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Home My WebLink AboutRhine, Rebecca0 ell f" AMA) ❑ DREDGE & FILL GENERAL PERMIT Previous permit# Mew ❑Modification' ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources /� yt and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC " 1 Rules attached. Applicant Name Project Location: County C —' I �ciclress C Ark City Phone # Authorized Agent StatejV C IP : v1 r ? Fax # (_)' Affected ❑ CW �QE ,,PPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: /yes) no PNA yes Cq--1 Crit.Hab. yes / no Type of Project/ Activity r �'� `l , �- ., is Pier Platt Fing Groi Street Address/ State Road/ Lot #(s) J r> t Subdivision City, ZIP l d-T i Phone # ( ) RiverBasin Lfn Adj. Wtr. Body. C 1 / �' .�C� r'��? n t man unkn Closest Maj. Wtr. Body Orr ' -' 4A ,A (Scale: /(,•' j ) ■■■■■■■■■■■■■■■■■■■■■■■M■■■■■■■■■■■■■■E■ ■i■■■■■■ ONU■Ei ii■■wiMMU■■■■■s■■■■MMM number ■■■■■■■■■■■■■■.MM■■■■■.■E� ■■■■■■■■■■■■■■ ■...............� ■M��■■■■■■ ■■■■■■■■■.■■.■E■■. ■■■■■■■■■■■■■;■■■■■■■�■■■ ■■�Lrii'��'W i�■■M■E■j ■■■■M■■■■�■�'��'�...■■�_■■■M■■■■■■■all ■■■■ ■■■■ ■ k' r Nw� Ia■■ ■■■■■■■■■■ ■■■■■■■■■■■■.■1��■�■■■■■■■'■■�iof MENE ■M��■■■ ■■■■■■■.■■li■.■■■.ayiii■■■■■■■■■■■■■■■■■ . ■■■■■■■■■■■■■■■■■■�►�/ ■�ii■i■■!lei ■■ ■■■■■■■■■■■■■■■■■■■■■■Mm■■■■■■■■■■■■■■■ .■■1■ME■O■ 'M':■■■■'.'.'.'.'.m■■■■ M ne Length I mom IBM HE not - . /�SS�C R■JAMMU■■■■■■■■■■■■■■■■■■■ �ags: not sure•■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ •■■■■■■■■■■■■■■■■■■■■■■■■■m■■■■■■■■■■■■■■ Ws .■■■■■■■■■f■■■....■■■■■.■. ■■■■■■■■■■■■■■ A building permit may be required by: C r- c'See note on back regarding River Basin rules. Notes/ Special Conditions s ? f signal re --Please read compliance statement on backot permit �Fll4UU1I tea« Local Planning Junsdiction Rover File Name Application Fee(s) Check # I Ic) 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, 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 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. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 IC Z Applicant: 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 impactamount) TOTAL Feet (Applied for. Disturbance total includes - any anticipated restoration or temp im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Others- Dredge El. 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 ❑. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to i\.,� It PGA. w�- 's Oy me ot,Property Owner) property located at `� �� ;A a/'-e rt J-& do ``(Address, Lc$,Block Road, etc.) on re-yD Cc /V U� , in fff�a �� G , N.C. (Waterbody) (City/Town and/or County) s The applicant has described to me, as shown below, the development proposed at the above locatioq: 1 have no objection to this proposal. have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must till in description below or attach a site drawing) Cd t JUN 09 ?^'" WAIVER SECTION' understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groinTRYWAT 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.) . RECEWED I do wish to waive the 15' setback requirement. ^ I do not wish to waive the 15'setback requirement. JUN 2 4 2014 (P erty Owner Inform atio (Adjacent Property Owner InfJvmaJ09i ;y Sign re signature 7rin, or Typo Nam GlJ Print or Type Name �1 Maili g ddress Mailing AA�,d'dress +�Q a --I 'y '� CC ✓vL eG.Os r 1 Cit /S te) p City/State/Zip Te/ep one Number Tel% hon Number Date 4 13 // `� Dat (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT�G hereby certify that I own property adjacent to 's ( e of Property ner) property located at Z"—'Z �.c S�i6L -1 ll_e (Address, Lot lock, Road, etc.) on �� CIuA�� in _ _ ��T--d��2��'�r , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locati have no objection to this proposal. have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) BECEIVED JuN 2 4 2014 _. . i/f�4 JUN Q 9 201� WAIVER SECTION _ understand that a pier, dock, mooring pilings, breakwater, boathouse, lift,ffgm;m#9CM6t 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. do not wish to waive the 15' setback requirement. (Pr Owne rma 'on) f� S* I&PY /C IJ7 % Print or Type lVame a.�ry v�l V MTFUn ddress V 11 rn r n 4-In City/State% Telephone Number Fr ,, . ' - 44 Print o)X/,Pe N6mQ -f /fj1 Mailing gddress City/State/Zip 220 - 5'7 2 --0 9S" Telephone Number Date -,1 Date (Revised 6118/2012) IVY 122-2 MEWED JUN 24 2014 DCM-MHDCITY