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Home My WebLink AboutAshworth, Rodney❑CAMA / ❑ DREDGE & FILL N2 72072 -� 11 _ GENERAL PERMIT Previous permit# A B c ° . ,]NewModification ❑Complete Reissue ❑Partial Reissue .n Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental,concern pursuInt to 15A NCAC ❑ Rules attached. Applicant Name j� �� 1� � 4r'o)ect Location: County Address �" ( i Street Address/ Stater Road/ Lot #(s) i �J City i s-' State) / ZIP i Phone # . _ _.. (A -Mail Subdivision _ Authorized Agent ly('t,��i`� City ZIP ❑ CW ❑ EW PTA El ES one River Basin ES PTS Ph # ; ( _ � i: { r Affected � � � ,_. OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A / f/ AEC(s): I]PWS. Adj. Wtr. Body if (nat /man /unkn) ORW: yes / no PNA yes / no Closest Maj. Wtr. Body - Type of Project/ Activity Pier (dock) length - Fixed Platform(s) `^---� Floating Platform(s) Finger pier(s) 4� Groin length number Bulkhead/ Riprap length avg distance offshore ----- max distance offshore - Basin, channel 4 cubic yards Boat ramp Boathouse/ Boatlift Y Beach Bulldozing"^-^^�-" Other Shoreline Length v _ SAV: not sure yes Ro• Moratorium: n/a ;j a yes o Photos: yes no Waiver Attached: /Yes no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions } Agent or Applicant Printed Name j � Y Signature ** Please read compliance statement on back of permit ** (Scale: ) ❑ See note on back regarding River Basin rules. PermitOfficer,!s Printed Name Signature Application Fee(s) Check # Issuing Date Expiration Date 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: 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 comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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 40AMA / 1:1 DREDGE & FILL ENERAL PERMIT N2 72072 A B D . Previous permit# Clew ElModification ElComplete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality it and the Coastal Resources Co mission in an area of environmenta�concern 15A NCAC C) pursuan�to Uu Applicant Name Rules attac d. Name WC4roject Location: County Address Street Address/ Statef, Road/ Lot #(s) C; 7 16, State 1p Phone # -Mail Subdivision V! Authorized Agent 7 City ZIP Affected El CW '*'SEW ) PTA EIES El PTS Phone # v Basinf AEC (s): ❑0 OEA 0 HHF 0 IH El UBA El N/A D PWS: Adj. Wtr. Body(nat /man lunkn ORW: yes'/ 60,1 IPNA yes /(Z) Closest Maj. Wtr. Body Type of -Projec ty Activi Pier (dock )_iMqth Fixe FloafFing� Groi Bulk Bash Boat Boat Beac Oth( Shor SAV: Mom Phot", Waiv, (Scale: Platform(s) a■No MEN■NONE -M a No MUMMEME MEN■a a No NONE■.IN ME a■a■ME ing Platform(s) MENEM MENEM MOEN MEN r pier(s) ■■■■■■■■■E■E�OWN V. — WOMEN MEN MEN number _z, �■■■w I NNINAM UEN Is RAFA MUMMEMM51 IF WHEN w N w1wM iead/ Riprap length 0 a OMMMM%wJ■a■17A N 11101. ON 0 MEMIULN11 MEN V MAN a MEME0fi -11 l■EAMOOM VI IUM a WIPAILIMENEMEMEN■ avg distance offshor IMMEMEMME UNIVE■LINEN MOVENEF0 UFAMMEMMEMEMEME max distance offshore MEM■None n1flKid memo MKIMMEMIR, MEMMUMMUMMOME channej_� a No MKIRM ago MEMEMMUMN a ON OWNER a M MILMOMEN a U1011102 0 0 0 MOOEMEMMEME N"UMIMMOMME cubic yards ME No■a M192101ME 01 In, a MOMEMERFAMMEENFAME ramp MMEME■a a JIM MEMMEMEMENUMMERHOM NIME11 0EME MENZEME■■■■■■■■iii InMEN MEMMINUMURNMEMENONE 0 0 1 laa�.!!IN hP.M.-MME MEMANINT911MUMMEM jl 0■0■MEMEHME100-iiiiiIi N■ 'Romm III __ r I■a a a MENIMMEMEM■0 MEMMEMEMEMEMMEMMOME MENNEN Line Length notsure yes M No aswaswom■mommommoomm orium: rVa yes, MINE INN s: yes amMMEMEMEMEM■EMMEM MEMINI MEMOMMEMEMEM r Attached: MEMEMEMI A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special (;onditions 71 -ate 1 I,✓��ll El See note on back regarding River Basin rules. Permit Arg��Na�ne Signature Pi read compliance statementon backof permit Signature Mlv Application Fee(s) Check# Issuing Date Expi . ration Date Mailing Address. - Rodney Ann Ashworth 424 Moultonboro Avenue Wake Forest NC 27587 919.633.0157 j.woodlief@premiere-inc.com Seri Aieeks i Intercoastal Marine Construction Boat Lift & Finger Pier at my property located at 136 Old Causeway Rd Beaufort NC Carteret County. Property Owner nformation A Y .r_-Oz-� SigIn at,t„e t-�.udney /-knn As! Iwo! V Property Owner 11; t ^n17 Date This certification is valid through 3 30 i 2017 RECEIVED DEC 19 2017 DCM- MHD CITY ADJACENT RIPARIAN PROPERTY OVa ER STATEMENT I hereby certi fy t:iat I own property adjac( nt to (N a b of Property Owner) property loca ted at ` �� S'� �/a l `C (Ad cress, Lot, B)6ci,' Road, etc. on _ in G a.V � r , N.C. ( Na'erbody)l (C'.itylTown ancv County The applicar 1: his (lescribe,,i to me, as :,hown below, thE. development proposed a the above �/ U l loc tion I na%e no obj,,ction to this proposal. R E C I ha% a objections to this pi oposal. 9 2017 DEC 1� OE!;Cl UPTION AND/OR DF AWING OF PROPOSED DE:VE;LOPMIEWT ��®� p CITY o V V IAIVER SECTION I understan tl cat a pier, deck, mooring pilings, boat ran ip, breakwater, boathOuse lift, or groin must be se : bE ck a minimum distance A 15' from my area of riparian access unle waived by me. (if yo 's 1 tc waive Vie setback, y )u must initial tt a appropriate blank b Aow. In 1 Jo, vish to v aive the 15' : setback requirement. I do not wish to waive the 15' setback requirement. (Property :)caner Information) (Adj:centProperfit OwnE:r In1 nnation) Si tur / Sigr atule _ E`2 i�'�r Print r Ty NV Prim or ype Name a c /f� Tr�Us �� e�� "LGC Mailing do rasl'Matt �� n g Acid s �� Z � yes �,,�,' � &-- Qi /st erip City StateMp Telephone "Jul gybe •%email f address Telephone Number)'emad addm Late Do-* _ J � (Revr sd Aug. 2014) *V riid For, me cater Jar year after signature" ADJACEN T RIPARIAN PROPERTY OWNER STATEMENT I hereby certi y that own property adjacent to _ poctivet" �/� �S � w0j- (Name Pr party Owner) property loca rid at C I Ca�i (Address, Lot, Blocl /Atoad, etc.) on —, in- C , Ci L� tU p` _— N.C. 0 Val erbody) ((Atyffown andlor Oran - tJ The applican i Nis (escribec to me, as E hown below, the development proposec G V E D location. k I iav , no objection to this )roposal. DEC 19 2017 I ,iav a objecti ms to this pr )posal. .M- M-dD CITY DE:'CFIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT IIMM r C3 'Al �� Li SC4 • P i� a� - 1 _W 41VER SECTIMI Lr N I understanc that c, pier, &ck, mooring pilings, boat ram;:r, breakwater, boathouse, ft, or groin must be set ba * minimum distance cf 15' from my arca of riparian access unles waived by me. (If you ist to waive th-e setback, yc u must initial thr! appropriate bank below.) . I Jo v ish to waive the 15' s etback requirement. I coo r of wish :o waive the 15' setback requii ement. (Prrooerty ( ^Nrer' nforrnailion) (Adjz cent Property Owner Infc mation) Si t e �A)e e P.R rT e vtG �� M il' g Jddr e . -2 ?� Cily/Stata Zi `C> <�" Telephone 'um Ser (email at (dress � Date *Va id f it o, re calendar year after s gnature* Print Type dame jR 4 J--UU 1!7A r- -- City/:'fa /Zip Tele Alone Numberl ornad address Date 1 (Revis 1 Aug. 2014) iq � Ole J, 7% TTJ MV. Vffi M9 ( 7 1 I'd I I N ii