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HomeMy WebLinkAboutRose, Miriam6!cAmfiN, DREDGE & FILL 67810 No ' A B D. ENERAL PERMIT Previous permit # ew ElModification ElComplete Reissue 0 Partial Reissue Date previous permit issued 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 pursuant to I SA NCAC Applicant Name i F1,,] Rules attached. Project Location: County_ Address, i _V1 Street Address/ State Road/ Lot #(s) Cityt' State rl I ZIP Phone # O -Mail i Subdivisio Authorized Agent city— zip )I El CW &EW PTA ES 0 PTS Phone # M/ River Basin Affected 0 OEA El HHF El lH El UIBA 0 N/A AEC(s): ❑Adj. Wtr. Body x '(nat 6/mein /unLn). El PWS: ORW: yes / loo PNA des n?,, Closest Maj. Win Body Type of Project/ Activity /5' (Scale: .e Float Fing Groi ro, B& Basir Boat Boat Beac Oth4 Shor SAV: Mo Phot4 Waiv lli length NEU 131 EM11MMEMMM MEMEMIMIME MMME=MWwZ1MM avg distance offshore- EMINEMMUMEMEM1101 No mom M max distance offshore ,channel cubic yards — ramp -iouse/Boatlift— i Bullclozing%,�_ not sure yes a es rium: n/a yes y is: yes r Attached: yes Yes A building permit may be required Note Local Planning jurisdiction) Notes/ Speciai,Conditions L-J See note on back regarding River Basin 0 1, V, Agent or f!pp.!i!;anr rrintea Name Sig5or**Pl ease rea 6 d compliance statement on back of perrr j .Aipplicaticoh, Che Permit Officer's,Printed Name Signature 1. I If: Issuing Date;• ExpAt. ion 0A 1, 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 [)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 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 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 howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST 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.nett Revised 08/27/ 14 :::"" MA DREDGE & FILL 1 A BC E111E L PERMIT 0 Previous permit# ew El Modification ❑Complete Reissue El Partial Reissue Date previous permit i sued _._.- uthorized by the State of North Carolina, Department of Environment and Natural Resources 'c)nvironmental the Coastal Resources Commission in an area ofconcern pursuant to I SA NCAC f� t' files attached.' licant Name} t ' Project Location: County Tess ? 1 t i � j , ; ,. Street Address/ Sate Road/ Lot #(s)"Y ;% `i. f State t t ZIP ie # -Mail Subdivisio loried Agent f f. City ZIP CW :ted PTAES ❑ PTS Phone # Basin ❑ OEA ❑ HHF ❑ IH UBA ❑ N/A (s) 1 > L%, - nat 'ni unkn Adj. Wtr. Body a s j %' j ❑ PWS: V• yes / o ° PNA des / n9 d4 '� �: .,� Closest Maj. Wtr. Body J/ • `/ •■°� ...UM ■■ '' ■■■■■■■■ .■ ■■■■■■■■■■■■■■■..■.■. .■■■■■■■■■.�..I■. 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I. .. ■■.■111����-�^rr1 �.-.--. ._.-����11111■ll'��111�■■�■■11�1111�1111�1111■11���1►11��1�.1��.1�1�1��■■■■v■ 1�®her ■■■■■■ ■I.iw&zxV MwwM■■■w■■■■■ °■ ■ ■■■■■■■■■■■■■■■ a....■■■■■■■■■■■■■■■■■■■■■.�Fn5r41R ■■■■■■■■■■■■■■■■■■■■■■■ LM i�i�fil�Mil�i!i�f�ir■■MM M■■■■■ W ■■ aMAMM . m■■■■■■■■■■■■■■■■■■■■■■■■0■■■■■■.■.11 ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■IilHMIPLII .m■�,�■�;;■■■ r Moratorium: n/a yes no'■°■■■■■=■■■■C■i■ii■■■■■■■■■■■■C..■...�■ dlllli■■■ •• ■■ ■■■■ ■ ■ WN■■■■■■■ MM ■■■■■■ ■ yes ■■■iSIFiMMM■M.'kI■■■■■■MWMM■■■■■■E OOTIbTi �,111151Ka�� w `MAW— '" T' _WCAU rtinte ame Permit 'cef's rnte, Name Pf re dcompliance statement onback of ermit SigRat tton Fee(s).Check Issuing Exp' tion D a &44 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C, Davis Governor Director . Date O f � v) ' Aj Applicant Layne L4j rl /f it Mailing Address . a V') CS 4- Y—If � N r-ff r5� John E. Skvarla, III Secretary RECEIVED AUG 2 4 2016 «s�N IN►C. �s� DCM- MHD CITY I certify that I have authorized (agent) — '--r � 4 /s to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 'ev Z kF'f0/ , at (location) This certification is valid thru (date) 1-7 Signature 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer AUG 2 9 2016 DCM- MHD CITY One North.Carohna N�tli"�" (individual proposing development kfo V r� r WAIVER SECTION . I understand that.a pier, dock, mooring piings,.treakwater, 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 /" W I do wish .to waive the 15' setback requirement. AU G -. 2 9' 2016 it / ✓%. -{ , (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 11 hereby certify that I own property adjacent to 1'i'T (Name of Property Owner) property located at l 6 7 ,c/ S-f (Address, Lot, Blo Road, etc. on _ � a� � y in _ / �; ,'� e r , N.C. (Waterbody) (CityfTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. i have no objection to this proposal. have. objections to this proposal.. . w��:Nuvu�Vn.ut[HV_VJNU.Vr rrcvruStu uevCL.VrW1C1V F (individual proposing deve%pi»ent must fill'in description below or attach a site drawing) RECEIVE®. AUG 2 4 2016 DCM- MHD 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 - 3 wish to waive the setback, you must initled the. appropriate blank below.) RECEIVED � I do wish to waive. the 15' setback requirement. a I do not wish to waive the 16' setback requirement. AUG 29 2016 (Property Owner Information) (Adjacent P operty OwnerP ;�t H D CITY i Sign�aAture p Sig re . Print or Type Name Print.or Type Name M t. g Address ,Mai%n Addr Nsa,� lt1�C'_ 74 <5 IT S City tatelzip City1State/Zip r � 2ba� a - .. Te/ep�jon Tmber TblephVuffiber Date Date (Revised 611812012)