , . 1 tc } As authorized by the State of North Carolina, Department of Environment and Natural Resources 1114. and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC jMj jS�C J WRules attached. Rule Applicant Name Project Location: County Address < ^ - �' r ^ $ " 7 Street Address/ State Road/ Lot #(s) City •` ` LiL: i��. _ State ZIP iPhone # (fit ?_) I .`"`� f Fax # Subdivision Authorized Agent City '. ZIP . ❑CW [3EW )QPTA ❑PTs r Phone# ( ) , r? '7 River Basin _*S Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ('' o,• f f (. Adj. Wtr. Bodyt �!_ y,,{.� y,k,�j •I t ....� (nat /man"/unkn) ORW: yes / PNA yes / ; Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity ,kPI) t l_ Pier Platf Fing Groi ( Bul Bash Boat Boat Beac Othi aVg distance offshore— ■M//rEE��EEEMEEE■■ max distance offshore channel / ■■■■■■■■■■■■■■■ M■■■■■E■■�E■■■■■■� cubic yards cubic yards CCCCCCCCCii■CCCCCC�C�CCCCCCC■�isiiiiiC'' ■■■�■■■■■■■■■■■■rrnr��ti■ , . ■■■■■■■■�■■■■■■■ ramp ■■■■■■■■■■■■■■■■■■■■®■■■■■■■■■®■■■■■■■' ft ■■■■■■■■■■■■■�■■■■■■®■■�■■■■�■��■may■■■■'i ONE MMENNNEM I Bulldozing_.,.- MENEM ■■■■■iM��■ ■■�■■MEMO■ MENdineLengthI...■EEEC . ■MEEMEMMEM■MMEMMEM■MEMMMI MI■QE■■■■®®■■■�M iags: not sure yes'' no •� ■■■■■■■■E■M■■■■■■■■OEM■■■■■■■■■■MM■M■■ A building permit may be required by: 441 rr Notes/ Special Conditions •.t�i. t` b N f'/1" r' ❑ See noteron back regarding River Basin rules. f / J j ; � :. I' j r "r f, r/ (� '..i ¢' V !`�%( .l-. 4 ) w(!\ /% !� " s: -`�t ��.% ^^� ! 11. -)e- i t ��_� / J 1 `- -- y m.. a IJZ t Agent orApphcant Printed Name' Permrc�ff a 'sj/Signature ' gnaf'ure " Please read compliance statement on back of ermit Issuing Dat Expiration Da e ��.. ApplicationFee(s) Check#r/ Local PlanningJurisdiction "Rover File Name A 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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 complywith 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/ 1-888-4RCOAST 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 GP Habitat Sheet Name: Joe Osborne Permit M 63840c Date: 6/11/14 Address: 137 Bowen St Habitat SF of Disturbance SF of Disturbance LF of Disturbance LF of Disturbance shoreline 150 150 N/A N/A RI~CENED JUN 12 2014 DCM MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to dab �1�b 's (Name of Property Owner) property located at to (Address, Lot, Block, Road, etc.) on in n 13 , N.C. (Waterbody) . (City/Town and/or County) The applicant 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) 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.) RECEIVED ✓ I do wish to.waive the 15' setback requirement. JUN 12 M4 do not wish to waive the 15' setback requirement."`, (Property Owner Information) c� Signature [ Te e_ T �500rN� Print or Type Name G /3'7 $,,W h 57re_e_� Mailin ddress P,a,-x A1,C Z AS/Z City/State/Zip 252— G4G— 3�5 04- Telephone Number 3-3-2014-- Date Owner .�u.a /e'en y Print or TvDi Name 4 .13 / kjm eln S i Mailing Add Tess City/State/Zip Telephone Number 4 3 -20I �. ...... Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to dab �� 's (Name of Property Owner) property located at to (Address, Lot, Block, Road, etc.) on 0c, L t-- , in a G , N.C. (Waterbody) (CitylTown 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 DEVELOPMEN I (Individual proposing development must rill in description below or attach a site drawing) ex 14) �I .. WAIVER SECTION -'-runderstand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be se 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.) IRECENED I do wish to waive the 15' setback requirement. I do not wish to waive the 1 & setback requirement. J U l-: (Property Owner Information) (Adjacent Property Owner Information) CITY Signature / Signature l Xv e- % �5%dY� L Print or Type Name Print or Type Name / 3„7 B o w e h Mailing Address Mailing Address r� A City/State0p, city�� 2i S ti fit% Telep one Number Telephone Number _ Date Date (Revised 6(18/2012)