Harnatkiewicz, John 78360C

/, DREDGE & FILL
ENERAL PERMIT
ew EModification LlComplete Reissue n Partial Reissue
As iuthorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concem pursuant to l5A NCAC
Date Drevious oermit issued% tary
' .furles attached
Nq 78360 A
Previous permit #
BCD
Applicant Name
Address
Project Location: Counry
City State ZtP
Phone # (-_ 1)
Authorized Agent
E-Mail
PNA yes / no
Subdivision
City_ztP
Affected ncw
AEC(s): tr oEA
Tl t4v!i
ORW: yes / no
-EW
HHT
PTA
IH
ES
UBA
PTS
N/A
Phone # ( )
Adi. Wtr.
Closest Maj. Wtr. Body
River Basin
(nat /manLlrulo)
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Type of Proiect/ Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)
FloatinS Platform(s)
Fifl8er pier(s)
I
-t
Groin lenSth
:f
I
+
{
I
Bulkhead/ Riprap length_
aW distance offshore
max distance ofishore_
Basin, channel
cubic fards
I
Beach Eulldozins_
Grcr
Shoreline Lentth
SAV: not sure
Moiatorium: nlz
Photos:I
+
A building permit maweq uired by:See note on back regarding Rjver Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
AFnt or Applicaft Pnnted Name
Sigmore x Please read compliance statement on back of permit *
P€rmirOffi.er's Printed Nm€
Signature
Applicition Fee(s)Check#lssuinS Oate Expiration Date
Street AddresV Sate Road/ Lot #(s)
I
Boat ramp _I
Boathousd Boatlift r-
F-F1ill r i
l
Statement of Compliance and Consistency
This Permit is subiect to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subiect the permittee to a fine or criminal or civil action: and may cause the p€rmit to become
nulland void.
This permit must be on the proiectsite and accessibletothe p€rmit officer when the proiect is inspected forcompliance. The
applicant cenifies 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 adiacent riparian
landowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best ayajlable
information and beliel certirythatthis proiect is consistent with the North Carolina CoastalManagement Program.
River Basin Rules Applicable To Your Proiect:
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
Ll oth".,
lf indicated on front of permit, your project is subiect 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 Olfice (252-946-6481) or the
Wilmington RegionalOffice (910-796-7215) for more information on how to complywith these buffer rules.
Division of Coastal Management Oflices
Morehead City Headquarters
400 Commerce Ave
Morehead Ciq/, NC 28557
2s2-808-2808/ | -888-4RCOAST
Fax: [phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth Citv District
401 S. Griflin St.
Ste. 300
Elizabeth City, NC 27909
252-264-390t
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates. Pasquotank and Perquinuns
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Benie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-72t5
Fax: 9 l0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
AurrauE!!!
I hereby certify that I own p.operty adjacsrfi b
(l{ame o( Prope.B,
propefty located at
(Add.ess,
N.C.I in
(Clty/Town rndror Cour*y,
pplicant h3s described to me, aa shown be{ow, lhe developm€nt proposed at t'ts abov€
I have m objedon to th6 proposal.
I have obieclions to this proposal
DESCRIPTION AND/OR ORAWITIG OF PROPOSED OEVELOPMENT
(ltldividuaI .,oposing must fi in descriplioa ,Jp,ro- of .a,,dt . sit dr.rins)
(wat" , ;
)e(?-| lcr f..{ \(t
+h..e
\', 4l'l..LL)_// /' +\d<q "2
dae R.rAY t(zr.q^.{ {i "<-
',,<a\
(/
I
h)rl
Seq,o.ll
Jeo. ttt,
I understand that a pier. dock,
P.\r " rhihess".s!
mooring pilings, boat ramp,
E1;. ,cslr*)
brcakwater, boathouse, lifr, or groin
musl he set back e minirnum distence of 15' from my area of dpadan acaess unless waived by
f you wish to waive lhe selback, you must inltial the appropriate bl6nk below-)
I do wish to waive the 1 t setbact requirernent.
I do not wish to weive $ie I t setback requlrement.
(Propet, O*ner OwrEr lnlormalion)
L+c
(tut/i'd Aus. 2Ou)
1
AUJAac(r B!!t!!!4! .Rsrc( I I ewrlE( -rArE.rEr
I he.eby oe&.f! rrat I olvn trlpeJfy adjscefr to
N.C.
l^lF,I iave,:!-o6iedion"qfi s p.Eeosal,
has des':ilb€{ to Be, as shown lata*. th. devglopoent p.oposed sl th€ 6bov€
I tuv. objBclio.! to tti6 D6posal.
D€SCRIPTIOI! ANO/OR DRAWNG Of PROPOS€O OEYCLOPiIET]T(ndiviel&t p'?posing.nrs, fr|, io dasadplon balor or afrrat , si& dralyla!,
1r.i -.1,,1
5da.^ i
t,r: t' ..
"!-r lir
r'11'r
i !:._'_. -: *'
e^ir " rii&Essc]le!
t u(er:tand tlat a pier. &rc*, ,r'o.dng plings, irrt 6np. trc.Lws!6r, bo.*rorr!., m, o. groln
mu* ba s.l b€ct a nilltftrm rllsbltaa of 15' lrom tny arla of dradro alc6.se !n[e$ wBi\,€d by
m.. (r lou e6h to raiv6 rh6 s6€{d, yul mu.l l.ldrl ihs €pp.op.i.!s bhrk b€lo-.)
&-, * **a,ulv€ rhe 1t s.$ack rcaui.smenr
_ I do 6ot wbi to waiv6 tho 15 i6{)acl mquir6mo.t,
;:r'!1t^ :.rln .-'
NC Division oJ Coastal Management
Cashier,s Official Recei[t 74403 A B@D
Date:20ql
Received From:De llaC P.?
t
$p@-Permit No.:L
Applicant,s Name:
Check No.;7
County:a
Project Address;LlZ PI +
Please retain receipt for your records as proof of payment for permit issued,
Signature of Agent or Applicant:
Signature of Field Representative:
Date:
Date;
)a
L
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Ja*^e.