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Home My WebLink AboutLesan, Doug 80046Cu'barrae/ EDREDGE I FILL GENERAL PERMIT ENew EModification EComplete Reissue nPartial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to l5A N9 80046 ABCD Previous permit # Date previous permit issued Street Address/ State Road/ Lot #(s) Applicant Name Address Project Location: {i#--* Bt*i--.tl{t + llu State_ ZIP- Phone # (_)E-Mail Authorized Agent _City zlP Phone # (-)-- River Basin Adl. Wtr. Closest Maj. Wtr. Body ^)Subdivision . :]cw rEw trPTAAltected AEC(s): oEA .- HHF * lH tr PWS: ORW: yes / no ^O *. , no nES N UBA tr PTS NN/A /man /unkn) >C Type of ProjecU Activity (Scale:) Pier (dock) length Fixed Platform(s) Floating Platform(s) --Finger pier(s)_ Groin length number Bulkhead/ Riprap length avg distance ollshore max distance offshore_ Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Lengh SAV: not sure Moratorium: nla Photos: Waiver Atached: Abuildingpermitmayberequiredby..trSeenoteonbackrcgardiryRivcrBasinruhs. ( Note Local Planning Jurisdiction) Notes/ Special Conditions yes no yes no yes no yes no ( i I I i I_f +l----1- I LI t- I+ II -t- I ----i-ri- I*-l I t-t--ll- i I I ! i I I I I v I tt I I I i ! I I I t__ I I ---+..-_1_t-t .6gcnGqrftlicant Printcd Name /- '/'\ - ."/Permit Oflicer's Printed Name Ya Signature *Pleaseread statement on back of permit #Signature Application Fee(s)Check #lssuing Date Expiration Date A, J L^r-r j I ll I I I I I I I River Basin Rules Applicable To Your Proiect: L.] Tar - PamlicoRiver Basin Buffer Rules E oth.r, f ] Neuse River Basin Buffer Rules 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 Office (252-946-6481) or the Wilmin6on Regional Office (910-795-7215) for more information on howtocomplywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarterc 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ | -888-4RCOAST Fax: 252-747 -3330 (Serves: Caneret, Craven, Onslow - North of New River lnlet- and Pamlico 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) hnp://portal.ncdenr.orglweb/cm/dcm-home Revised 7/06/ I 7 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 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 undenaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this proiect 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 consistentwith the North Carolina Coastal Management ProSram. Elizabeth Citv District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 2s2-264-390t Fax:252-264-3723 (Serves: Camden. Chowan, Currituck, Dare, Gater, Pasquotank and Perquimans Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 9to-796-7215 Fax: 9l 0-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River lnlet- and Pender Counties) trCAMA/trDREDGE&FILL ENER/AL PERMIT N980046 A a$ D Previous permit #_ Applicant ENew EModification EComplete Reissue trPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality andtheCoastalResourcesCommissioninanareaofenvironmentalconcernPUrsuanttol5ANCAC Project Location: County_ Address Street Address/ State Road/ Lot #(s) State ZIP Phone # (_)E-Mail Subdivision ztP Affected AEC(s): trcw NOEA trEW tr HHF tr PTA trrH trES N UBA tr PTS NN/A Phone # (_)River Basin Adl. Wtr /man /unkn) ORW: yes / no PNA yes / no Closest Mal. Wtr. Body Type of ProjecV Activity (Scale:) Pier (dock) lengh Fixed Platform(s) Floating Platform(s) Finger pier(s)--- Groin length number Bulkhead/ Riprap length avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no Moratorium: r Photos: Waiver Attached: A building permit may be required by' ( Note Local Planning Jurisdiction) E S". note on back regarding River Basin rules. nla yes no yes no yes no Notes/ Special Conditions -l IItt ttttffi H+.+ -1------f -t-Lr I I---- -1-- I-t t-t# Iii iittit lrllriIl! L I -+-H- tt I-*i- I-l- I I i:- f, ----.t.-..--1.,,..,!i: !'tt:l----i---:..'^i;i t+rl+-T--r-T--r +*f i---ttJ-f --+- -i'"-i-- ttl*ffi+- t. 1 I Iffi tt -i--f Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit H Permit Oflicer's Printed Name Signature Application Fee(s)Check #lssuing Date Authorized Agent _ I -.]-- I I .lI i+ I i i I , i I-Tf1 l_:itl I II1-liii ---+- ---}-+--*-ltr:Ltl tl +]-|-{"--rrT--.tt""J.-...+iIT-T -t-f --J- --t-- tttl ii +1 -]---J--tl-- lt -=#'ti l--r-I*]--t f--r -.l- -+--i-;- fr + -H il _J- I Itil tiIi I --rt'1 + + iI -T- IiII LL LI --t-- Expiration Date Statement of Compliance and Consistency This permit is subiect to compliance with this application, site drawing and atached 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 nullandvoid. This permit must be on the proiect site and accessible to the permit officer when the proiect is inspected forcompliance. The applicant certifies bysigningthis permitthat l) prior to undertaking any activities authorized bythis Permit, the aPplicant will confer with appropriate local authorities to confirm that this proiect is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail retum receipt has been obtained from the adiacent riparian landowner(s) . The State of North Carolina and the Division of Coasal Management, in issuing this Permit under the best available information and beliel ceftirythatthis proiect is consistentwith the North Carolina CoastalManagement Program. River Basin RulesApplicable To Your Proiect: Tar - Pamlico River Basin Buffer Rules Neuse River Basin BufferRules lf indicated on front of permit, your project is subject to the Environmental ManaSement 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 (252-946-648 l) or the Wilmington RegionalOffice (910-796-7215) for more information on howto comPlywith these bufferrules. Division of Coastal Management Of,ices Morehead City Headquarterc 400 Commerce Ave Morehead Ciq/, NC 28557 2s2-808-2808/ | -888-4RCOp6T Fzx: 252-247 -3330 (Serves: Carteret, Craven, Onslow - Nofth of New River lnlet- and Pamlico Counties) Elizabeth District 401 S. Griffin St. Ste. 300 Elizabeth Citf, NC 27909 252-264-390t Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) E ott'.. Washington District 943 Washin4on Square Mall Washin4on, NC 27889 252-946-U8t Fax:252-948-0478 (Serves: Beaufon, Bertie, Herdord, 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 lnlet- and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ I 7 Name of Property Owner Requesting permit: Mailing Address: C Phone Number: Email Address: I certr'ff that I have authorized 4n 1-R +0ql0- c,r L(0 / Contractor LI.L to act on my behalf' for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: I 0t /l at my property located at e Lo*I I furthermorc cettifu that t_am a.uthorized to grant, and do in bc.t gnnt pemission toDivision of coastafManaaernent staff, n, uialiiin officer and their agents to enter"r\#i :;;fr:;::*ed tinds i, oon niiiil itti Z*ltu "ti,g tn m aiiin- il-aiJi a tn i s Propcrty Orrrner lnforma{on: in 0tt 5l b Lt)Cou nty. Signature or Type Name c n €l' Title *3rl Date 0 I This certification is valid through / / c 's I hereby certify that I own property ad.iacent to property located at La (Addra*, ,in Block, Road, etc. me Owner) on Al RtVer ) eU)N.C (Waterbody)(City/Town and/or Cou ntv) 4ld DESGRIPT]ON ANO/OR DRAWIN (tndtvtdurl ProPdetng devcloPment must llll G OF PROPOSED DEVELOPMENT in descrrptton betow or aatach a sfte drawlng) Sa, Ar4a'/ J l0ou)scn- dall ?'(hu-"/ ' L!n'h Dn 1d I do not wish to waive the 15' setback requirement. (P ro Owner lnformatlon) or Name (Adjaca nt Property Owner lnformatlon) Signature Print or City/Stete/Zip Telephone *-) tq4 ,p cloov/d, h.-5q -,1r.40 ri t1 754 0 ss c-t email ;( TelWhon4'/o Number / email address1- tt Date 'Valid tor ono calendar year aftor signature' Date' ?e) (Revised Aug. 2011) The applicant has described to me, ss shown below, the devolopm€nt proposed at the above loc€tion. , ;f I have no objedion to this proposal. WAIVER SECTION I und6rstand that a pier, Oocf, mootnE li|ings, Uoats, Uoat rarnp, breakwat€r, boathouse, lift, or groln mrri U" ""t U""f a minimum distance-oi 1siftom my area of riparian access unl66s waived by ,e. ifi iou wisi' to walve the setback, you mu.t inltlal the appropriate blank b€low.) I do wish to waive the 15' setback requirement' ( ADJACENT RIPARIA.N PROPERW OWNER STATEMENT I hereby certify that I own property adjacent to property located at La Owner) tleu R; ver (Address, Lot Block, Road, etc.) N.C.,ln(Waterbody) (CityrTown and/or Gounty) The applicant has described to me, as shown below, the development proposed at the above location.il{ I have no objection to this proposal. I havg obJections to this proposal, DESCRIPTION AND'OR DRAWING OF PROPOSED DEVELOPMENT (tndividual proposlng development must fill in description below or albch a slte drawing) 5ee a\Iadte) Ara*in3 Net: prcr and do.k andraplat-trr3 <-<isl'n3 5ecelatl ! S0 4xd {rut'ol- DllC lunderStandthatapier'u**,.,*nnffi,breakwater,boathouse,lift,orgroin Jnust be set back a minimum distance of 1s' fom my area of riparian access unless waive-d by me. (tf you wish to waive the setback, you must inlfial the appropriate blank below.) _ | do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner lnformation)(Adjacent P perty Owner lnformation o ,*-Jt( tni o 4'tL.l,lor^, "rJ ) or Name * 5ig,7 s ci*p/d, qq, 5q- 1e40 / email address +tI Pint or Type Name Pr ct,/e o /-^, 1, 40 M"ilifff;fdffi*,,n,/1._ ilc-cuswrzL a&rvo Telephone Numbet /?(o.s email address2)p ?/,,/r1Ddte ryafd for one calendar year after signature. Dote* (Revised Aug. 2014) on /rN I I i I i ; I i I I I i i I i lrri I I i i i I I I I I I I I I I I I I I I I I I -.:. i I I I I I I I I l I L I i I I I I I I I i I I I I I ii I , I I I I v,lr. ii,i I I I I lt I itti'l I J I I I , i I ! 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