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Home My WebLink AboutSmith, Mary Lou (2)C,AMA / _ DREDGE & FILL GENERAL PERMIT Previous permit# ]New ❑Modification ❑Complete Reissue 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 15A NCAC Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City - ---— --- -- State- ZIP Phone# ( )_ ___-- Fax # (----- --)- --- Subdivision Authorized Agent City ZIP - CW EW PTA ES _ PTS Affected Phone # ( ) River Basin AEC s : — OEA HHF IH UBA N/A I Adj. Wtr. Body—(nat /man /unkn) - C PWS: C FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body — - Type of Project/ Activity Pier (docO length Platfo Finger Groin Bulkh Basin, Boat Boath Beach Other Shore SAV: Sandb Morat Photo Waive A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit (Scale: . I ❑ See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local Planning Jurisdiction Rover File Name 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 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 (252-946-648 [)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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 A*A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date Applicant Name W4 Mailing Address d , I certify that I have authorized (agent) Q to act on my behalf, for the purpose of applying for and Wtaining all CA ermits necessary to install or construct (activity) , at (location) This certification is valid thru (date) Signature - PRECEIVED l�w-i . MAY 0 6 2014 Dcm-mm crrY 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50%Recycled 110%Post Consumer Paper . L � DIVISION OF COASTAL NIANAGE% ENT ADJACENT RIPARIAN PROPERTY Ott'NER NOTIFICATION! VAIVER FOR1vt .game of Individual Applying For Permit: Address of Property: "" " ' 11 � (Lot or Street r, Street or Road) (City and County) I heresy certify that I own proper-• adjacent to the above -referenced propem. The individual applying for this permit has described to me as shown on the attached drawing the' development the .• are proposing. A description or drawing. with dimensions. should be provided -.ith this lene:. '� � I have no objections to this proposal. If you have objections to what is being proposed; please write the Division of Coastal Management, 12 i Cardinal Drive Extension, Wilmington, tiC 2S2.0f cr call 910-�95-3900 within 10 days of receipt of this notice. i\o response is considered the same as no objection if Vou have been notified by Certified Mail. tt' kB'ER S E CTI O. I understaud that a pier, dock:; mooring pilings; break-)-vater, boat house or boat lift must be set belt a minimum distance of 1_;' from my area of riparian access - unless waived by me. (If you Ntiisli to `vaiye the setback; you must initial the appropriate blank Mow.) I do wish to N-v aive the 15' setbec" requirement. I 2:c not wish to Nyaive the 15' setback, reclulremeni. 14 Print Name Telephone Number with Area S:\cama.shells`.riparianproperty.frm Code RECErvT]) MAY 0 g 2014 DCM MHD CITY Aj NCDEN"Ro' r_V-C\ G--0 Ng'.;P .RLCU•---S DIVISION OF COASTAL NLANAGENIENT ADJACENT RIPARIAN PROPERTY OWNTR NOTIFICATION/WAIVER FORyt .vame of Individual Applying For Permit: Address of Property: ,.2 9 ,%Z& Ok2 Z-)/Z. o, (_` e �C (Lot or Street r, Street or Road) (Citti and County) I hereby ce-rtifv that I own proper adjacent to Crie abm-e-referenced properry. The indi�.idival applying for this pennit has described to me as shorn on the attached drawing the development the..• are proposing. A description or drawing, Nvith dimensions; should be provided \%.ith this lz Ler. C —' I have no objections to this proposal. If you have objections to what is being proposed; please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington. NC 2S'.05 cr calI 910-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified flail. WAIVER SECTION I under stand that a pier, dock, mooring piiin`s, break-,vater, boat house or boat lift must be se: bck a mininturl distance of 15' from my area of riparian access - unless waived by me. (If ,%*ou wish to `vaive the setback, you must initial the appropriate biank below.) QV_ I do wish to vraive the requirement. I c: r,ot Irish to Nraire the l 5' setback requirement. i"gn'.ame Date %D Print Name 2�;2 ) 741. 2 ISS4- Telephone Number S:1cama•.shells`.riparianoroperty.Erm Nrith Area RECEIVED MAY 0 6 201" Dcm-mocrry NCDEN"Rh �.�.�. Code ,,,, Cnv cC cw v o NC.xe RCSCuo-_3 pp _.._._ .. _._.._..._... AL N _ . / 1. , OL K H F APIA 13 of' r L r1Q 3 �o 5-- 0 7Y . 8 'A F69- 97�