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Home My WebLink AboutWest Jr, Millard, 9AMA P4 DREDGE & FILL 62715C. GENE L PERMIT Previous permit # ew ElModification ElComplete 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 J ----------- Rules atta0ed. Applicant Name Project Location: County address i Street Address/ State Road/ Lot #(s) :City. State 1W -zip 'Phone # (,?/Fa"x # Subdivision— N 'Authorized Agent Q_A 4-A) n'h.'k .0 City--L ZIP Affected El Cw EW _TA/ )LES 0 PTS Phone# River Basin 0 OEA El HHF [I IH 0 UIBA D N/A AEC(s): Adj. Wtr. Body,, (tfinat iman /unkn 0 PWS: DIFQ s Closest Maj. Wtr. Body—, 01RW: ye ol, PNA yes Crit.Hab. yes no Type of Project/ Activity Pier Pl:tf Fing Groji t" "Oulk% Basii Boat Boat Beac Oth, �'Shor SAV- Sand morl �Photli Wai-Al III (Scale: 1 7— H C) 11111 "IMMIMMOUR mom FA M 1�01 0m6io- 1"MM1 NWMIMI ON ME 11111 MEN son ENE ead/ Riprap length distance offshore max distance offshore _I ,channel cubic yards WON 111102WAN SEEN ramn. ,ouse/ Boatlift ONE 'i Bulldozing —MENN mom —1mamiloo I �ommmmmom No 10�01 l�Nm�mmom ■�i�i0 1111MMEN rn f NO not sure no yesi Lgs- MIMI m��mm�mmomi zl not sure yes 1;1 III tonum. n/a I yes 66, MIMI MEN I I ME lms�l IN, No ONE s: yes Q,1 MENOMMENN mo� No ENO MINIME r Attached: momm�mlimmom�m I - A building permit may be required by: A See note on back regarding River Basin rules. Notes/ Special Conditions V o /V 'S' PermitOffi Sign ure �Agent or Applicant Printed N Signature I ase read compliance statement on back of rc d Issuing Dare Expiration Date ' Application Fee(s) heck# C Local Planningjurlsdiction --- --R6verFileN ame 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 consistentwith 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/ 1-888ARCOAST 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 Applicant: � 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. Disturbahce.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 Both [1 Other ther Dredge El Fill [:1 Both E] Other 0 Dredge El Fill [I Both [I Other El Dredge [I Fill El Both [I Other E] Dredge 0 Fill 0 Both 0 Other El Dredge El Fill El Both 'E] Other El Dredge 0 Fill [I Both El Other El Dredge [I Fill [I Both El Other El Dredge E] Fill E] Both [I Other [I Dredge ❑ Fill [I Both ❑ Other ❑ Dredge ❑ Fill [I Both ❑ Other El Dredge [I Fill [I Both El Other [I Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge [I Fill [I Both [I Other El Dredge El. Fill El Both [I _Other El i.', �* NO K North Carolina Department of Environment and Natural Resources Beverly Eaves perdue, Governor of Coastal Management James N. Gregson, Director Dee Freeman, Secretary Date Applicant Name J7)&*PD , t /z.-7S' Mailing Address L,&/,ILZ-4-.Cc .r/ e I certify that I have authorized (agent) behalf, for the purpose of applying ' . . to act on my PP 3�g for and obtai lug all LAMA Permits necessary to install or construct (activity) /7 at (location) This certification is valid thru (date) Signature _ �#ZIrCttl�t� MIG 16 �1�013 D!) CI 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 25Z808-28 m t FAX::252 247-33301 Intemet www.nccoasiWniana em Equal 9 ent.net M ualOpportun ylAffirma6peAcdonEVOYer-5e96RMded110%postConsumerpa ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to A L41tzy fit= I (Name of Property Owner) property located at %"� t.�j4LL. G� /S� L.a l ::7- o54ve eeA (Address, Lot, Block, Road, etc.) on Pal--- dreJPFC U3 WCft , in ��R , N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. _::: 1 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) PoZ(- rX 07(-r �QAj e-g 1 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 IS setback requirement. 04 Print or Mailing Date roperiy Owner Information) Signature Print or Type Name Mailing Address / �'1 l �eQ % . f•�� ciZ 1SJ f 40 City/State&ip Telephonq Number '; 7,/i -�rX z , C'!3 Date (Revised 611812012) . . ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to A4&J;Z_P ;= .� 'S (Name of Property Owner) property located at % � � UTAI_4 ez% /�2) L-a '--I- 94vc-4 A (Address, Lot, Block, Road, etc.) on Pat-- 9A1Pi::-c` UtA*)Ctt , in N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. -E� 1 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) PO4(- ,�t�� IQ-p d%9 tSTfN�'u��f��' /3gttAc�'�b'`�7 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.) t/ I do wish to waive the 15' setback requirement. ' I do not wish to waive the 15' setback requirement. I orm Lion) Property Owner Information) Gfl ` Signature Pnnt or.Type Name._ _ _ - Print or Type Name Mailing Ad res - Mailing Address C ` y/StatelZip City/StatelZip b5`r�1t = 2 6 ,23;Zsv7z Tel hone Number Telephon Num berer Date Date (Revised 6118)2012)