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Home My WebLink AboutSmith, Thomas (2)AMA / LNIDREDGEA:FILL M JJ/V�T'" - 66810 A B OD "I EnFRUAL PERMIT Previous permit #New0 ifictan ' ❑ plete Reissue El Partial Reissue Date previous permit issued As authorized by the Sta"tA�Tdr'th aro�Department of Environment and Natural Resources j' and the Coastal Resources Commission in an area of -environmental concern pursuant to 15A NCAC Rules attach Applicant Name, :.�'� �1fr ; ! r�� Project Location: County Address ' 1, #' .,'' `, Street Address/ State Road/ Lot #(s) 1 r-� City l ! `*_. State , Phone # (`)~ '7 % -Mail Subdivision !" Authorized Agent � t ty ', 4 �1 ZIP Affected ❑ Cw `�� PTA ES ❑ PTs Phone # ( 9 r) I A / •/) , River Basin El IDEA ❑ HH1F H USA ❑ WA ", j ( i f �' raat man unkn AEC(s): Adj. Wtr. Body . , /,i ; (A / / ❑ P S; ,.r Closest Maj. Wtr. Body+ ORW yes , o PnoNA yes / f . I Type of Project/ Activity (Scale: ) Pier (dock) length ---- - t Fixed Platform(s) "'""` �'.... -.; : `}- i_ S 1 1 I 11 !1 l Floating Platform(s) Finger pier(s)-- Groin length ur i Bulkhead/1Poprap lengt ) t --- 1 avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift --- Beach Bulldozing --.--- Other _--1 Shoreline Length SAV: not sure yesno Moratorium: n/a yes Photos: es !I no y ,:. Waiver Attached: yes -6o A building permit may be required ( Note Local Planning Jurisdiction) Notes/ Special Conditions ❑ See note on back regarding River Basin rules. Permit Officer's Printed/Name Signature + 1-4 Issuing Date ' Expiratioh Date r 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 landowners). 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 0 Tar- Pamlico River Basin Buffer Rules 0 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 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/ I-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.net/ Revised 08/27/ 14 AMA / DREDGE`& FILL ' 6 q g, C D ENE L PERMIT Previous permit # ew ❑Modification ❑Complete, Reissue ❑Partial Reissue Date previous. ermit issued uthorized by the State of North Carolina, Department of Environment and Natural Resources �} the Coastal Reso cges Commission in an area �fewironr ental naern pursuant to 15A NCAC �" Rules attach d, 11 6' t Name �~ Project Location: County Tess _ i� -- {' Street Address/ State Road/ Lot #(s) t: State ZIPr �� r ..�� n # ( -M.I 1 ubdivisiQn '1 ionized Agent ' °e _ 3' '�`� n Gty ZIP r,� -. d la ❑ CWEW t TA~ ES ❑ PTS Phone # ( 1 ! r fiver Bas n cted ElOEA ❑ HHF wUBA ❑ N/A / :(s): ❑ r Adj. Wtr. Body / at an unkn N: PNA yes / n Closest Maj. Win Body r ,,Oe of Project/ Activity �I .. _ SEEN Kai z►>...CIC.CI��C■.IC,I�.■�.CIC■■►�CCCCC. ■■■.■■..■.■.■1■.■�.■■•�I�...■■.■■■■..■■.■.. 0 'r Jength MRS1 &I CC11MEMO 1. C:CCC■ s�r�■■■■■■■■■■■■■■■■■■ ■■■■ a■■■■■■■■e■■■ 11�c ■■■i■■■■■■■■■"■■ ` t �1L.�0 a�■■■■■■■■■■■■■■ ail-D EMOMMEMEMIMMEME MEMEMMEMOMMEMENUMMM iCCiiIMMMMMiiiii■CCICCCCCi■CCCnC�i CCCCCi ■■■■■■■■■■■■■■ ■■■■■■l'��■■■■■■■■a■�i■■/Ti■ ■........■...■■■r'I1�'■./'.■....■....■■■1■■ ■■■■■■■■■■■■■■■■■■■■■■r.��■■■■■■■■■■■■■■■e MEWN M No mom CC■CCCC..II000C■.CII�.C.�.�:UMZC YnCN uMCC■ ' C■CCC■CCCCC■aCIC'�ICCCCC■CCCC�r. .. : ►�r�ff moil .'��'9 r F 1 Pleel compliance statement on back of permit ;_ChAck#;, to 1 Ekpiratiod Date ■ton mple ' 1, 2, and 3. ■nt yo e and address a revs that e c return you. a ■ach is card ck of th100) th front if ce permits. j lGle Ap essea LulJC� 3�► f�� r 9690 9403 0412 5163 9119 01 �665 Porm 3811 � pprit 2015 PSN 7530-�-ooD- — X ❑ Agen wee el by (P/i . ed Name) , C. Date of Delivery. D. Is delivery a dress different from item 1? Yo If YES, enter delivery address below p Priority MaiaP 3. Service Type 0 Registered . Mall Restricted ❑ Adalt Signature .p Adultsignature Restrl Died De1NerY ad Mall® 0 Registered Delivery ❑ ReWrrr Receiptfo( �CY'- �„ ery 13 IMeilResulcted MerohMdise pS\gnat�teCo c ❑Collector Deliver! �De\NtlrY fl Slgnawre c° MNAO" r+Rol\ectonDab'" - �9oled �\ResVtctedDel\vetY FiesvlctedDei\verY - p�red —��nvar$5U0 . �N�� s�cA-cEs PEISYAL SERVICE FiCstrClass Mall Posiage &FeeSPald LISPS Sender: Please print your name,addre_ Permit No. G-10 r address, and ZIP+4® inthis box• rr � YV1�i ►^► rk, , �Arid�G� 1S1r1 � LISPS T/3ACK1�# vwo� LN�S`ov.. COL 5 s g`y 0 q�+ u6\S� fi pseA� �Me�6G�aS �` G'Q`!1 ,oe�caa�eW y s C JJ es�P`��yNe� d S Z a\vvFo0��a0 r9Z ? Z ass Sol0�0 \sp peN\0 p� f� WON 0 9\'�lvd • 4 d/I�pPd oo �o GINA fed og so }•eQlt OAo INNO n�p a .Z 4�''e�1e�0�a"' • e NO •£per • .xoc ' tJ se Son Ss�pp� .1no'f�ul,�o d es�a�d "/apva S. $3/4"t I'qt ---_/ d S�1byS a��iN�1 AGENT: AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: i nas Sm 1 r \ Mailing(� r ailing address: 219 ��,�� G- ---k� e w pv4 N-C- aT5 7 0 Telephone Number: a 7a3 r 7 7` 2 i certify that I have authorized D �n art rl t s 11 ,a enttcontractor (� ), to act on my behalf, for the purpose of applying andr obtaining all CA+M^A, .permits necessary for the proposed development of (,126 `fit (A at my property located at 2-1q '�Cqk'�Scy) �FrG This certification is valid through 4-1-17 (date). (Property Owner information) Signature Tllowve� Srm,\4)k Print or Type Name Title, co. owner or trustee for property — Y - ►-Il Date a5a-Da3- 177-7 Telephone Number Email Address APR 04 2016