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Home My WebLink AboutAndrew, GrantWAMA / ❑ DREDGE & FILL No 70476 ,GCENERAL PERMIT Previous permit# A B "'" ° eNew El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality H and the Coastal Resources Commission in a area of environmental concern pursuant to 15A NCAC uTs attach?d. Applicant Name fad ''f It�,JJ Project Location: County Addressfe- 0 V! Street Address/ State Road/ Lost #(s) State , CZIPCity ✓' 4 � Phone # )� 1"?y `f E-Mail Subdivision r P Authorized Agent 6 `"'' C'L-4 r ,° City ' �` r f ` zip i Affected ❑ CW ❑ PTA ❑ ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ElN/A ❑ PWS: ORW: yes] no PNA yes / no j Phone # ( ) River Basin r �t Adj. Wtr. Body 11na man unkn Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length 600(1 ■■■■ .■MEN ■■■■■■■■ ■+7 ■....�■■:Ni■..■■■M■■■EOE■ii'a ■■ ■■■ONE■■■■M■ ■..■■.■■..�■..■■...®■■.■■■■■■■a■■■ ■■■NONE■■■■■■■■■■■No ■�■■■E■�E■■■� 0 NONE MENOMONIE No ■MM■■■■■■■■■ME■ ■■■®■■■■■■I■H No ■■■■■■■■■■■■�■■■■o■■■■■■■■■ ■■■ ■■■ IN11111M ■■■■■■■■MEFA® ►lt EN■■■■�■■■■■■■■■■ ■■ ® ■ ■■■ ■■■■ ■■■ ■■■ ism �.5■1■■.■■■■.■■■■■■ ■M■■■■■■■■■MC10rod M■■®■.........■.■.. ■■■■■■■■■■■C ■■■.■■..■.......■■. ■M■■■■■/'%ili neaR WO MEN .■■■ ■m■■M•.r■■■■■r `''•�.. ■�..■ •ME ••�■�■■■ ■■■■r■■■■ ■■��■r.. _■■■■■■I■■ - ■MPINEM■E ■II■■■■■SE Era :!"�■■��tl �.'''�1■■■■■■�■ice■!�■■I■i'1■!!■lam■rl�lrrl�.;.......r�/■■■■■ ■lam■ommm■■■® ■■■■ ■R!■TR■l1■�!■■■�!■ ■!!■■■■■■■ ■■■��i■■ ■®■�i■■■■■■�■■■■■ ■ ■■■ ■■■■■■■■ ■■■■■ ■■■ N ■■■�■■■®■■■rA■■■■ . ■■■■■■■■■ ■l ■■■■■ marlimismam ■■®■■ ■ ■WOMENENSURE 0 MEMO ! ■■■■FERMI ... ■ UMM 5 MEN ■ME _ minRO■n was�m■im ■r■�■■-..�■■II... i Mason■. Agent or Appliant P ''t,d Name q Sigma 1' lease read compfiance statement on back of permit" .Application Fee(s) Check # 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, certify that 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 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 complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 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://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 —_..�—LU`�J{{ { � f - � i t t f U ! t�.-._.I_: ; J f +. �1-��.:_�•�_Y�Y�_._'.._.—..-..—_-_..—. _.___-. :._-.�_� .....moo..-.__.—��--...._..—_,�.._. .�_:_-.. t ? � - MAY 0 4 2018 --�- - ! H CITY i _.RrF.�. I . WAIVER SEOTIO-N. • _ l understand. that_; a pier dock, moorm pilings breakwater, boathouse; fift, or groin must be set .. } back.:a (n!ntm distande 0 t6',f dm rriy: area af.Xip rian:access unless waived by me. (If you . wish to waivefhe setback; :you mostinilttal thc.appropriatebhnk below.) ' •.. db wish, t Waive. tt a 1 T.s6tback requirement. - I do not wish to wive the 15' setback requirement. (Property Oi+vner infornia ioi� _ ...' ). (Ad1a.cerit :Property Owner Information) :--�-'•�?. is S`ig re Sa riisre,. _ Print; • r Type Name ' Priht:or Type /Va pie M Mailing ddressQ CitystaBZi -14 lie N% .-. Talepfio N bar - Teleph ne'Numb r 0 CN; Dine ,r DateF. ; (Revised 611812012) . S G W.AiveR 8EOTIotV. _ l uriderstar' d.t�iat-a -pier-dock, Yrooring j5ilings;:breakwater, boathouse; lift, or groin must be set back a rniriitrfum distanoe oti t5'.f m rr i:a'ea of ripariai-=6c unless waived by me. (If you wish to waive .the.aat.ack;mstsiriittac thy, appropriate blank below.) db with_ a Waive. the I5'sefbac requirement. 1 do -not wish to waive the 16' setback requirement jrroper[y ,uwn r Ircrtna ony. Ma- Ming dress - 78 epfione Number _. __.. :__._..... . r, e Owner Information) Signature . . _ Print -or Type Name Mailing Address ? ; CityfStaie�Zip -'- G� T'elep�rd Mm of vary ; -�� M.MNV (Revised V 0 2) . V, uM L Q IZ6`7�7 H w y 5 We Do m g(— cr' Fbi