HomeMy WebLinkAboutPiner, J.W. (Stallings, Wayne)61�'CAIVIA DREDGE i FILL 552768
ENERAL PERM Previous permit #
New ElModification ElComplete Reissue'. Partial Reissue Date previous permit issued
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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 put to 15A NCAC
Rules attached.
Applicant Na 'Ji Project Location: County
Address Street Address/ State Roacl/,Lot #(s)
V tate
ilp
IJ
Phone Al h e Subdivision
Authorized' e' City ZIP
El Cw �,11ver Basin
Affected EW ,��7A OES 0 PTS Phone # ci
0 OEA 0 HHF ON El UBA 0 N/A
AEC(s): Adj. Wtr. Body _--,,�natman /unkn)
I] PWS: 11FQ
011W. yes PNA yes / no Crit.Hab. yes no Closest Maj. Wtr. Body
Type of Project/ Activity L��\ U
_ Pi.tlf.
Fing
Gro
Bulk
Basi
Boat
Boat
Beac
Oth,..TZ
Sho
SAM
�sand
mor!
(Scale:
r pier(s)
am
NONE
NEENOM
MENEM
ON
MM
0
I length
number
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ME
MMMMMMINNE�mm
MMMEMEMEMENSEEMEM
mommmommmmmoom
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line Length
notsure no
MINIM
NMI
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No
Emommoi
yes
'=ONE
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11110
yes (no
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A building permit may be required by: El See note on back regarding River Basin rules.
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; Notes/ Special Conditions k C
vl— I
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
nullandvoid.
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 I) 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 consistent with 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 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/ 1-888-411COAST
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
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to -31 '>� L 's
(Narhe of PrpRerty Owner)
property located at �-�� v� S `��,N
(Address, Lot, Block, Road, etc.)
on _ , in LL, '�;-p�2 , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
1 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)
e
m
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin mvmgt
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.)
JUL 0 9 2013
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
DCM MHD CITY
Owner I ormation) (Adjacent Property Owner Information)
L- )1 ►1l
or Type Name
v
Tele one Number
7 � v
Date
Signature
Print or Type Name
Mailing Address
City/StateMp
Telephone Number
Date
(Revised 611812012)
matA
I hereby cm* that t aam property a*mnt fa
112. -�UIS
du s m lba m me; ae drown below, the devslopmwd proposed at the above
1 have nacbjeotion to ft prvpoeai.
i have oNeafto to Ift prvposel.
DESCRlP?tOM ANOM DRAnwo of PROPosw DEvmxw w
ONWA" lon baba► oram-ah a she drmv*w
0 - Li RECENED
JUL 0 9 2013
DCM MHD CTfY
1
W&M HOW
bads ix* a rdnd that a pier. dock w tg PEM br+WcwOW boathouse, Nk or Woln mid be set
a mtntmum demos at I& evm my area of **AM aooeee unties waived by me (it You
wtdt to watvoft setback, You MAt btWfhe appmptisoe bhrdk below.)
.._..._..,..__ 1 da wlsh fo wawa flte lv ROOM requk emmt.
-_�� ;, l do notwbh Oo weivp the 1S aetbedk Wr
iP�'41 own.. fnbmatiat)
Ptuor'TypelYana
r
Owner hdbnlnotion)
��
r (ROYA ed 6H8r1 4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to M-)N C Ha4 I
(JWame of Property ner)
property -located at abb 2, 9011)
(Address, Lot, Bloc , Road, etc.)
on , in- A--i1 Road,
d N.C.
(Waterbody) (Cityrrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
iocatio
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must flit In description below or attach a site drawing)
Otr 4t �° • t���
�o
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin muW9
back a minimum distance of 16 from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must Initial the appropriate blank below.) JUL 0 9 Z013
I do wish to waive the 16 setback requirement
I do not wish to waive the 16 setback requirement. DCM MHD CITY
(Property Owner Information)
(Adjacent Property -Omer Information)
Signature
Print or Type Name
Print or Type we
asa 6ao,F
Mailing Address •
Mailing Addles
CIF-�+IOGc'G
Qty/StateOp
Telephone Number
Telephone Numbe
Date
Date
(Revised 6/18/2012)
•
Applicant: uj
Date:
Q0
0
Describe below the HABITAT disturbances for the application. All values should match the name, and units 0ofmeas ement
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 1 pacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
WfU
Dredge [I Fill 0 Both 0 Other
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Dredge[] FiliEl Both'[] Other El
Dredge [I Fill [I Both 0 Other [I
Dredge El Fill 0 Both El Other 0
Dredge El Fill 0 Both [I Other [I
Dredge El Fill El Both EI—Other El
Dredge El Fill [I Both 0 Other [I
Dredge 0 Fill 0 Both El Other 0
Dredge El Fill [I Both [I Other El
Dredge [I Fill [:1 Both El Other [I
Dredge El. Fill D Both El Other El
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