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Home My WebLink AboutSmith, William 76670C®GfAMA /'�OREDGE & FILL t I 6 ^ No 76670 A B C D G-9NERAL PERMIT Previous permit# 2fqew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality ) �'/ , .;L, and the Coastal Resources Co mission in an area of environmental concern pursuant to 15A NCAC f !I , / ❑ Rul s attached. Applicant Name ` 1 i I r �k 4t' Project Location: County ( Phone # (26 Authorized Agent ❑CW 71 EW ❑PTA El ES ❑PTS AffAEected ❑OEA f0HHF LIIH ❑UBA El N/A ❑ PWS: CIRW: yes / no PNA yes / no Type of Project/ Activity Pier I Fixec Float Finge Groii Bulkl Basin Boat Boatl Beac Othc Shor SAV Mon Phot Wah Street Address/ State Roa�j, Lot #(s) i . %.`n-i/f, Subdivision P 1 h' City ZIP Phone# O River asin Adj. Wtr. Body ' I' "'gnat man Junkri Closest Mal. Wtr. Body Y-f G "' (Scale i ( ) ■B■■■■■■■■■■®B■■■■■■■■■■■■■■■■ ■■■■■ �N■■■■■■■■■■■■■■■■■■■■■v■■■aa■■■■■ ■■�■ ■■aa ■ ■■■B ■■■ �00 0■■■■ ■ ■■■®■a ■■■■■ ■ ■■ ■■ �'i■...a■. 0■■ ■■ ■■ ■■■a..■■.■aa�i .a..a■.a ■■ ■■q■■�■�!■■■■ ■..�..■■■■H■N■. ..■.. Nn■■ ■[Z■�J■■■■■■■■■L■7D■■■■�!■■ a■...a.. ■■■■ ■■ ....■■ ■a■■aaallo :a0 ■aa �Baaaa� .gym ■■■n■ ■■■aa■■ ■■■7/■ ■■L3tiiifi■■■■■ ■a�t� I�I�N�■aaa■aa ■ aaaa'aa aaaaaaaan�aa�.�.aaaa :aaaaaa��"aa'a ■■aaaaaaaa ■SIMON! tat aaaaa aaaa■gi��a� aaa■ aa.■...■.....■..a.�.■.■.■.�.■ ■■�■a■a■■aaaa■'�aNEE 0: ■�a:a'aa :0 _ .a.. .. ■ .■.. ■■.a.. ■■ ... as . a.a.a ■ .. :moo■■ ...■■.. ■ o aa■ ■ �aa..a�.�.....a.�..aa A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions _ fYCiv..' Ic. or AppNi an0rinted Name r'"v' f 'r'✓L� t_ ❑ See note on back regarding/River Basin rules. r + PermitOfficerJ$.Pri ted Name I tent on back of permit Signatu �^ l Check# Issuin Date Ex iration ate 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 bythis 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, certifythatthis 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 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, Bartle, 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 + ®3LAMA 1-T9 DREDGE & FILL FNERAL' PERMIT ew [-]Modification ❑Complete Reissue ❑Partial Reissue N9 76670 A B C D Previous permit # Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Cofnmission in an area of environmental concern pursuant to ISA NCAC j I r ✓ t ❑Rules attached. Applicant Name { t r" ' i t'" • Project Location: County Address 't t ( + Street Address/ State Roa �ot #(s) f� / % �� , � t � � City _ State/'/ zip f— Phone # ( l �E-tail Subdivision ` ( f. Authorized Agent "f _j ° ' City zlp " ' i Affected ❑ CW �EW UFrA El ES ❑ PTS Phone # ( ) River Basin ' —/ ' ' "' ' ^ "I �_ ❑ OEA AEC(s): Ell ❑ IH ❑ UBA ❑ WA Adj. Wtr. Body I" fit' ^ ' „ t- i(na/man /unkn) i -i Pws: Closest Maj. Wtr. Body � f• Nr �� '' ��' ORW: yes / no PNA yes / no ..■.......MEMO! ..C.f.®.....■.... '. '.NINE '.::'.'.'.c:■: ME .9 .... ...■ . .. ■■ . ■■■■■ ■■ ■ .■■ ■■■■ �C ■��■■N. ■.■■■ ■■ MENEM!0 momom m 0 MEN MEN MEN m■■■■■ NONE ■■■ ■L■MRS! ■■■■ ■■■ ■■■■■■■■WOMEN ■■GaEY■ ■■■ ■ ■■ Mvv � �0HH�MOEMmoM ■■■■■MEN MR '11�■■■■■�■■ ::�'�000:C��:�E ...■ .. ■■ ■.. .. ■ ...■...■ ■■■■.....■C. f��... ■■■■■m■■■■■■■ ■■■■■■■■■■■■■ •■hH■■■■■■mff■■■■■■■■■■■■■■■■■■■■ ffl�■■■ ■No ■■■■■ ■■■■■■■■ ■��■■■■■■■■■■�■■■■■■■ii�iii■■■iiiii■ ■■■�■�■■■■�■■■f®■■■■■■■■ ■�■ ME No No ■■■■■ ■■ffl■ ■fI■IH ■ ■■■■ ■■■■■■■III ■■■■■ r ■■■� ■■ I�■■■I■■■0�■■■ ■■MOM ME Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # PermitOffcer'3 Printed 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 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, certifythatthis project is consistentwith 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby hereby certify that I own property adjacent to &1,�X 01t 4), S41-4: "If� _'s , (Name of Property Owner) property located at (Address, Lot, BI ck, Road, etc on�%,IC2CtiiG� _ AV , in /I�i5 /)�t> (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 must fill in description below or attach a site drawing) 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) Signature Print or Type Name Mailing Address /� �o/ii F✓BKN S�I..s �l� City/State2ip Telephone Number/email address Date 6' // — z e ntt Property Owner iInformation) dva V )/l13/ Jz, Pr' t or Ty9F�Ve Name �X /1Yr6hl�f 14c� �n M i 'ng ddre r �d'ss NL 2-730.2- City/State/ Telephone Number/email address 6 - )4, — v2Uit0 Date* (Revised Aug. 2014) *Valid for one calendar year after signature* m lrlo9rljbla vnqq,))q nwo I tsrit'� Iitfw) 1 dqlflrl (I"wo yji6qo-lq 10 riiii0l) Asom Ift 10 foj qsVs*bA 1.14 00 (onuoo IdIbm nwo'noiO) iwodp ed) Ir, beloqolq inrjrnqofaysb odt,waked rtworia m eim of betaimob Pf3ri insomou (m r lf3tuqoiq P.-Idt o) rolo�%jdo on qvf3C I q qo %Vtuwmb olit z It*141% 16 volo I I t. . , .\ \. v lap,oqmq airb o, �noijoajdo t;tvod 114WIVIbilA 14 Rp.;Ld-�"A mo,l) lo Al n:! -forlllrOdl '191swAsold qmm )sod apnllio Umictorti Auoh •ioici F Isrb brsixiobfio I Vt. bovisw ad5336 r.FlIsfjil 10 Few ym t jo r; kwl 9d Jauffi (w,iiod ynslc'tkmqolliqs srij olff6w,")� 11) C-tl inaryle-flupol A0010A i 801 -)Visw Oi riF,iw Obi O(j7f)V:RV4 01 left Ob I Xdafftlol. 1 lonwo jiloqolq IflaisibA) (iialls4matrd lsimO VIlwal'i) 't t(A bilf3V 11 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to V /r 4M D Sna t ?A I — --ram I , _ (Name of Property Owner) property located at `T-7J UA J �w ' /' (Address, Lqqt, B�o•ck, Road, etc).. on �' �AV , in /f/dRfcQRS %S iC',9fL&"7' , (Waterbody (Cityff n and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above location./ t/ 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) 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) S1 nature Prinfor Type Name Mailing Address �./� �✓<2 LCc45 '� �ilC L'�P City/State2ip s 4/ham vJ &�Z 2,5-17� Telephone Number/email address ,�e4e-Sys /X. -59-7- Date �;'�-// —;0 Information) or e�E ,RR.�o�� Telephone Number/email address &-#-4o Date* (Revised Aug. 2014) `Valid for one calendar year after signature* r �:�3,11 Si �!VlUV U Y P-�_,�4Sfi9; VlnicstR�iR_1:k-,;f}�� - — _-- d l` 5�.•: -_3z G'` _; _. o11n:35r3j m� lnvro i )Brij y iiis ` •i-rert l - (Idnirli� S(i)9i(4'1�'iA 9f►i6 {�� - •�' �t-'_.��-£} '' no (V6q;t.7004nvh'a"11013) (ybcidl^swrwl 3vod6 ed! ir. b:)zogov.y Im rrtgnlyvsb Brit ;woisd nwoda ri; ,om o)bsdivvzsk) Pad )ns.'Aclnl; 901 Ilt1'tuJU) ?r;ac rco�E? .tidl a! i ni1 eldo on t w'd I .IGAorwlf;'-' !i .t!--oAlosido owid I lfNTMit3J3d�E7 iiyC)9{Si�1 irslttsas9i�i(3iGvlrl(R4s191'3230 (Vmltarfhvb b71& c Awl% -to vents ni31Sq`sya2 Ys nt 0 4itic�a tnnen nievs4�'{inidat{oyq 1�tb6ivit;nt� tRCiiT�Rl'u�S��`/kAl!tit - roolp VI do! 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