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Home My WebLink About73841A_Mullen, Thomas & Janet_20190828r. K CAMA / �] DIJEDGE & FILL No. 73841 , A) B9 C D GENERAL PERMIT Previous permit # New Modification 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 Resources Commission in an area of environmental concern pursuant to 15A NCAC M Rules attached. Applicant Name T�XQiraSY1R�u11�:�� Address i . (o Ccx• City CA 107'11 State ZIP o2 7ti 3� Phone # (12' , ) 816 - '/`/'i U E-Mail Authorized Agent Affected ❑ CW El EW M PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /ono: PNA yes / rl"o., Type of Project/ Activity Pier (dock) length - r Fixed Platform(s) x 16 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 Moratorium: n/a yes no Photos: ,yes; no Waiver Attached: yes no Project Location: County ;�fAnuXAV Street Address/ State Road/ Lot #(s) (-6 4 9 q Subdivision �`,� ,.� • C (U i j r uc City ( c1 CA?vim ZIP � "1`1' _5 L Phone # ( ) River Basin C Adj. Wtr. Body l`) 1 k ril a It C— „ G/ (hat /man /unkn) Closest Maj. Wtr. Body 0 j Loan C' ) I F 5 .-LC/ (Scale: 1 ' -- Z 0' ) A building permit may be required by: CRO n11t. 1. ❑See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) Notes/ Special Conditions 0.Gk}1Cr\ V1"'Ji J �ill, f mt1/Jl�-� Agent or Applicant Printed Name Signature Please read compliance statement on back of permit ( 82 Application Fee(s) Check # 11 Q Permit Off #er's P nteclName Signature f/ 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 I) 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant:-T'KwN&S S Permit #: Date: Sa/ Xqj/I Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temn imnAntq) imnnrt Amni int1 tamn imn—t.% --0 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ^ ^ rt,t_� (Name of Property Owner) property located at �, `/1 �� f_- �; (Address, Lot, Block, Road) etc..) �c on ` i�)Y'vi/^f/K''-[_�_�1Ck in ^� ! / ('-/ 2c i1, N.C. (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 AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) AJA,-t AC4 a lei �✓►� t cl� ) u, r✓ t; l -4:' Cv�'�r'pd t 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) tgnature 0a /VX-M&'/k P") Print or ,Type Name l alp ter»I tom!/ �L,L Mail[ g Ad ress-IJ— City/S(ate/Zip Mo He. 'uw Telephone Number/email address%, Date (AdjaceIt roperty Owner Information) Print or TOe Name JJ 2 rJuHJ, ll'�G �r . Mailing Addres' Sal e Number/ pail ad 'r6 ess (Revised Aug. 201 ) *Valid for one calendar year after signature' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at 12zow (Name of Property Owner) `Address, Lot, Bloc , Road, c.) on 0YI&..... : in � N.C. (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 AND!OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) /1�'� r � . � ,1. � �►/✓1,� LLi i � � I�� l L� ` X J U ` � V � I ! �C - 1-- tiGt � L�'j � d� 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) Y'114:1 �RY(> Print or Type Name l�o /l/7-�Yl/ CJuh , Addr �ss e�47z� /V(" City/State/Zip 3 L yLy- U Telephone Number/email address Y� D VY) Dula (Adjacent Property Owner Information) l n .S!«3IClil1PE'�` P rnt or T�vpe Name A9aili g ddress City/StatelZip Telephone Number! ernail address (Revised Aug. 2014) *Valid for one calendar year after signature` i� (oogle Earth C•i201 Goocilo IL 12ELCouptry C� • a) r W.77 t 100 ft A N I -� (,o �'a.r�,-� Clx, b by-. Lct L[H fy- r \�\kv VTIMIlla" 1 6 OOUN RY (9LUB DR • 1 e0 N RY eLUB DRAd �� t Ilk- 5703 . W�• Soulcc50, s-li,Gea;7o71, UPS,, l;a«c��r�-a , INCREU1Z]\]u P, ij\]RC-R Fsc Jgmpan, MEu0, RsRi China. (Houng Now), C gj Moreac, E%i I aulajxQ, NGL C m (c) contributors,, end Vw- G15 ��F Cons ma "'ct, HERE; Camin, (c) OperS , -, Aap cocttril rsy and the C05 user coG'ramunt