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Home My WebLink AboutCullipher, Ron 78367C/ ❑DREDGE &FILL ENERAL PERMIT New OModification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resource Commissio n an rea of environmental concern pursuant to I SA � - �` C� I 1VU %S3V7 A B / C� D Previous permit # � Date previous permit issued �� Applicant Name _ U`'�„ v f ^C�l/ Project Location: County Address cty�}��- Phone # ()� Authorized Agent Affected w AEC(s): ❑ oEA ❑ PW4 State ZIP E-Mail �A ❑ HHF ❑ IH ORW: yes /�no) PNA Type of Project/ Activity _ Pier (dock) length_��r/% Fixed Platforms) f Floating Platform(s� c�� U Finger piers) Groin length number Bulkhead/ Riprap length_ avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp Boathou /Boat ' t Beach Bulldozing yes / .�t S �,. Other �� Shoreline Length __J� !� SAV: not sure yes o Moratorium: n/a yes q Photos: yes o Waiver Attached• es no ❑ ES ❑ PTS ❑ UBA ❑ N/A ��i;�o� �3'�r� `J,-� Street Address/ State R a� yl� �t Subdivision ary � Phone # (_ ) Adj. Wtr. Body Closest Maj. Wtr. Body— �ti Lot �ru- River Basin ��3c-� i (Scale: /�/� ) - — � - — -- — j — - —� 1 � _ � — - � — - —�— _ -'- -- -- — — ----- -- j — - - - — -- - j - -� `-I i-t- N I --� j -�- j _ -�- i j �. f I - - I `lpp ✓ - /S� -� - I - -- � — y A building permit may be required by: C_,_ � l�� ( Note Local Planning Jurisdiction) � Notes/ Special Conditions �E��` t� �� f 2 � � � nc�d�. C� 11 �� Agent or A p t rinted N me Permit ❑ See note on back regarding River Basin rules. �Gti/� ws %Ct'r L� *� Please read compliance statement on 5�ck of permit'��` � Feels) ooag Check # 2 2� �� Issuing Date c/26 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 fihe 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 rettrr•n receipt has been obtained from the adjacent riparian landowners) . 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 (9 I 0-796-72 15) for• more information on how to 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, Pasquotanl< and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyr•r•ell 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/O6/17 2�Z3(t.7 C •. O 0, or- C C owl>-.. .. -• �I. C == Co maw n zo kA O D M < zm zm -I z v 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ronom f' %Men Cull tobe� 's A, (Name of Property Owner) properly located at l ¢ �v $ nog, `1 (Address, on No/ IL2iy in (Waterbody) (City/Town and/or County) N.C. 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 roust fill in description below or attach a site drawing) �V� CU l4 of Trarl-��a 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) vnre (Adjacent Property Owner Information) 9 S,-rA Signaltu•et• �, )<et.\)A\Srri ke,As: mid (9 mac. co m 22 Feb 2021 (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �gp1C4Y� ��Y'� --s property located at `1'k'C (Address, Lot, BWck, Road, a c.) , v 1 in p , N.C. on N { (Wat�erbody) (City/To n 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 DEVELOPMtry I (Individual proposing development must fill in description below or attach a site drawing) dcy� 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) GLIM bale �O ZI �'L) (Adjacent Property Owner Information) Daly* (Revised Aug. 2014) 'Valid for one calendar year after signature`