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Home My WebLink AboutWiggs, StevenEA ' r CAMA /` p DREDGE &' FILL ; > " GENERAL PERMIT °°A' B Previous permit # ew: . ❑Modification ❑Complete Reissue , ❑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 4, ' • % " Applicant f_. % _ �' f '� 7 ule ttached Project Location: County { t`.. ( (_, a Address `� , ''" i 1 , F "� Street Address/ to e R/ of #( City r j_` . State / ,!� ZIP ' Phone #'( `�-Mail Subdivision Authorized Agent" City ZIP' ElCW d <f W TA ElES ElPTS Affected J Phone # ( ) Riven Basi ? h sa:.; OEA ❑ HHF ❑ N ❑ USA ❑ N/A AEC(s):' Adj. Wtr. Body nat4 unk ❑ PWS: i ' ORW: yes no; PNA yes /�fio rl Closest Maj. Wtr. r f Type, of Project/ Activity Atollf Pier (Scale: ■■■■■■1_,�■■■■■■■■■■■■■■■■■w■■■■■■■■■■ - 1■1111■ i length number � ' �Im111 :: � 1111111 ■ 1 : 1 1 1 ®:■111 ■lii�■Irl.1■!?�F�.■■.■..■■■■�■■..■IA�01�.■■.■■■■. _ ■■■■■r�■■■■n■■r■■.�.:�:�.■■■■■■■■■■■■■■ avg distance offshore ■■■�■�■■■■��111w1 #��I�t 11R i■■■!"�� ■■■'■■■■■■■■■■■ max distance offshore ■■■■■■■■■■■■■■f �!!!!!I■ ■■i■ItS�i�■I■■■■■■■■■■■■■■' ■■■■■■■■■■■■■■I�r��►■ ■■�ti■i■■■;�■�■■■■■■■■' 11®1111111111 "ismmill ■�■■■■■■■■■�■■1�■■■ ■iliillh.!�I�� Ali■C/II�■■s■■■■■■■ ram ■■■■■■■■■■■■■■�i■■■■■■�I�;�■�!■■■■■■■■■■■■■■� ' ■■■�■■■■�■■■■■■■■■■■■I�+filll!'! ■■■■ ■A■■■■■■■■■ Is - Boadift■■Lev.■■■■�■■■■■■■■■■■■fl~�[�■!■■■ l:iliilis■■■■■■■� -iBup � �� 1�1:` ®®®®�®:1 11 �111'111■1:11�:1�:::■�:1® r■C >r/J■■■■ ■■■■■�■■■■I■■■ 1] si�GaGaf►I�iT� ■■■I ■■■■ li�i.:�■l�.ii� i 1■1�■■�■■ ■■'I1,111■!a/J■�■!1 rTwTi."A W i 1'V IRA I lii A, not sure ye�;e- no ■■■■■■!i1i■►.■ li"r■■■■■IwIllwla!irlil■�Ilwl■■■■�■■■■■■■. n/a yes no ts: yes no (n.I..........■..........� WE1:1::11�11:■1::111:1::■:■::®1111Z111 -r Attached: yes M..■■■■■■WASNA■.1A. A bu ( NoteLocal Planning Jurisdiction) otes/ Special Co kions r gar ing as� S.Art, .�. 1/1 1):"r) 7 ices s Printed a ate xpiratio Date 4 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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 Resources. Contact the Division of Water Resources 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 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of 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 - South of New River Inlet - and Pender Counties) http://www.nccoastalmanagement.net/ Revised 08/27/ 14 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Address of Property: (Lot or Street #, Agent's Name #: Mat L7' Agent's phone #. rZ 5 t� - (Qq • �4"i'� or Road, City & County) Mailing Address: 5 11 A i jD `. s a `> ac CA' : . ASs� I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawin with dimensions must be rovided with this letter. � c�oobject s to is proposal. I have objections to this proposal. if you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmanapementnet/contact dcm htm or by calling 1-888-4RCOAST. No response Is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 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.) RECEIVED I do wish to waive the 15' setback requirement. do not wish to waive the 15' setback requirement. DEC 2 2 2016 (Prope er Information) la re Print or Type Name Mailing Address - lU Q-74A Cty/State/Zlp 6 6 - q *7 QA35 Telephone Number 41 1 Date (Adjacent Property Owner Information) �gnatu�re�� Print or Type Name 711 !Q 1Vy hti Adam Q Mailing Address City/State ll Yf $ 3o - Telephone Number Date —%— Revised 611812012 CITY CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street #, Streel or Road, City & County) Agents Name #: J"— --.vvqL O * r*%cJV Mailing Address: 511'S A VIXj 4 "1 a Agent's phone I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions must be provided with this letter. 1,'4 -6_ I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmanaaement.net/contact dcm htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail 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. (Pr wn r Information) ignature &Qto W iA� Print or Type Name Mailing Address City/State2ip Telephone Number �� - Date (Adjacent Property Owner Information) Signature Atli A CA0-QA 1K U- Print or Type Name Q (U D-N- 40S Z2 Mailing Address 'j?V'*A . K#%o t1 UrWta , lk E IVE D City/State/Zip DEC 2 2 2016 Telephone Number /,� l;k;-//& ®CM- MH® CITY Date Revised 6/18/2012