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Home My WebLink AboutTurner, Richard'NERAL PERMI ew ❑Modification ❑Complete R !Asutho ized by the State of North Carolina_ Denartmen rr 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 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 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 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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 t/ 71 (<L'+ J..� .�, ��,! .;.�:7 ✓1.. d!_`.':-.,,.1t�79_,:.1'S :ii:1r�.r3�:; 4tiaJu9.,�.1_,�?a -�.C1�;>Z Applicant: Date: Describe below the HABITAT disturbances for the application. All values should atch athename, 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 im mo nt) 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 ❑ ��?.r��2=�w�y ,e �=�e3�r�6��7-,�n�3d .o �nr�r�,�v��,�c�:�;�t�0��a��.��boarg,a�� r,•erNls��, �i?Is��l°� 04/01/13 1,29 PM .1% _., r' Page 2 CEMD ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to. Y'-JiaaL/zv.��.-_ _ APR-0-1013 �N me of Property Owner) property located at_,,a «v-------.. .( (Address, Lot lock] Road, etc,) on l�5� �':rJ �'. - ---� In..��c n'7ir�r�.c� /�/% ---... --• N.C.. M (WaterboA (Cityi%wn andlor County) The applicant has described to me, as shown below, the development proposed at the above location. iI 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 or attach a site drawing) -6 �` c� 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.) I do wish to waive the 15' setback requirement. — I do not wish to waive the 15' setback requirement. Mdre ltylSttltev- r Telephone Number �' _.s Gl_- 45. _ - Dak, (Adjacent Property Owner Information) Signattt �e Print or Type Name Maids �d ress cit /StstelZip� Telephone Number -�Y-•';fe' 13 Dare (Revised 611812012) 10/14/1999 00:06 3365979913 BATTEN'S PAGE 01 ft W. , I Page, 1 AQJ&MI REARM PSEERW-OWNCS §TATriMENT .f 1 hereby codify that I own property adjewt to — 0 ei Name I PrM:z owner 'Jtw.� Ibcowd at property O�447;, ell (Addr000. Lot�5-R �dl% on in JS (Cfty/Town and/or County) RECEMD 1 4 APR 0 12013 The Opplicant hog described to me, om shown below, the development proposed of the Move location, I have no obisedon to this proposal. I have u6jectione to this propo"j. DIISCMPTION AND/OR DRAwNe OF PIWPQGED DEVELOPMENT PrOW4111119 dSvOkWmsnt MW ON In do"Wpftn Wow or oluch # one drmWnW WAN-ERKOOON i understand that a pier, Oock, moorkV pillnge. breakwater, boathouse, lift, or groin must to W back n rnk*num distance of 15' from my area of riparian ace unless waived by me. (if you wleh to waive the setback, you must InNW the appropriate blank below.) I do wish to waive the 15'sotback requiromord- I do not wish to waive "I& setback requirement. P InforinstIon) 7x5p %FWnt r4aff v Or YM., Aft" So r eL.3f L409 MjE-' -S-t- (, Toophorm Numbs *Ok Date (Adjacent PMOOMY O"Of WWOMM09n) 44� A "Ou IF =V0111 st •Its —jiPiON—MM —Numbef . . IWV (R*viaW 191012012) 04/01/13 1:28 PM Page 1 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM RXCEWW -, � APR 0 ]. Z�13 Date : s. _..0..,-1 DQV_N..jzfDCxTy, Nance of Property Owner Applying for Permit: F Mailing Address: certify that 1 have authorized (agent)-- ent a J M!_7� g ) to act on my behalf, for the purpose of applying for and obtaining all C:AMA Penuits necessary to install or construct (activity) at (my property located at) f� �� , 3G.�e ii I_u� Ca�� ,�.�. A.{ 6A 4 IUt,- This certification is valid thru (date) e"x 1'ri crty Owner Signature Date W