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Home My WebLink AboutSullivan, Gary & Cynthia4 ' '96AMA / [ DREDGE & FILL GENERAL PERMIT Previous permit# Lp New El Modification ❑Complete Reissue El 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 area of environmental concern pursuant to I SA NCAC ` , i t Rules ttached. t f r Applicant Name ` ' i it �t. 1 t �)roject Lbcation: County - '`{ _ u� `Y " ddress Street Address/State Road/ Lot #(s) a City State t I ZIPj Phone #) `, _ Fax #_) Subdivision t uthonzed Agent I t j , . / f ?� City—; .� ZIP ! .4 V, ❑CW �ffgPTA L S ❑PTS Phone# ( )_ River basin �+; Affected ❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A ' l +` AEC(s): Adj. Wtr. Body "--\� 4 f� (hat /man /unkn) ❑ PWS: ❑ FC: -. If Closest Maj. Wtr.-Body ORW: es / no PNA yes / Po Crit.Hab. yes / no Type of Project/ Activity ! l �+ i < / 'e Pier Platf Fing (GGroff r`Bulk Basi+ Boat Boat I Beac Oth+ Shor SAVE Sand M0.11 Phot [Watt' (Scale: ■■■■■■■ `�I■■■■�■�.:��Ir�I�i1■■:��■■■■■ ■■■■■■■■■■■■i '.■■■■■■■►►��■■■■■■■s■■e ENMMM:i ■■■■■■■■■■:■■■■■■■■■■■■N■�■■ 7,,.8'distance offshore INS MEN OMNI max distance offshore "71 ■■:::■:■■■■■■■■■ ■■�■■■■■■■■e■:■■■■■■■ ■■■■■:::■■■■■:.ramp .::..:■■.■■.:.:■...�..■ cubic yards ...I. ..........■.......:.....■■. .. ■: 0 Bulldozing IEEE::::_::OMEN::::::'�::::::::: i�'UMEMA®■E:■N■■■ NMMH ! MEME ill 0line EMEN ::::::::::::::::: ::::: Length IN not sure yes .■■■■■■■■■■■e■:■■■■■■■■■■�■f�e■:■�■■■■■ ■■■■■ ■■■■■ram■■■■■■■■■■■■■■■■t�■■■■■■■■■■ • ■■■■: ■■■■■■airs■r�nm■riii�■■j�it��■■n■:■ . ■■■■. ■■■■■■■■a��: A building permit may be required,by: Notes/ Special Conditions ❑ See note on back regarding River Basin rules. = I i jai � ',' �; ;�l �'• i. _: z. t � { "?igerltorApplicantPrintedName Permit Officer's Signature signature-' * Please read_ compliance statement on back of p it ** 7 Issuing Date i ' Expi . tionDate i Application Fee(s) !tt (;heck # Local PlanningJurisdiction Rover File Name I 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 (252-946-6481) 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 Morehead City Headquarters, Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ I-888-4RCOAST 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 HT" IMM"AciGr� �-F -gb1r,',; 1t? �rwzy �/tc�`��' t Applicant: I �' V , vl�C�A 1lI'( 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. Disturbance -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 vsvDredge ❑ Fill Both ❑ Other El ct�6 Dredge ❑ Fill'0 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 OW 9R STATENICHT, I hereby certify that I own property adjacent to. �' 1 Is Name of 131roperty Owner) property located at �W ZI'Ve Q 1e 7 on l �is�S� � � (Address, tit, Block, Road, etc.) in 1. , N.C. (Waterbody) �! -(City awn and/or County) The applicant has described to me, as shown below, the development proposed at the above cation. W'*- I have no objection to this proposal. U. I have objections to this proposal. DESCRIPTION AN010R DRAWING OF PROPOSED DEVELQPmENT (individual proposing develop nt must rill In description below or attach a site drawing) 70 4. WAIVER SEgTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16' from my area of riparian access unless waived by me. (If you wish -to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15'3etback requirement, I do not wish to waive the "I5' setback requirement. (Property Owner Information) M if c,2 425/ - ! L..I(,.J F Telephone Number Number— 1W r _ ��/ Telephone Date (Revised 611WO12) z 'd OW 'ON wd66:9 titoz *E 9aj Feb 03 2014 AQJA&--:EMT BIC&IM P 30PEB]X OWNIFt STATEMINT I hereby certify that I own property adjacent to praparl Y located at tea?:ye ,� n Prf opRrty OwnQr) v� 11 1:35PM HP LRSERJET FRK 304-757-1029 (Address, Lof, Mack. Road ) (WMterbvdy)(City/Tom and/or County) P- 1 el 's N.C. The applicant has dem bad to me, a$ shown below, the dsvelopmenl proposed at the above location. Z&a. I nave no objection to this proposal. I have objections 6o this proposal. DESCRIPTION AND10R DRAWING OF PROPOSED DEVELOPMENT (htdivldUst proposing dovplopMsnf must M In dpscnplion below oratdreh a site chuwllJg) V ti R WNW SECTIONc� 1 understand that a pier, dock, moarind pi*Vs, breakwater, b02MOu8e, lift, or groin must be set back a minimum distance of 16 from my arse of ripgrian acasas unless waived by me. (It you Wish. to waive (he setbadt, you must Initial the appropriate blank below.) t do wish to waive the 15' Htbadc requirement. 'd 9161 'ON•-?F.3--17QeZ. E 'd M '°N AdWl HOl 'E Vj M16:9 �06 'E 'gad r UllrCOA (ofth' Carol ina Department of Environment and Natural Resources Division of.Coastal Management Pat McCrory Braxton C. Davis Governor Director Date 12 24 — , 6, r Applicant Name Mailing Address /S .USS`'Q'j r John E. Skvarla, Ili Secretary I certify that I have authorized (agent) L to act on my behalf, for the purpose of applying for and obtaining. all CAMA Permits necessary to install or construct (activity) e. This certification's valid thru (date e " 400 Commerce Ave., Morehead City, NC 2W7 Phone: 252-808,2808 % FAX: 252.247-3330 Internet: www.ncCoastslmanagemenl,net Ad EQud oppodunitylAlPrm lysAdon EMP1018 at (location) ne. �. o. � th�alro a llfly I 'd HE 'ON wdzz:9 Diaz 'E 9aj