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HomeMy WebLinkAboutHenderson, William❑1CAMA / ❑ DREDGE & FILL ' - NO. 73255 A B C GENERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissew 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 -- Rules attached. Applicant Name t, / Project Location: County Address ," '' t Street Address/ State Road/ Lot #(s) City _ State ZIP Phone # ( ) ` ' " ` E-Mail Subdivision Authorized Agent City ZIP ❑ CW ❑ EW 0 PTA ES ❑ PTS Phone # ( ) i ' River Basin Affected J, OEA ❑ HHF AEC(s): ❑ IH ElUBA El N/A Adj. Wtr. Body �� ' � (nat /man /unkn) PWS: Closest Maj. Wtr. Body =— -- - -- 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 - cubic yards -- Boat ramp - Boathouse/ Boatlift Beach Bulldozing 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 a A,_ Agent or Applicant Printed Name Signature' Please read compliance statement on back of permit (Scale:_----- ) ❑ See note on back regarding River Basin rules. Permit Officer's Printed Name Signature 1 1 i Expiration Dat Application Fee(s) Check # 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: r- ,_! 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 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 RECEIVED Hurricane Florence Repair Request Form OCT 0 9 2018 � �j l , DCM-MHD CITY U " Name of Property Owner: i��J /�pv /� l3 tX's hr-- Date: Address of Property: /.� (%UGC S/��ylG G ` G` e, Mailing Address (If different than above): Telephone Number: ;757Y ZVl z3d Repairs due to hurricane Florence will be made in the existing footprint of the previous permitted structure. Signature: 'Please note that if the structure is within the 15' setback of the riparian line and/or any dredging you must have the adjacent riparian property owner notification/waiver form signed. 0 � ��,��� ��' ,I- �� „ �, ■ r1 r N t y Eo ad s � LD a � q a n + j•J, ',. o V C m ! "o ' m � N N 0 0 y a= a a ♦ �a 49 o g r N N N i C t0 C N 9 tU� O did W[� L O co N 0 o O `o w o N a WCO A t�G N A o° E °O $ a O rn U, w U NLDffi U co AA a > it p p 0 w - q W o 00 co ci U U O co O P4 � "o N Q` O M m 8 I O O q r 00 �o .o o N y w �o rx w rx °N° q cv +� as o ° ,� "T o ce) H 5 LO v w 0.,� b� Z "� v w ti � a co m� ry 3�+ ippi�Ii C7 �•"'� it a A A TN A, "' a O :0 N 2 Lo Zcc LO Z I� a o o �i 0 b 5 C e a z U fx Gr, F+ E-I a PU A a -y