HomeMy WebLinkAboutPiner, J.W.s� � AMA / ❑ DREDGE & FILL '
r/ NO. G 1190C,
'' ENERAL PERMIT
Previous permit#
New OModification ❑Complete 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 Commissi in an area of environmental
concern pursuant to 15A NCAC `
• Y1 ��-
Rules attached.
" Applicant Name V , l
} Project Location: County
^�
Address t u (` h
Street Address/ State,R,oad/ Lot #(s)
IcAt State
rZIP
�rr
Phone # R) ` ` 3 6r-ax # ( )
Subdivision
Authorized Agent t) ` o i rf y" i r�
City
tf
tG r � f" ' ZIP ,
❑ CW SEW kTPTA ❑ ES ❑ PTS
f
Phone # ( ) ' River Basin ✓ J,
Affected ❑ OEA - ElElHHF' ❑ IH UBEl N/A
AEC(s):
I %
Adj. Wtr. Body C f', f �Z.—" (n4'1mai /unkn)
❑ PWS: ❑FC:
�
ORW: yes /ffidf PNA yes n9 Crit.Hab.
J
{ �—
Closest Maj. Wtr. Body
yes / no ;
Type of Project/ Activity
(Scale: Ci )
Pier (dock) length
Platforms) �910��
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
ay.g distance offshore -
max distance, offshore
Basin, channel
cubic yards_
Boat ramp ,
Boathouse/ Boatlift
Beach Bulldozingi
Other
Shoreline Length
SAV: - not sure yes no
Sandbags: not sure yes no`
Moratorium: n/a yes t� n0, li
Photos: yes` o
Waiver Attached: yes n
1
A building permit may required by: i t �• , c
a
t
See note on back regarding River Basin rules.
Notes/ Special Conditions �, t ' G `t i3 i j f i'� j i c 4 c. J r (� t C.: � t �94 j.( � y
/� �
61Xr-(P: ~" �l j i %.. 4 '
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
F1 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 comply with 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/ 1-888-411COAST
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)
TEN1E�; r
i 'Iners-b" ae;-tify that 10,i , property adjacent t-D
�P.,"
yU A otl +i"iirn s of property Cjjnarl
prove: fy ilL�Lv� r1t
(Address, L i 9k, R' ad etc,)
in
(11vaterbody) (Cite/Town and/or County)
•3
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 DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
�2F,�1~IVTr�
1'y
JAN 31 2013
DCZIT,211) 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
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
Vf, I do not wish to waive the 15' setback requirement.
Property O nee mation)
or Type Name
iliyA1 55 6 i Dy
Cit /State/Zi
Telephone Number
2 U q — 52b-L—
Date 1 ( l-1I15
(AdjacentvProperty Owner Information)
cw
Signature
u
not or Type Name
A u Ic'
Mailing Address
A-t'LAert(- 'V% eA
ity/State/Zip
Te/ep� bee
Date `
(Revised 611812012)
ADJ.AC;EiNIT RIPARIAN PROPERTY 0
ref by Gc''i"?i;f that I o,Jf, pro,.:ertj ,;3U.�-ilt +�..
pro";erty located at
Oil
(Waterbody)
(CityITci,vn andlor 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 DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
�CL1JLDr
,a
F JAN 31 2013
DC'M-NMD 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
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 requireme
rq�gr y\\ )An 'Information)
CS±igtre
Date
(Adjacent operty Owner Information)
ur
!to �
Print or Typ ame
Mailing Add ss
11 -" ; e "LBS( z-
Telephone Number
�t 302
Date -
(Revised 611812012)
Pat McCrory
Governor
Date ) — f 11
NCDE R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Braxton C. Davis
Director
Applicant Name '
Mailing Address kuy
u
R�Clri�i3 ;.
JAN 31 2013
DCM-M1-11t7 CITY
John E. Skvarla, III
Secretary
or p7✓
I certify that I have authorized (agent) to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
at (location)
This certification is valid thru (date)
Signature
400 Commerce Ave., Morehead City, NC 28557 One
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net NorthCarohna
An Equal Opportunity 1 Affirmative Action Employer Natura!!ff
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