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Home My WebLink About33361D - Simon 0 ,D CAMA / DREDGE & FILL �'` 3336 GENERAL PERMIT Previous permit # � •:-- '_ New Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State ofdNorth Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I5A NCAC I 77_60 A2 Rules attached. Applicant Name 13e)b 5/ MO A.l Project Location: County po/ jZ Address /Sc �5 // J,1 d_ Street Address/State Road/Lot#(s) City //),1 Ain Tom,' State NC ZIP�-9 9/1 2 35`� 5� NJ/ /2cL Phone#(9/� "/''Fax#( ) Subdivision Authorized Agent l/r/'U( G G- M EAT-,S City LC.>/(Nit J/v&?7CTV7 ZIP Z S y// Affected ›CW JtW ,INPITA ❑ES C PTS Phone # ( ) River Basin ( :VD/fa AEC s : ❑OEA ❑HHF ❑IH ❑UBA C:N/A Wtr. Body4 7-cA-)uJ O Adj. (nat /man /unkn) ❑ PWS: ill FC: �1j ORW: yes / no PNA yes / no Crit. Flab. yes / no Closest Maj.Wtr. Body PI T t ) Type of Project/Activity /7in f p1}( '-/CT 70 ,5 xJ_S1 '/v 6 ?/ En pc- 70 (Scale: / ''s 30` ) Pier(dock)length •ENE Platform(s) ■ } {._ i I e ( ! i i Ri 1 1 Finger pier(s) ¢ I • i Groin length }�1�' •r " : - .• .�— rc.)0 .,, D 1 I number 6 U r Bulkhead/Riprap length r'� I�_, 7 avg distance offshore ___ max distance offshore I 6/ Basin,channel o 1 l cubic yards l i IF 161 _- Boat ramp — -i —.—�} - - u -- ' -- / ft /t/X./` I I i"I • Boathouse Boatli i 'x / -I/- I Beach Bulldozing �M I ___ iiiiii11 ' li Other (rig ac/% f j I► 1111111111 Fcoqfrt i •■■�� pl. _ l+'� ■ .I ' imilip.I III Mil i I Shoreline Length /' I 1 •SAV: not sure yes no ' i ( . , Sandbags: not sure yes no I I 1 „ , l ' ` Moratorium: n/a yes no I. Photos: yes no I ; ® ai� �=y ' i l i 1 ' i _ i f-_ ! i i :. i j Waiver Attached: yes no ' A building permit may be required by: )fy►h2 C.& al i(/0 . [J See note on back regarding River Basin rules. Notes/Special Conditions ii2 c 2 Cl ( a El) np S 7/1 yi [,(PJJ IZ 5V40 SK F% /- ,44,41 �,rim r� gent" licant Prin ame _. Permit officer's Signature Signature **Please read compliance statement on back of permit'*°` Issuing Date Expiration Date /UGt, CSC) SVO 5 l / t 1.6. it/ - (6) .,,76 rel Application Fee(s) Check# PlanningJurisdiction Rover File Name 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: n 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 Quality. Contact the Division of Water Quality at the Washington Regional Office(252-946-6481)or the Wilmington Regional Office(910-395-3900)for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Washington District Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall 1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889 Raleigh, NC 27699-1638 252-264-390 I 252-946-6481 Location: Fax: 252-264-3723 Fax: 252-948-0478 Parker Lincoln Building (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde, Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties) 2728 Capital Blvd. Counties) Raleigh, NC 27604 9I9 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District Fax: 919-733 I495 15 I-B Hwy. 24 127 Cardinal Drive Ext. Hestron Plaza II Wilmington, NC 28405-3845 Morehead City, NC 28557 910-395-3900 202-808-2808 Fax: 910-350-2004 Fax: 252-247-3330 (Serves: Brunswick, New Hanover, (Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and New River Inlet-and Pamlico Counties) Pender Counties) www.nccoastalmanagement.net Revised I0/05/0I • GENERAL PERMT 1 COMPUTER FORM APPLICANT NAIdI' gdb J/KM6Z1 ADDITIONAL NAMES: 14.4 49- . AEC DESIG: co / " DEVELOP AREA:d— (��onty:al-,e o� vI PROJ DESC: �- )7, (Wilt onl4=ake 1) • :. WORK: /(-( ( (Val only i k 4) • GJ �� - • (Fi M only lake 4) • - l (will only lake 6) .i ACTION EPII',ATION DREDGE&FIT T REQUIRE): 3 ._d • CAMA MAJOR DE'EL REQUIPS: — Z —03 7 — Z -c)3 Z�� 0 "aD/ �sz _0 joyVOZ} _q dip 61 0 0 0 5= ,) _ JorILY 6)1)1'q wx91 • • FPI/ (1/;0_7: • DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for permit: re., QG'=✓ Si/WA) Address of property: �� SGQ A1:,:e.,, d Amy ovc: T/( 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. (A description or drawing, with dimensions, should be provided with this letter.) Y. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call (910) 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION (Does not apply to bulkheads or rip rap) I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15'ri-om my area of riparian access unless waived by me. (If you wish to waive the setback,you must initial the appropriate blank below.) V 1 do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. • / a . 6_11_ Print Name ` ) 7/ 6�'6-- 0 2 2 Telephone number with area code • • DIVISION OF COASTAL MANAGEMENT 'ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of individual applying for permit: A3f7AS c,�//77Q/V Address of property: t 1 J 5.47 5G7A-7- /egi- ? P/v7/ 1 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. (A description or drawing, with dimensions, should be provided with this letter.) 1 l( I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina, 28405 or call (910) 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SEC'I1ON (Does not apply to bulkheads or rip rap) 1 understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags 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.) 6-9) do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. rdee 3 . /�Da ) 01Z7 i ///i 'AZ r Print Name y SW, Telephone number with area code • 91 P 270-911 P Av=4350789 • 577 Ale. fkuwaq 2101 ' f izmpstead,►Ne 28443 P � ' •" y, 0a1 ro; f��. • N / ; „ AlriVir* • • •33 FIRST Cruz i firs C f F„g% +0;.(e.:001,1,, . • I:0S L003001:0035320448030 05409