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Home My WebLink AboutParham III, Sumner M.kCAMA 0 DREDGE & FILL 6 2 19 GENERAL PERMI Previous permit # �lew ElModification - ElComplete Reissue Partial Reissue,, Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources }_� / 1( r j and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC "N-A-A 'A N Applicant ame r ED Rules attached. Project Location: County o J Address 11 Street Address/ State Road/ Lot #(s) City L'l Sta'tet i ZIP Phone # b '17 Itil- It, ��7�ax # Subdivision Authorized Agent 1�4W 1 3k City ZIP J — Affected El CW beTA DES 0 PTS Phone # Basin El OEA El HHF 0 lH 0 UBA El N/A AEC(s): Adj. Wtr. Body,-"-,k (I t1 o t t'-) (601man /unkn) El PWS;-. 13 ORW;�Q-e Crit.Hab. yes no 'j!; eio�PNA ' yes 30 ) . '-� YA 1 "2."' J Closest Maj. Wtr. Body I - M. M. NIMM1 NONEEME1110 13101 ff EMONOMENOMMEN11111011■0 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 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 Applican : 1 ( (✓�" UJ� Date: 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 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 'd- L3t�O .. t?1 133''s, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to :S L/ ft)nP� 1 •?G?-" 9 's (Name of Property Owner) property located at 0 M, / P� (Address Lot, B ck, Roa , etc.) on Jd , in C , N.C. (Waterbody) (City/Tow and/or County) The applicant has described to me, as shown below, the development proposed at the above location �M! 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 sI t, �� 4. �� Z .t- I MAR 2 7 2013 D C11- MID CITY tVp ii Qk 1 �"' (hl/ WAIVER ECTION understand that a pie , dock, mooring pilings, b eakwater, 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 y Owner orm tion) Signature 5tiwitier MPAraM: Print or Type Na e 3S0Q ,, 1 ,e-'6r;.) Maims � fires C- -t� ( . Chy/State/Zip Asa-(auG-3�3� Telephope N4?nber (Adjacent Property Owner Information) SignC ur �1 Print or Type Na e H L-a ►i e- M " g Addres Telepho e Nlit ber Da (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �!i 's (Name of Property Owner) property located at 103 ml)e--, (Address, L Block, Road, tc.) on �d �� , in jV ( , N.C. ( terbody) (City/town 4ndlor County) icant has described to me, as shown below, the development proposed at the above I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual p'/r�o1 ing dev lo/(pme�nt must fill in description below o)rI attach a site drawing) RECEIVED MAR 2 7 2013 `JII J f, DCM MRD 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 wisVW 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. (PropArty Owner I rmati n) (Adj ent Pr ner Information) Si ature Si ature Print or ge Na a Print or a Name Maili g Adress Mai 'ng Addres Z19� 7 City/ -tat/zip J0City/State Telephone rnLler3 Telephone '< ber L Date Date (Revised 611812012)