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Home My WebLink AboutCoughlin, Dan (2)k ❑QtAMA / Elj DREDGE & FILL L) 709?v A B C D GENERAL PERMIT Previous permit # EINew ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality (r o and the Coastal Resources,. Commission in an area of environmental concern pursuant to I SA NCAC � ftUl"es attached. ,i J Applicant Name � f Project Location: County f Address `? r Street Address/ State Road/ Lot #(s) �.-� `��• �� 0( ZIP �s e l City ' State Phone # (=) - Mail Subdivision j City {, ZIP Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ElHHF ElIH ❑ UBA ElN/A ❑ PWS: ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length r' Fixed Platform(s) 12X 1 k Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Ripraplength avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp _ Beach Bulldozing Other Shoreline Length S ` SAV: not sure yes Moratorium: n/a yes !: Photos: yes Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Phone # River Basin up k' Adj. Wtr. Body (nai:/man /unkn) Closest Maj. Wtr. Body (Scale: ) wpm ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Permit Offic rin Signature Please read compliance statement on back f permit** Signature ApplicationFee(s) ` Check# d, ration 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 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 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/ 1-888-4RCOAST 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) http://portal.ncdenr.org/web/cm/dcm-home 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) Revised 7/06/ 17 9 IFFAA RCREHR North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director ®ate / / / f Applicant Dame P,4 N �oy ` '� / ; 0 ) Mailing Address x,K) A) q Fr John E. Skvarla, III Secretary I certify that I have authorized (agent) C—r r C ��5 to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ��' /� �' �7 f ►� , at (location) e 'r LS F" X v -f-. r 1` N C RECEIVE® JAN 2 2 2018 This certification is valid thru (date) rz— Z — % I? r � �� D C 1TY Signature 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer One NorthCarolina Naturally ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to i 's property p y L (Name of roperty wner) ro ert located at ,� ;—Erg ` � I (Address, Lot, Block, Road, etc.) on GV f'E t'q�S �t'�e /ice , in ("�uj "y N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. X— 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) d27c�, // 11/0-7L Ci-f`x5:-r /( "')r U ✓ v ✓ v d Ie✓ ' 11 zx 6-c-- ? e- � WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or ust oes®t� back a minimum distance of 15' from my area of riparian access unless waive. (If you wish to waive the setback, you must initial the appropriate blank below.) JAN 22 2-p18 I do wish to waive the 15' setback requirement. N CITY I do not wish to waive the 15' setback requirement. ACM (Property Owner Information) Signatu %% Al CAD J c f t Print o Type Name Mai �ng Addressa City/State qiy -3 y Telephone Number Date (Andjjacent Property Owner Information) E Q 1wl1 L Q l 4• S' nature Print or Ty , Name, iling�eve' '1"�tn (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �' �r n/" 1 % N ,-( = s �C 's / (Name of Property Owner) property located at a % � �fi i,J �€ u/ � � / 7 (Address, Lot, Block, Road, etc.) on (N'41-4 �d EL in Cam!"y , N.C. (Waterbody) (Cit /Town 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 developmenLqiusttffl in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin tabe back a minimum distance of 15' from my area of riparian access unless waived X ED wish to waive the setback, you must initial the appropriate blank below.) IAN 2 Z018 I do wish to waive the 15' setback requirement. MHD CITY 1/ I do not wish to waive the 15' setback requirement. ^ (Property Owner Information) (Adjacent Proppirty Owner Information) Signature S--- ature G G/l-L/ 6114 1 L- --6iAJ Print or Type Name Pint or Type Name Ty / Llq Mailing Address %lin Ad ess City/State/Zip dhilt /Stat/Z' Telephone Number Telephon Number Y-7Y - 79 Date Dad/ (Revised 6/18/2012) ❑DREDGE & FILL � N270926 A B`Ct D GENERA L PERMIT Previous permit p QNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality aI and the Coastal Resour Commission in an area of environmental concern pursuant to I SA NCAC "� Li� ' I Location: Applicant Name f Project R01 [1es attached. County— �' iie- Address t '" e # t "" Street Address/ State Road/ Lot #(s) City c. ; State Zip C ;, i! -e, i 't E Phone # Mail Subdivision sr� Authorized Agent it ; +s City t, �' L ZIP' "" .14 ❑.CW QRW IJTA ❑ ES ❑ PTS Phone # ( Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ) River Basin t ' AEC(s): Adj. Wtr. Body e r " nat man unkn ElPWS: Al a ORW: yes / io PNA yes / Closest Maj. Wtr. Body — Type of Project/ Activity Pier Fixec Float Finge Groh Bulkl Basir Boat Boat Beac Othi Shor SAV Mor Phoi Wai, (Scale: / ) ■■■■■■■■■■■■■■■■■■■�■�■■■■■■M■■■■■■■■ ' m■■■■■■■■■■�wi ■■■■■■■■■■■■■■■ ■■■■■■■■■■■■I■�1■■■El�iti1��1E■■■■■■■■■■■ number ...lengthavg ■®■■■■■■■EiIEN■■■■■■■■■�■■■■■■■■■■■■ distance offshore max distance offshore- ■■■■■■■■■■■■■■■■■■■■��■■�'��M■■■■■■■■■� ■■■■■■■■■■■■■MEM■MEI I�■E■t!R■■■■■■■MM■NE cubic yards ■■■■■■■■■■■■■■■■■■■■[:l[!■■[I■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■Mali■■■■■■■■■■■■■■■■■ ' ` ■■■i ■■■■■■■■■■■■■■■N1M1■■�■■■■■■■■■■■■■■ ■■■■■■■■■■■■■/ice■■�NErili'!■■■■■■■■■■■■ Bulldozing ■■■■■■■■■■■■■�■��EEI■■■■■�■■■■■■■ ■■■■■■■!�G1i■■MEM■MEi■MiiI1■■■■■■■■Nr■\■■■■■ ■■■not ■■■■■■■■■■■■■1■■■�■M■■■■■■■EE�7�■■■ dine Length ■■�■■■■■■f��■■yam■■M�1�■■■��■■■■t��! 1�1■■■■■■■■■■■■IMEM■. sure yes �oo NNN■M■NNMM MM= ■■. ORION _ . .. N■":!�EINNE■riu!!IMEMMMOMMINNUM O"Irllrl�lillliilliC!!! ®�NEiiilrE■iill�iil°I' IEEMMEt.NMMMMMOO■NifiNENENE[EMEN A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read confpliance statement on back of ermit Application Fee(s) Check# Signature Issuing ❑ See note on back regarding River Basin rules. Date