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Home My WebLink AboutRucker, James and Bound, JohnrXCAMA / ❑ DREDGE & FILL�` ► �' t y, C-( L / J i 1 9ENERAL PERMIJ Previous permit # q c1 (, r/ New ❑Modification ❑Complete �Re%iPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources �'"� C) and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC _ _ 4 ! -•__ Rules attached. ApAlicant Name % ) 1 '+ �1 i j `e,r� Z '� -? � � PP jest Location: County Address 7. i_, e Street Address/ State Road/ Lot #(s) City i State -ZIP `a- �_ �{ ( j 1'— I sue_ r � c Y' Phone#�)L ax#'(�) Subdivision i Authorized Agent: < < t:{ !} 3 F `' { i City ,'V 'i i { .1 �{ s`1 �. ZIP Affected ElCVF i�W '4 DES ElPTS Phone # ( ) ' D River Basin f AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body \.l . i Y° (hat /man /unkn) ❑ PWS: ❑FC: Closest Maj. Wtr. Body ORW: yes / (�o� PNA yes / ` Crit.Hab. yes / no 77 Type of Project/ Activity Pier Plata Fing Groi Bulk I Basii Boat Boat Bea( Oth C A) 6) I I V r--rl 'dock) length MOM ram ■■. JENJOEM111=0NON 1■ .■■IOR ■ ■■ i length number �. MENEM ■.�■■cR■■■■■.■■■■ M■■■■■ ■■■■M■■■W ■■■■■■■■■■■■■■■��■■■■ e■■.■�a■■ ■r��r■®■■■■■■■■�■■■■■■■■■■ avg distance offshore max distance offshore ■■■■■■■ ■■■■■ ■■■1 • =In ■■■■�■��' MIME INEEME ■■■ No ■�■■■■■■■■.■■r'.i1Rii:■■■ M cubic yards ■■■■■�■■�■■ ■�■■■■■■■■■�_■..Y��■■■■■ ' ■■■■■■■� ■■■■■�.� ■■■■■■■■■■■■�■■■■®■■■■■ I I _- E ■: �:■■ :■1 IMMEMM�■ ■■■�■■■■�■■■:■ �.■ ..�t�■■..■:■■..■■■■■■■■■■■.. 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 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/ I-888-4RCOAST 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 P-,lC P 'Aoft. rn *: Y-vL.)z Applicant: Date: lb 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 to im acts FINAL Sq. Ft. (Anticipated_ final disturbance. Excludes any restoration and/or temp im act amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount ❑ Fill ❑ Both ❑ Other 2��Phqredge 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 ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J l m W—Ut.ex- 's me f Pro caner) property located at 310 ( 5Lt nse4 b r. 4 on Iy 0. 50U (Address, Lo , Blo k, Rod t .) in N.C. (Waterbody) (City/Town add/or County) The applicant has described to me, as shown below, the development proposed at the above loc t 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) RECEIVED JUN 2 7 2013 DC34-IID CFfY 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 waiv the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Information) Sigh � ture vtw- Pcp- 3t I ype Na a a 29== .' ac- aZ t(o g cityi�tel2pip Telleptlone Nymber Ld Date (Adjacent Property Owner Information) -Au� faSIMture v L/9 V-W Print or Type N me ;31n5 itins to 20 4V Telephon u mer �� I fI 1 7 (Revised 611812012) It j A Jahn Bqlr,,e---s proy°oSeen o 20 X `o y Z _ 1 2'C i� Ram JUN 2 7 2013 Pwker Johd James Rucker 3363790990 P.I N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date , ��A Na rye ofPrope wnerApplying for permit: Mailiatg Address• U �T I certify that I have authorized (sgent)�n,1SV Mante to act on my behalf; for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 4'a e,* — !Y ] �'i✓ '� r Y1S ' at (my property located at) certification is vallQ Are (date) �Jl r Owner Signature RECEIVED JUN 2 7 2013 DCM-RiHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 3w;, d kud4y- 's (Name of Property Owner) property located at -5 t b ( S 1�.w5- c tv- (Address, Lot. Blo k, R d etc.) on �qut- , in d ICE, N.C. (Waterbody) (city/Town i3ndlor County) The applicant has described to me, as shown below, the development proposed at the above loc *4911�;�i have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) RECEIVED JUN 2 7 2013 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 wish to waive the5et6ack, You must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Print or Type Name .22-1 D 6nan.yw'o ailing Ad Tess City/Stat 3Zipp `3- TeIQ hl I (� r Date P ''qt or Type Name ' Mailin Address City/ tact ip d ?LG � Telephone Nu7ber l/ Pi Date (Revised 611812012)