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Home My WebLink AboutLee, Anita 73315CAMA / --DREDGE & FILL NO. 73315 A B C D GENERAL PERMIT Previous permit # New . Modification Complete Reissue _-- Partial Reissue Date previous permit issue As authorized by the State of North Carolina, Department of Environmental Quality f / f and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name -_- L.- -__ Project Location: County- i� Coe ir Address S Of ? ko t, �' - Street Address/ State Road/ Lot #(s) -- City --- — State<"✓ ( ZIP f t -7 6 C'yrrR 1' Phone # (E-Mail Subdivision _ _) _ _ — •'' / ' ` Authorized Agent City v ZIP CW 1 EW [-]'PTA ❑ ES ❑ PTS Phone # (_ ) _ _ _ River Basin Affected OEA J HHF L3014 ❑ UBA El N/A AEC(s): _ Adj. Wtr. Body- a t -- _ (nat /man /unkn) _ PWS: Closest Maj. Wtr. ' Body f E �f 1 ORW: no PNA Yes / no Y es / Type of Project/ Activity / 7 •,' ° Pier (dock) length_ Fixed Platform(s) !' �•r Nf _ Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length -- - avg distance offshore max distance offshore Basin, channel - - cubic yards Boat ramp _ Boathouse` Beach Bulldozing Other ---- --�— _ Shoreline Length ' SAV: not sure yes no ,r. Moratorium: n/a yes o" x Photos: yes tn Waiver Attached: yes v ` A building permit may be required by: y ( Note Local Planning jurisdiction) I� Notes/ Special Conditions Agent or Applicant Printed Name Signatyrg,,, *.*Please read compliance statement on back of permit" Application Fee(s) Check# j ° ✓vr' (Scale: % See note on back regarding River Basin rules. Permit Officer's Pr' ted CL Signature Issuing Date Expiration ate 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 _J 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 - 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) (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 %I. ADJACENT RIPARIAN PROPERTY ONMER STATEMENT I hereby certify that I own property adjacent to Le av" >= An;FA-., e e� ,s Property located at '7 1 Zip o �� (Name of Property Owner) i (Address, L.ok Block, Road, etc-) tie- on _ Joci SO LLYtd J (Waterbody) t�--rnev�Ll�1 1 1 P , N.C_ (CitylTown andlor County) The applicant has described to me, as shown below, the development proposed at the above location. --L- I have no objection to this proposal. I have objections to this proposal_ DESCRIPTION ANDJOR DRAWING OF PROPOSED DEVELOPMENT Undl' dual proposing development must fill in description belaw or attach a site drawing) J 1 tt Ndd !o ` X. Id rat,-F aver I understand that a pier, dock, moonrnq p- iR, SECTION 9 pings, boat tamp, breakwater, boathouse, lilt, or groin must be set back a minimum distance of is- 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 1 S' Setback requirement I do not wish to waive the 1 5' setback requirement. (Property Ow/near Information) A%�" (AdjaC G property t}/ / erI formation) Signature / 1 "au orTy`�r/��+� �• ��' Sim* pe Name Print or T M u 5 cfw� t1 l�;�- ?l YPe Name Matlista Date _6 yG S' email address - 'Valid for one Calendar year after signature" Address c,•tyisrataop Telephone Number/email address 3/2c,L Date (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to LEI 6-VVI on � & 1 t� e- s property located at r7 1 Z(e o G�Yl a 1) C. (Name of Property Owner) (Address, Lot, Block, Road, etc.) on 1�Joctt.u� snu�c� , in _ Iry eVC-L cl S l� , N.G. J (Waterbody) (City/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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Indrvidual proposing development must fill in description below or attach a site drawing) Acid, 172' r re, o-Coyc-w- bGcl.-- l;-4. AJJ lo` K 14� rr,o-F over '4e-e-�'-- 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 formation) (Adjacent Property Owner Information) e. LPG Name Signature W; I I AA-- N Ro Print or Type Name - ftaftg Address Mailing Address c' lsta c rylstateop �llU1 �y2 2 5 2. '13 4 G `Y 60 Tele hone Numberl email address Telephone Numberl email address 3-11! 3 l Zo /tom. Date Dale* 'Valid for one calendar year after signature' (Revised Aug. 2014)