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Home My WebLink AboutTurlington, William (2)r LAMA / 90REDGE & FILL 1 orLA —f 0r` PENERAL PERMIT Previous permit# w 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 an area of environmental concern pursuant to 15A NCAC NO Rules atta hed. Applicant Name 3� ' Z•' i f i l ,( ' �. Project Location: County ddress :( �" •) r �` `t "Y L Street Address/ State Road/ Lot #(s) CityState ZIP Phone #' �� -1 '� r� f ;jrax # (�) v Subdivision uthorizedAgent i t M City +'1 ❑ CW C3.EW PTA R 5 ❑ PTS Phone # (� r /fib? t �7%v 'ver Basin V I 1, Affected ❑ OEA ❑ HHF ❑ IH UBA ❑ N/A ) AEC(s): Adj. Wtr. Body �/ . � ` t S r �% ��% r, � (nat Loran /unkn) ❑ PWS: ❑FC: Closest Maj. Wtr. Body ORW: yes / no yes / no J Crit.Hab. y��s / no Type of Project/ Activity Pier Platf Fing Groi `-, Basil I Boat Boat I Beac 06 �Sho 1 SAV: Sand 1 Mo Phot Wai (Scale: ) . ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ka�/ RRiprap lengtRl��f`7'41 'a�Z distance offshore A ■■■■e■M■■■■■■■■ max distance offshore ■■■■■■■■■■■■■■■■■■■■■■■e�■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■®t�■�t�■■■■■■■■■■■■■■■■■ ■■■■ ■■■■■■■■■■■■■■■N■ilia■■■■■■■■■■■■■■■■ ■■■.■ .....................■........■..■. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Bulldozing i ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ucomm■■■■■■ ■■■■■■■■■■■■■■■■■■ ate!!■■■■�1■i#iZ■■■�■■■■■■■ ■■■■■■■■■■■■■■■■■■■■�■■■cif■■■■■■■■■■■■■■ ■s■■ ■ ■■■ ■ .�: ■=■■ ■■■tea■■■■■ ■■■■� ■��rr■■E■ 11■■■9I■■■■■■■■E■■■ OEM ■■' yes r Attached: yes no A building permit may be required by: e Notes/ Special Conditions / ❑ See note on back �regarding River Basin rules. I '� l� `I � G-' LL`'6�+0 t E r` . �, � t 1:-! ,i r' � ? L �? r � •1,` _r+� - t lAgentorApplicantPrintedName Pe t0fficer'sSignature • Signature * Pleas' compliance statement on back of permit ** �^� Issuing Date Expiration Dath 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, certifythat 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 complywith 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/ 1-8884RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 111lu 'rMv3;-ift-)Ga •7:i {;c)?stnh `u��@"� 'An N s�51: P %iay)o,,? o7w.:; � I n� Applicant: Date: I Describe below the HABITAT dist rbances for the application. All values should match the name, and units f easurement 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 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 ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L.3 f 1 l 141)» v"1(_1.%�� ,s k Name of Property caner) property located at i � �1�, '�j 00 (Address, Lot, Block, Road, etc.) on Qc l c�G,� in G�-} �t It � i ._ ` 15_)0 "0 , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above Iota 'on /,1 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 orattach a site drawing) �-r IQ WAIVER SECTIONt'�.L� I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must a 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.) I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner,,Information) ,Si nature � Print orly�p Name 9 e7 Itphone` umber l (Adjacent /J,. Si n t re '� Pnnt or Type Name LF � Zy 1,/ +rs"i`y��11 why MaTI ddress a� r� City/S ate&ip i ,9 Lr �-� 14- Telephone Number 914 —91.6 I� Date !/ t/1 ` (Revised &1812012) T,Z41 by3S ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to .� (1 ( i Ili,-, --t1t Is } Name of Property wner) property located at I �; 1 ^� 'j 7j L j (Address, (Waterbody) (City/Town and/or N.C. The applicant has described to me, as shown below, the development proposed at the above loc to iqn. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) iu � c,��- o -F x r��it�� •v WAIVER SECTIONb�Lt I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must a 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner, Information) (Adjacent Pro Owner Information) SignaWrev VACL L to 4c I'fOt��d PfitXor Type Name 01 O l LC s u>`/ /1 r) Ma' infg.Addr s `F�Z G✓1 i! �!/ � LSD � city sc Z - 7-g 45 Telephone NWnbert . Date (Revised 611812012)