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Home My WebLink AboutAndrews, Gant 80422CL' AMA (L7 DREDGE & FILL N9 80422 ENE RAL PERMIT Nwwiouspemttt# a s c D L ew C Modification ❑Complete Reissue Reissue Date prevb s permit issued MIA m by the State of Noah Cwolkw, Department of Environmental Quality � �— mot Coastal Cannlysrqn In an area of tai concern putstwm to I5A NCAC — ei as Appiiartt Name -.. Project Location: County Address -.-.. yg/�� L�/� �. Plane - Street AddreW Sta Lot #(s) IPCityState # E-Mal - _— Subd)vii %t __f f4 ' _A,-> �� .,.,.. AuthorfzedAgettt _ _r ._.. _.. .,.., city _' v ' _,.. _ ZIP t✓ . ABeooed 11cw D A ❑E8 ❑rrs Phonel! ) ......_ River Bast AEC(s): ❑OEA HHF ❑ OUBA ❑WA Adj. Wm, ^ (not hBan lurks) ❑ rws:—.__ _ ORW: yes ! PNA yes I Closest Mai. WV. lype of ProleW AetMq , L (=ao ��' ) Pit, (dak)rn4s) -- Fixed PistWmi{s) •••��• •. �� tL' }�ihkf HmtiBPlmfmm(a).�.,�.—�. � LL ! number_ " avg dilumt oashere (( max dlumee offshore - T Bash, d,auwel Nbkyxds Beach Oder sh"In.L. h rat our. MO Ma .� oun.r),an: (My/as� pharos: WalverAtt d*ch /rer m A hrdid,,% pesndt may be required b ( Note Local Planning jurisdiction) i ,t I FJ See note on back regarding river Bann n stztementonbackofpsrmita I ` 1 Check# _ ng T(j1Jl oz radar Date ❑DREDGE & FILL N9 80422 A B C D (��'j ENERAL PERMIT Previous permit# L`�lew ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued As authon'14`ed by the State of North Carolina, Department of Environmental Quality and the Coastal Res urc Commi i n in an area of environ ntal concern pursuant to 15A NCAC ules a e Applicant Name Project Location: County Address n'/ Street Address/ State (Lot #(s) City State /I/( IP Phone # — E-Mail Sub4#W Authorized Agent -- (((� CityZIP Affected ❑ Cw Ew L TA ❑ Es ❑ PTS PhoBasin AEC(s): �0EA HHF ❑ ❑UBA ❑N/A Adj. Wtr. Bod (nat man unkn ❑ PWs: ORW: yes / PNA yes / Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Sao ) Pier (dock) length_ Fixed Platform(s) Floating Platform(s) Finger piers)� Groin length IN number _I I Bulkhead/ Poprap length' avg distance offshoreii max distance offshore Basin, channel cubic yards -- / I__ —I_ Boat ramp Boathouse/ tlif - — )--i—+— —�— — Beach B Ildozing { '�/ Other Shoreline Length !, SAV: not sure yes o Moratorium: n/a yes o�t.!eV— V V Photos: yes o //�� rCyB rn-r7(/"— i I Waiver Attached: & no v A building permit may be required by. ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) (\ ✓l n E _ .l A n .n d , )7 %— A . / / I iv / , . I ** PleaspTqad compliance statement on # `�siVng CMe t I r Expiration 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 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: [-]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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/1-8884RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 I hereby certify that I own property adjacent to AZA yA fyv�'' s / (Nag,�a Pf Property Owner) property located at �'3 l CCU i X-k�-M (Address, Lot BI ck, Road? ,etc.) on � -Fb N1 in i(t nli'( is Ic �I ,� N.C. (Waterbody) (City/Town 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. --____--_1h�v�ohj�clions_toshis_proRnsaL.----- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in description below or attach a site drawing) EXi5'('1 n 5 T) 6 C((, by------------ -- Z )2 ro J a tj WAIVER SECTION I understand that a pier, dock, mooring pilings, 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) 'Z:-ht d c�' VPl Cvt d D/Auk-L Signature,0,� t\+ 2 LA S P�nn�t o±rT�ype Name a13Te� M fling Address rt ate/Zip � Telephone Number Date (Ad' cent Property; Ownifation) �Ro' Si ature Print or Type Name RECEIVED APR 21 2021 ( vised 6/1&2012) Gk 1 of DCM-MHD CITY 1�\ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT �� G,�� hereby certify that I own property adjacent to ` m.-s�— s (Name of Property Owner) property located at -1, 1 h U is (Addr( Lo BI ck, Road etc.) N.C. on ��m -PbN1 in il�Lat'h (Waterbody) (City/Town 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. -_- -------1B&v-e-okiections-to-tth-prop_osaL.------ -----. - - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELUrmtry (individual proposing development must rill in description below or attach a site drawing) .-�Z- 12I I i ++ p pp 1Ba�ir.,S�a11 '��di�t=H _ WAIVER SECTION. I understand that a pier, dock, mooring pilings, 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. V I do not wish to waive the 15' setback requirement. (Property Owner Information) a0" SiCure Print orType Name ili g Address Cit /State/Zip Lo Ci- 4l-( -1 1 Telephone Number t--i - S - 0.1 --- Date Property owner Information) Marne -- 7-X'F Telephone Number _ Date RECEIVED (Revised 61182201) R 91 2021 DCM-MHD CITY to t7 ro C m y tad r boo tGsr 6 tz � �y y y � w Nam„ Fyy O a W � N O ! F l n 4 4 v o& A �y N N �n a