HomeMy WebLinkAboutTyler, Joan❑DREDGE & `FILL
ENERAL PERMIT
IM.,.lifi.�«i.... f-1('---I-+— D—inn...,
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 I) 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
,,tl Tar- Pamlico River Basin Buffer Rules a i Other:
El 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
v-TV ��-il' 51-1.5-j40, 3 z, Y-f 5-1 n-l")
Applicant:
Date:
TT
pdz Z�( 01
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 Flame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance -total
includes any
anticipated
restoration or
temp impacts)
FINIAL Sq. Ft.
(Anticipated. final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tem im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
redge ❑ 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 ❑
�������_�;�^�� �o �=;�3�6•�1f�r+�>�Jng� .o �s�s��,��nc�c�`�;��De�a�,�a�=s��eaov�,��f; r,•e'yls��l; ���/�'��!°3;
V-I -dWll 110'.Ud hrnr,.U:.PT P'HULlY 7Q:97 66C'i'S Paw�:1�1
NCDENR
North Carol na Department of Entrironment anc .Natural Resources
Division of Coastal Management
gavCr±y Eaves Ptra#ue, Ccverncr Jamasl H. Gregson, 01ractor Dee Freeman, Secretary
Nte
3�
Applicant Nar�a --V
I,
Maitiag Address __.q7lw_b- Q i-a-1�L � t
t
a
f certify that Y have authorized (agent) ff1 V� r1 J, � (�� �r�c 1 t� '-to act on amy
behalf, for the Ourpose Di appiling for arad abeainfng ail LAMA llcrmits aneccesary to
Install, or construct (activity)— -DD'C .K
at (location)
This certlrcaax an is wand
Slgaat.are
Phone:
(date)
12�C�3V1U
MAY 0 8 2013
I
_. DCM-MIM CITY
4
400 Cor n.' erce Avenue, Moroesad Lit y, North Carolina 28557
52-808.280 1 t:AX: 252-247-33jCt 1 Into met; www.nccoa5tainwa6-ement.net
Eq,:� >appartu ly t Ai�rmativeAcilon �rr!ploysr � Sa�9�. fieCy�I�Q t 10°b Porgy �anat�mer V:apar
r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 0 P, W K e s
(Name of Property Owner)
property located at_L 7 05 ?Arta.- Vo' I vla
(Address, Lot Block Road, etc.)
on _ ��l,�e� Lr � I , in - MOK—y �s► O C; , N.C.
(Waterbody) (City/Town andloy County)
The applicant has described to me, as shown -below, the development proposed at the above
anon.
I have no objection to this proposal
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill--in-description below or attach a site drawing)
RECEIVED
MAY 0 8 2013
DCM-MHD CITY
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.)
'R o I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Si ure
Pdr,h4r Type Name,
aS poe l_v
Mailing Address
p-1 OYL"C?,s-ate K? •C 2�sS51
City/State ip
Telephone Number
Date
(Ad' cent Prop ert r Information)
Telephone Number
.�, 2d13
Date
(Revised 611812012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to —Jo A- h' 1—� I -Z. r'' s
(Name f Property Owner)
property located at y 3,5 (� 6l� Or
r� '(Address, Lot, Block, Road, etc.)
on f' 1. ein __ Y1'�_ U &r Y� � C� N. C.
(Waterbody) (City/Taws and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
- I have no objection to this proposal
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
MAY 0 S 2013
DC141 MIID CITY
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.)
L I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
:To 4-t"—TL, I-e
Mailing
'1 'ZCP 6 q c�r1
Tel hone Number
Date
2gSi7
(Adjacent Property Owner Information)
Signature
Date
(Revised 611812012)