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Home My WebLink AboutFarrin, Robin❑CAMA / ❑ DREDGE & FILL 2 70710 A B C r. GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue 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 pursuant to 15A NCAC ❑ Rules attached. i! F Applicant Name Project Location: County `�� Address Street Address/ State Road/ Lot #(s) —_ 7 V City State ZIP , Phone # O E-Mail Subdivision _ -- Authorized Agent ' City_ —. ZIP_ ElCW ❑ EW ❑ PTA ❑ ES ElPTS Phone # O River Basin Affected ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body gnat Iman /unkn) ❑ PWS: Closest Maj. Wtr. Body — - ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length-' 7-1 111 Fixed Platform(s) 1l Floating Platform(s)t i Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing �d Other Shoreline Length SAV: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions Agent Appli k rinted Name (Scale: / , ' s ;) , -/ , ❑ See note on back regarding River Basin rules. ' r S Signature Please read compliance statementon backof permit" Application Fee(s) Check(# Permit Officer's Printed Name Signat e f p Issuing 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, 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/ I-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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to '� I� C��2i s + )� Y-I � _ ame f P�perty Owner) property located at `jam L? �p.1 V' l� on (Address, Lo,#,y �I ck, Ro d, etc. '- , in C/�-t� -l%�Jt), N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locat' n. 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) -6� q4t o --' 2 JAN 2 2 2018 LJOVi ° IVIHD CITY WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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. (Property Owner Information) Signatur W/n //fithArr; ,n Date (Adjacent Property Owner Information) Signa e Print or me --{-- IncI f �d� JL�✓l 5 D/. / , Mailing AUdress citylstkelzip 7 �? / 9 J Ir- - elephone Nr ber/ email address I Date* *Valid for one calendar year after signature* (Revised Aug. 2014) OUTER BANKS MARINE COWSTRUC'T'IOW Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City. NC ',�N�22018 www .outwbankmaninewnstruction.com ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 4� I hereby certify that I own property adjacent toy I� ' I ram, )� YI t _„�ame �f Pnerty Owner) property located at--- _4 _1-� V' �5 (Address, Lor,� B�Igck- Road, etc.) -V , on "'�-��-� in J-� L2±t�- t , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc to ion. 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) V JAN 2 2 2018 DCM-- MILD CITY WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) x I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property wn//er Informatio ) Signatqq�0 Date el (Adjacent Pro erty Owner Information) ture ANOKA- C 12ooyvr (5s�- Print or Type,�vame 6G-1 rl s1'a✓e M il' Addres rf,t", c B cu Lh Al c Cit State/z' a- �2 6 —g 23 �- ✓� Telephone Number / email address /-/-/'r( Date* (Revised Aug. 2014) *Valid for one calendar year after signature* UUTUR nA-NI MAMNIE CONSTRUCTIO �I Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City. NC T cb MIN www.outerbanksmarineconstruction.com El-CAMA / El DREDGE & FILL A B C D GENERAL PERMIT Previous permit ElNew ElModification ElComplete Reissue F-]Partial Reissue,,--,-., 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 pursuant to 15A NCAC— C�Nles attached.' Applicant Name q x Project Location: County Address — Street Address/ State Road/ Lot #(s) P State Ci '�&Mail Phone # Authorized Agent nn—) 0 Cw D I EW I?LffA MES El PTS Affected El AEC(s): OEA 0 HHF El 1H D UBA 0 N/A 0 PWS: ORW: yes / no PNA yes/ no Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel City —IT-1 ii " -L—i Phone# (W Adj. Wtr. Body" Closest Maj. Wtr. Body ZIP—' Basin V ;— �V (Scale: i _ MENEM MEMNON ME ■■ M. MENEM M No 0 ME MEN MEN M lit! M MEN See note on back regar di ng River Basin rules. &ULM =1 Ito 'e Agent oirApplidan-It Printed Name PermitOffic�r's Printe a S I ig�e Please read coffipiiance statement on back of permit Signatyre App'lication Fee(s) ith�ck # 1��Ullnj Dat� p ratio, e