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Home My WebLink AboutPatten L. Mason TrusteeACAMA El DREDGE & FILL 6, , "Y at, U A B CC D GENERAL PERMIT Previous permit # clew ElModification El Complete Reissue ElPartial Reissue Date previous permit issued As author zed 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 15A N CAC 1Rules attached. Nam TM�i I PyProject Location: CountIL I i Address n 1:)s 4 StleetAddress/ State Road/ Lot #(s) City V State zip c, Phone # E-Mail f Subdivision V Authorized Agent city ZIP Affected 0 Cw �tw 'tm DES 0 PTS Phone # River Basin 0 OEA DHH 1H 0 UBA DKIA AEC(s): Adj. Wtr. Body (nat Iman Junkn) 11 MS. — \ Closest Maj. Wtr. Body ORW: yes /(no P14A yes/( kro Type of Project/ Activity -Wom-vt (Scale: Pier 06k Fixed Float Fingi Groi Bulk Bash Boat Boat Beac Othq Shor SAV Mor Phoi Wab J 'ng Platform(s) rpier(s)— i length--- ------ MEN number �eadl Riprap length'�-- mom avg distance offshore — max distance offshore ,channel cubic yards- ----- ramp iouselBoatlift, ME DrAlwo" N ONION so ]SEMI i Bulldozing MEMEMOMMENN MEE MEMEMEMMORM 0 MEE min IMEM 11MMEMEMEMEW12"ME PLength EMEMOMMEMME mom ai�r I 111MOMMOM EMMEMOM dine �u �a■■� ii■� o not sure yes. ��a�� torium: n/a yes &Is: yes --r&VVC'F1XP Vpq A building permit may be required by: Note Local Planning jurisdiction) Notes/ Special Conditions 1 41 i J Agent or Applicant Printed Name' Sign ure Pleasp read compliance statement on back of permit El See note on back regarding River Basil rules. J PermitOfficef's Printed Name' SignJHr4 ! _" I Jr f I ' Application Fee(s) l'Che'&#1 Issuing Date. I,Expiration Date '/ J 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 landowners). 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 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 how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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 1��DEI�R North Carolina Department of Environment and Natural Resources Division of.Coastai.WWement Pat McCrary $raxton C. Dams John E. Skmrb, IQ Govemor Director Seaetaiy Date -7 Z Applicant Name != n, 0C_ — ' 5., k v \° o nj S E C6 w, Mailing Address $ s9 % 19 li w y .'2 D �t 5; X I certify that I have authorized (agent) d �A L to act on mybehA for the puwse of gpl*gg for and obtaining all Ce� rAMA Pern1its necessary to W taIl or con's�bamt (activity) F 2 i)a,F QT S WI ?O A-5 rrprk- t • �a!t) , at (locatim) 'Xhis certifications is r signature . RECEIVED JUL 0 7 1015 q00 Convne�eAve aiocehead t tg NO-W - Ptwa2=47-WO kttemetwuwsu astalrnan�em�tr An E4UdOppmda*%AGM*AA&Q WOW (Revised ti &2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMEN I hereby certify that I own property adjacent to S (Larne of Property Owner) - prGperty IQsa#eci at f'�. ,4 Y44� /� (,Address, Lot, Block, R'., d, etc.) on&WU JD — i , in t�%�, �� , N.C. (!i1lat rbody) (City/Town and/or County) The applicant has described tome, as, shown below,�he development proposed at the above toc io '-41 � �G ' e°Q m1� I have no objection to this proposal in�►14o A ock have objections to this proposal. AzAck.��e DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or affach a site drawing) WAVIER SECTIOi� 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 do wish to waive the 15' setback requirement. jUL 0 7 1015 do not wish to waive the 15' setback requirement. . (Property Owner Information) (Adjacent Property ®w er Information) SignatureS' ati e _ Print or Type Name Print o'r Typff�ame �J Mailing Address Mailing Addr ss —2ed City/StatelZip City/ -�elZip �� Telephone Number Tele ho Nu ber Date DaW (Revised 611812012) • ADJACENT RIPARIAN PROPERTY OWNER -STATEMENT E.herebycertify that Iown properiyadjapentto_Am" (Name of Prop ft'Owher) (Address' LH-�1iw,� .. • on , in C - 3 r fn . N.C. MaWrbody) (CitylTbwn andfor•Couniy) The applicant has described to me, as shown below, the development proposed at the above locatiot). i have no objecfion to this proposal. ! have -objections to this.proposaL DESCRIPTION ANDIOR DRAW(NQ OF PROPOSED DEMOPMENT (ln&Wdual proposing d"opmen#.must M1 in descdpfibn ftdow or attach a site drawing) WAIVER SECT1ON I understand that a pier, dopk, mooring pfts, breakwater, boathouse, Gft, or groin must be set back a minimum distanoe .of 15 from my area of riparian access unless waived by me. of you wish to warns the setbacks, you must initial the appropriate blankbelow.) I do wiah•towalvethe 1V setbads•regWrement I•do not wish to waive the 16 setback requirement. 09 (Property r 11i o4 (Adjace rig er ! b ��j r . i1 4 Ss� �+'�frf'rQ/ S1. G.e� 1' '.z�Lyt_�."Y��.+� Arinlnr7lrnaATane� _ /1.0 / // /i- Mon; Ma019 Telephone Numb t Telephone Number 0ool S Date Dote RECENED (Revised 6/ & 0f2) JUt 0 7 1015 '50", Doc- K RECEIVED JUL 0 7 2015