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Home My WebLink About73878A_Baughan, Richard_20190930XCAMA / 1*1 DREDGE & FILL NO. 73878 V(L GENERAL PERMIT Previous permit # B C D ENew :]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 El Rules atta`ted. Applicant Name , C c r ci Q. G �a �, Project Location: County l _G,.-�t, Address ( '� (a tjr° E V\ _T f k Street Address/ State Road/ Lot #(s) L..64 I I CityShState N)Ce-,ZIP �C rL:;` c )r. Phone # C-LO-1 (of R-C-8'4/ E-Mail Subdivision u i _G ( �-� C' ._, C Po.C�1 Authorized Agent i�lc ( L City ZIP � '7 7` / q Affected ❑ Cw ® EW ® PTA [IES ElPTS Phone # ( ) River Basin ifc, ; c, o? c n k ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A N . AEC(s): Adj. Wtr. Body .r c+ sIcn it ✓C r iat�man /unkn) ❑ PWS: ORW: yes / PNA yes / no Closest Maj. Wtr. Body �l �`Yy"� 1 �[ t • l wnumber iin .... .. ■ length ■®■■■■■■■■■7■■�■■ilil�■■i,:iiii..�.�■■ire■■■■■■■ ■■■■■■�■■■■��.!■ail■■■■■■!►`�iil■!�!�■■■�Ji■■■■■ ■■■■■■■■■�■■■■■■■1■1■■9■11■■lily■■!'J■■■■ ■■■■■�■■■■■■■■■■■■■1■ice■■■�■�1ili3■■■■■■ ■®■■E■■■ �U■■■�■■■1■1■■■fin■■r■■M■■■■ Signature Permit Officer's Printed Name Signature Issuing Date Expiration Date Application 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 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/ I-888-4RCOAST 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 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: �tCingrC� rl. �ay.c��«i� Date: `i / �O j l c1 Permit #: 7 3,3 918 A 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 DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tpmn im acts FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other�^- Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-808-2808 n 1-888-4RCOAST :: www.nccoastalmanaaement.net revised:02/03/10 DIVISION OF COASTAL MANAGEMENT AGENCY FORM FOR PERMIT APPLICATIONS nvmer of the property located at: (propem owner) do herebv authorize (prope- 7. - :c-c I acing as agent) to act as my agent for the purpose of obtaining an-; n�._-:- ;:cry ai Area Management Act and/or Dredge and Fill Act permits, that may be _Z7 __-i=osed development at the above - indicated property, which entails: To S 1 b ke t Z1c Z 4 Cy.j - ce. cr L i �CC- IY` (describe proposed development or •,•.,r.cn permits are being sought) This agency authorization is limited to the specific activities described above, and will expire on: - — :Za CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: IZ I (Lot or Street #, Street or Road, City & County) Agent's Name nC4, P Mailing Address: 1�1 Agent's phone #: 252 3 �;L () �� Z I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. . V I have no objections to this proposal. I have objections to this proposal. if you have objecdons to what is being proposed, you must notify file Dh4 lon of Coastal Mangema►t (DCAV in writing wldrin 10 days of receipt of this notice. Contact Wbernadon for DCK offtes is avellab/eathtWl� lwww.nccoestalmeneaement.nettweb✓cm/siatl-list(noorbycel&V1.888.dRCOAST. No response IS considered the same as no oblecdon if you have been nodtfed by Cavilled Man. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. (P o or Information) (Riparian Prope Owner Information) Signature Si Lure Print or Type Na 124(P &CC6 Y%Tr 4� Mailing Address Ski, lair Cky/sufamp %> 6l9- Telephone Number/Ema#Address: q- z 3- l4q Date N Pnnt or Type Name C. co r Tre _ Dr Mailing Add ss 6h77 . V. J- 97� a5l� ) a I (O-11 lei 06ohone Number/ EmaHAddrew Date (Revised Aug. 2014) ��` t ,.;,�'»: .tee CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. Address of Property: 44"� (Lot or Street #, Street or Road, City & County) Agent's Name # t `I �-4644(jpie J Mailing Address: 1_2) I Crcc� Agent's phone * Z S Z- -�- D M Z 6,-" U e J 7 y ' I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they ,are �proposing. . 'X I have no objections to this proposal. I have objections to this sal. J P P J P�Po If you have objections to what is being pied, you must notify the Division of Coastal Management (DCAn in writing within 10 days of receipt of this notice. Contact information for DCM off w is available at htta://www.nccoasta/manaoement.net/web✓cm/staff-fPstina or by caging 14WB 4RC0A3T. No response /s conside sd the same as no ob&Eion if you haw bow notiAlsd by Cardlfed Afar? ` WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. (P Information) Signature �% Print or Type Name /-� Mailing Address ,�>h ibA nlc �7y7 City/State0p Telephone Number/Email Address Date (Ripari Property Owner Information) signature Print or Tfpe N �/�2 4 Mailing Add !,ti /v J-t ."VC N� kry�ri� City/Staftop Telephone Number/Email Address Date (Revised Aug. 2014) t -... .a � .:ru•.�. � ."i'.a b" n'=..--->th�.:" n�. s ',. • f.V ..: w.. N; .n i .� .. � . .. .� .y 'n'. y. .r :...ai _. � .: _ _ :e, ',•f ,, yfktl:lF1.. �� t.... .. E yi�<: °:;ram' r. .: . yr. 2 s_:.. .. .... ... :.,. ...: ... -.71 .. ... ..., .. - ....- /_ � , �;'' Y, i . .,,:.�......,�,.�.-:, ,.,a., September 30, 2019 Streets / Addresses Streets ; parcels Main Roads a County Boundary -\." 165, Sticre 4►. 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