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Home My WebLink AboutSmith, Robert!!❑,CAMA / ❑ DREDGE & FILL N2 70944 A B j'C' D - GENERAL PERMIT Previous permit # &- QNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality / fcic and the Coastal Resoursqs Co mission in an ar of environm ntal concern pursuant to I SA NCAC r les attached. Applicant Name �'• I Project Location: County 4p PP Address! 1-7C< �` r Street Address/ State Road/ Lot #(s) ; r t, State ZIP City t' G Subdivision Phone # (�_�-Mail Authorized Agent Affected ❑ CW [:]EVV- !PTA AEC(s): ❑ OEA ❑ HHF ElIH ❑ PWS: ORW: yes / no PNA Type of Project/ Activity _ Pier (dock) length�- Fixed Platform(s) Floating Platform(s) ice. f Finger pier(s) Groin length A' number ' Bulkhead/ Riprap length avg distance offshore max distance offshore i Basin, channel cubic yards Boat ramp Boathousef�Boatlift Beach Bulldozing Other no ❑ ES ❑ PTS ❑ UBA ❑ N/A City M ,'°f r ,r" � ZIP Phone # ( )_ River Basin Adj. Wtr. Body /unkn) F Closest Maj. Wtr. Body } t lr IU,x/U l�Al -T it ' ■■■■■■ ■ol (Scale: , yr 1 1 ) A building permit may be required by: in` .�, y e ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Tplicarteion �Pleaseread compliance statement on back of permit 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/ 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) Revised 7/06/ 17 ADJACENT RIPARIAN PROPERTY OWNER STAT,EMENT U l�v(1^ 1 A l � hereby certify that I own property adjacent to . iNae of Proverty Owner) d t Q)Uuwd r- i �7 e- property locate a - (Address, Lot, Block, Road, etc.) w� e� to 1 d - s 1� , N.C. (Water on G rbady) w �n (CitylTown 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. nFSCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT+ s- -P, % j3ro Pow£ � � 54• LV % G .r► ,ate 2 r wi-cYT I �,. WAIVER SECTION I understand that a Wpidr, dock, mooring pilings, boat ramp, breakwater, boatho se,��ft, 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) (Adjacent Property Owner Information) 4t ` ign tore* !� g Print or Type Name Print or Type Name / Zc 2 S a Mailing Address Mailing Address ; ; � Lc-;,,t � 4 ��- i- � f 5 � �= : N C �'• � sp � C' lgtate/Zr CifylState2ip Telephone Number%email address Telephope Num er/email address Date* Date (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to en- 4 —1� S'., 4 It J I 's (Name of Property Owner) property located at `2C� i+ g D CA )V C° (Address, Lot, Block, Road, etc.) oncSc) U M e� in 1 Ear- N.C. aterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. i/ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT •�s�r-r-ter•:----•-• -�---•�: y �-,-- r. 1 ; re � �r t v • � 15 �• �� i� �- ic.�-t-iu[• :.: .G7 �• Ltd • pi WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, r in 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.) l do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. �P erty Owner Information) (Adjapent Property Owner Information) nat S 1naturb c/ t�Ce(;fi/Y1/ZiU L L Print or Type Name Print ror /Tyyp{q Name ) Mailing Address Mping Address i� A �ti � i 1 i N L. ,z.� 5 � 1--M eAA y/J /S LE . 1t!`� �ys 7q City/Statelzip City/State/Zi 'J Telephone Number/email address Telephone Number/email address 2-0;?-20tIR d G ;7- Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature" AMA / F-1 DREDGE & FILL r,- GENERAL PERMIT Previous permit # A BC D CONew ElModification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ' and the Coastal ResouRr'CoCission in an ar;a of environmental concern pursuant to 15A NCAC [:ales attached. Applicant Name ( Project Location: County 01 City /VC JLi';ttC I Phone # (Ry�, c . _Loq-117 Authorized Agent Affected El Cw AEC(s): El OEA E3 PWS: ORW:,.- yes / no State zip ',EVE 4!PTA El ES 0 PTS El HHF 0 1H 0 U13A [--] N/A PNA yes,, no Street Address/ State Road/ Lot, #(s) e) ;� 49 L I '& i-" Subdivision City e e ZIP gib�.47`7? Phone# t Zver Basin--�� Adj. Wtr. Body na man unkn) Closest Maj. Wtr. Body- k •MENEMMEE ME 0 Mom MEN ■MEMNON ■M ■MENNEN MEME MEN■MEMIMMEMEMEMME MOMEMEMEMMEMEME NONE moo MEME IMMEM113ME MMMMMMMMMMNMMMMMMEZ■mom rIMEMEMMMEMOMI ■■■■■■■■■■■■■■■■[r■■■!■■■■■■■■■■■■■■ No MENEM MEMMINUMMEMMENOWN 0 MEMIMININNOW-HE 'IMEMISM mom■OMNI Agent or Applicant Printed Name S* ure Please read c6mpliance statement on back of permit x`Application Fee(s) Check#