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Home My WebLink AboutWhite, LisaAMA / ❑ DREDGE & FILL n� No. 73185 A B C D GGENERAL PERMIT Previous permit# ❑N�w Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality Jf and the Coastal Resources Commission in an area of pnvirgnmental concern pursuant to 15A NCAC Ll Rules attached. Applicant Name Project Location: County {4 Address % ' , f '� '" Street Address/ State Road/ Lot J(s) City _ i. �' State AIC ZIP Phone # OE-Mail Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ElHHF ElIH ❑ PWS: ORW: yes no PNA() Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Groin length number Bulkhead/,kiprap length } -- avg distance offshore max distance offshorep Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length O L/ SAV: not sure yes ( no L76 ❑ PTS ❑ UBA ❑ N/A no 0 Z l /'- • 0"„ - r, f Subdivision City ZIP ^t Phone # (_ )River Basin Adj. Wtr. Body f' F � , nat man unkn) Closest Maj. Wtr. Body Moratorium: n/a es Y i Photos: yes +nd Waiver Attached: yes no 1 A building permit may be required by: ( Note Local Planning jurisdiction) L Notes/ Special Conditions r Agent or Applicant,Printed Signature, Please read compliance tatement on back of permit �C') -- Application Fee(s) Check # (Scale:,/,,/� t i ) See note on back regarding River Basin rules. Permit Officer's7r Signature / 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 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT WIN s� � s L; � I hereby certify that I own property adjacent to , (Name of Property Owner) 1-� /s P rty property located at t G o l r, f C' �� (Address, Lot, Block Road, etc.) , on }�� neX e-9- , in N.C. her�td Ss Imo- — (Waterbody) (CitylTown andlor County) The applicant has described to me, as shown below, the development proposed at the above location/ V I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) + he a atha r �� we- ace. (-e-p (� /1ae and W,'ll ,"eef' W ,11 q U 41 oAq - I,, e- rL) ei-4 C) J Ael Q O is tke- �,c��eA4- P y � p� `Hi � Was �" s r ci a s � c� � o� +hE- P cL1k uJ; t1 be a +he �- + -k4 s de f-e4vr^ a�het P�oP -C+y CWAer` �1 RECEIVED WAIVER SECTION NOV 13 2018 I understand that a pier, dock, mooring pilings, boat ramp, breakwata�j;`¢r groin ` must be set back a minimum distance of 15' from my area of riparia ss un ess waived by \V me. (if you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. r I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) gn lure Signature* ftl'704E45HuG Print or Type Nerve i Print or Type Name Mailing Address RK CiryMatelZ Yt y ter c qG3 Telephone Nurrwberlwpii# SOM Te;'e - cnp Nttr ,tie A.mat ac-'dregs w, f ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L kS k s (Name of Property Owner) property located at G o) l l cke-15 ��-e-C 1(. Dn,V e.— (` (Address, Lot, Block Road, etc.) on �� +�� Y `��(C in it) er^�lcl Z�S (� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. : 1 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) e /rne ctltd u/rll /Y1ee4- w;11 q0 qJ01\� ba-cl �- f--A'L Pr yer�y Q .{a -rk� c��,} a,CeA - prger41 6w(ks seu-Wc-I I UP can t� e� W �s � 5 f c! � er re�rr\ �JC'- �; 11 b� a n 1- � �- � -f'h� �di �c�N�- WAIVER SECTION of -- I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift,tF9WED 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.) NOV 13 tale I do wish to waive the 15' setback requirement. DCM_MHD CITY I do not wish to waive the 15' setback requirement. (Property Owner /JJInf11ormation) gnature LI Sc.� IAJjii fie, Print or Type Name q3 ,Drd Creek- C&,i Mailing Address Apex /UC. 31 S,�) 3 City/State/Zip 4/9 Yio 1-163c, trsa-WA,fz &St+s,com Telephone Number/email address /i - 9 - 4 Date (Adjacent Property Owner Information) LIT /"�J .eLkL fie\\ Print or Type Name `l oy l� Mailing Address " Mvrc.� t,,,Je lJC 9 City/State/Zip 11e' , G.1p��IQ0.CbM Telephone Number/email address 11-1�)'— A Date* (Revised Aug. 2014) *Valid for one calendar year after signature* �rdt-evc (*ek Reja:,�5 Oct, RECEIVED NOV 13 2018 DCM-MHD CITY 00 MC Ic