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HomeMy WebLinkAboutFrizzelle, Benita 77380C❑ DREDGE & FILL N9 77380 A B " ) D G NERAL PERMIT Previous permit# Cr9New ❑Modification ' ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the`Coastal Re so ''es Commissi n in an area of environme Al concern pursuant to I SA NCAC 1, -Ruleched. AppliFant Name r ` r i ! Project Location: County / t Address a /(J !`U/ (f i r 4- City 1. / r - StateAl' (I ZIPa Phone )i E- ail AuthorizedAr' gent ' t>'/ e- ✓e� Affected 9& JVEW _--lffPrA El ES ❑PTS AEC(s): OOEA ❑HHF ❑IH El USA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no L f Street --e-�s7(State Road/ Lot # s) Subdivision City. f— ZIP 0 .j Phone # (_) River Basin Adj. Wtr. Body mil( J t'r"'/t dl�4oi r 45�at /man /unkn) Closest Mal. Wtr. Body r ■ NOON■■■ �.■■■■■■►�■■�aE■■■ - NOON NOON■ ■■NONE■■■■■� NOON■ ....a�..� ■e...::�:....� ■■■��■■..MEo ■ 0 .■� MEN MEN :::::�•"•• MEN■■N■ ��■ �a ■■■ ■■■■■■■■ME ■■■N ■■■ ■■■ ■NON■■■ ON ■■N■ ■■m■■N■ N■■NE ■N�■N■■■.NiMEE ■..■:■..�..■■..■... MEMO .■■.■.�� ...■.■.■■NE.■...MEE ::::::0 : M�::::�:::::�MEE ■■....■.■■ilkIMEEN.■E. naN■■N■■ N■ .......N■.►SB.N.N■.:.■HONE■■■.■Ea :. .... .. .... ■.... M - M. C.1 ram. .■i.l®. ..,. ... I....... ■■■■ MENEM ... ■■■■■■HE■ ■■...■.. N■■ ■■■.. EMI INN ::: .' .'.■'.:'.'.'.ME ■�".0'0'.:'.'.'■ MEN M �i■■:CN:■■■ ::N ONE ,mN9::■:: I Agent or Applicant Printed Name PermitOffj' Signature "*Please read compliance statement on back of permit" Signature Application Fee(s) Check# Issuing Date 6/1� �T/76/H 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 howto comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/I-888-4RCOAST Fax: 252-247-3330 (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) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (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 . �... _..!1,:.._..J__i1...,L..... .. Y:. . ._..:..----------,.,_.y.11s t gi Phono Number:; i'rnaaLAcldress: , IY I certify thrtt 1 have authorirtad _ _._-- _.! !f _ ..... Agent) Contractor to fad on my bcfialf, for the purpose of applying for and obtaining all LAMA permits necessary for tiv! following proposed development: -4"?` 72 -77cG/ twivet li at my properly located at t furthermore Certify that t'am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforemontioned lands in connection with evatuating information related to this permit application: Property Owner Information; } r � ' Siyntafure Print or Type Nome Title Date r ugh This certification is valid lhrraugh Vb� , C3 Sal, . ,.a. .. , ... . r Ih {F�r J _JA • '�','Tiles e'. ''' "F' . _ ::� II _ `'' .;in JQ 4 [ V ACC J ' v. 'I Q rr ryr�� 1�p�rrr�� lT I -sr j ,,. I sr 'u. j� � •r r i �r Q very � � , � � ., r• i I uxsr�cur n r� N .rp Ir i .4-I 14,_ i- - r _ - .r ll .: ' ' S ti , - „_,. -- r _ '4' qua::=pig•` ; �..v u 11 { Address of Property: (Lot or Street tl, Street or Road, City .&'County) Agent's Name #: r ✓f rzF d_ ' s` ^_. Mailing Address _ y�//� o c b p:RPc' T ,a'="op� Agent'sphoneti:S�'�-a5/Sirfi' (iGsr� L`_'_` I hereby certify that 1 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. & ded s rir tip crr dr c w'th im si s t e rovi led with thn letter. {� 1have no objections to this proposal. �_ I have objections to this proposal. Ifyou!rave objections to what Is being proposed, you mustnotity the Division of CoastalManagament (DCM) In writing within 10 days of receipt of this notice. Contact Information for DCM offices is availableofhua:7lwww.nccoaStq i rgagWaent[ieliweblcmistaff istfnsiorbycallingt•8884RCOAST. No response Is considered the same as no objection If you have been notified bXCertified Mail. 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 die wish to waive the 15' setback requirement. O-1-9,_( {J I do not wish to waive the 15' setback requirement. 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