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HomeMy WebLinkAboutSloan, Larryt ❑DREDGE & FILL EIVERAL PERMIT 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 Other: Neuse River Basin Buffer Rules 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 howto 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 Washington District 400'Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 ;i) :c� ��i'3`?__t?.11i y�: t ::� j..3 � .c3L Fi.a�i,,.f ,? 1; t� n]i�71 S ;ra 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. Disturbanoe.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 impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑. Both ❑ Other 3 CJ sc� 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 ❑ A4j;A - NCDENR North Carolina Department of Environment and Natural `G. Division of Coastal Management Pat McCrory ` * Braxton C. Davis Governor q 11 1 Director Date C> (" 3 Applicant Name L q rr- ! j ',-Z)( O-A v� Mailing Address 1() '2, (emu, e-^, S Z AktNt�k>-c- ScOAk v. 2-�iSt2 Resources John E. Skvarla, III Secretary I certify that I have authorized (agent) ('� C_�C ��,.n�l to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 1 o X 30 �P Q c.'-^"_tie)'r � , at (location) �- This Signature valid thru (date) t- Z ( - % L( 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 NorthCarohna Naturally Aug 221311:34a Diesel Equipment Company 336 272 3189 P. 1 21, 2013 2:1A go.2975 P. 2 ADJACENT glpARIAN PROPERTY OWNER STATEMENT 1 hereby certify that 1 own property adjacent to Is ( of Property owner) property located at ----I 005 _,QA S-N (Address Lot, !)lock, Road, etc.) on e,,..1 . in 0AXt.,41 L RO.Air N.C. (Waterbody) (City own andtor County) The applicant has described to me, as shown below, the development proposed at the above location. X I have no olfaction to this proposal. f Ism objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lncf"ikrldual propos/ng development must fill /n descr/pfion below or attach a site ckawing) ��� �.�-oc�1-:�S d ve.►L a e9 a � WAIVER SECTION I understand that a pier, dock, mooring pilings, Ixeakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (11 you wish to waive The setback, you must initial the appropriate blank below.) ><1 do wish to waive the 15' setback requirement. I do not wlsh to waive the 16 setback requirement. (Ppe y Owner Information) A C T % �Ji L7tiA+� Fvint or TY0 Name Address Tokpbom Number �•z.t-tom Date (Adjacent Property Owner Information) 1._J� Cl % _ w -'-:> f` Q ". , V _ 4. A �, JI llfl8 ^V--�+>(� ` C3.Y Y. l.r-\ G"f 1� Print or Type AAM Mt�Address ..eer,�kaY u %,I C. a-11A%.v City/5ratsV�'ip c�csU'1_- Tokowne Nun bar ZZ !! Date (Revd BJY&2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Lac rtj S) De r1 I (Name of Property Owner) property located at 1 O3 % e.— (Address, Lot, Block, Road, etc.) on in le,, i. e_ 'recta. N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc o 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) v J 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.) -IWI do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Six i a re pe Mailing Addre l A *J.- A- k City/State/Zip Telephone Number Date (Adjacent Property Signature Print or ype Name on) Mailing A dre� t o / C, /, 16 /,g-/- �If�it is�-g C'(n City/State/Zip � � f d fbr� �a �� - %VC .2 Telephone Number IV c7S 2 - 73) - g5'K,,0 Date g- Zl -13 (Revised 611812012) -ConnectGIS Feature Report Page 1 of 1 Ca N N E TG' Cart Printed August 21, 2013 WEB HOSTING �4. Parcels (Updated 07103,2013) 1 - Centerlines � - 6 County Boundary other County f . :all other :alues> 79 G -, Cart 60 PIN 1846 Acreage �-o Parcel Dimensions 1841 Lot Number 979 'E I• N �� M �I r � v U1 L; 541 i t _ 1480 9 . ' . F sas2 � 1 d�2 ? I - 0422 1 _iii Fret http://carteret2.connectgis.comIDownloadFile.ashx?i= ags_mapa2labb3b2f3O4208a4a48a... 8/21/2013