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Home My WebLink AboutClark, Jeff 79581C��edby A / ❑DREDGE & FILL N9 79581 A B C D ERAL PERMIT Previous permit#New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previou---s---p777ermit issued AsauthQorizthe State of North Carolina, Department of Environmental Quality / // /a(J� and the Coastal Resources Commission in an r a of a vironmental concern pursuant to I SA NCAC / /'_ DR les attached. Applicant Name l C ' + ��' Project Location: County Address { �) t i i ✓� ' Street Address/ State Road/ Lot #(s) City-- ) n ///L}} ^✓ r State N( ZIP 0 Phone # ( ��')��I/ � E-Mail Subdivision Authorized Agent ❑LW Q91k -" FTPTA Affected A r'EI❑ Affecte oEA HHF IH ❑ PWS: ORW: yes ///n'o i PNA fifes / no City ZIP [I ES ❑PTS Phone# O River Basin - ❑UBA El N/A Adj. Wtr. Body - " l (`"� -inat;/man /unkn) Closest Maj. Wtr. Body A/ tIrl i i' p' ME ME OMEN MEMO as Elm ME ism 0 IN MEN ME ME MEN .OMEN.■■■■.�■... .■ ■E.II�■ fi■■ w :'N :■M IIINYN■,■■■ I ME :::::::: Kai�■■EN■NN:■■■■■■■■■■■E■ ■':IL" :�::IS :�I'�:■'C HE ` - Wo �Ej.■■i■ ■ ■■.�■■��M�■■■r. Elm �Nei ■■■ ■,1/GN■■■ENO �; ....■.�....■e..&M ■OeEN■■O■■N■1►��N■■IN■ :..... ..... ■■N■■� ■■et■ ■■■■ ■■■NN�■N■Ee■■N■■ ■NOON ��■EEM r11>•�0w. E_ MENEM MEE■■ 6■■::':IN .::EI� I �"A a PermitOfficer's Pripte� Name Signature Issuing Q5ate t Expi ation 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) priorto 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 ❑ ❑ 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 complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/1-888-411COAST 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/I7 Lo-w Pe®hNookr Os.HaPrtd 6smasha$Waclme_O0.W .Wm1me _Pollk Thaw Shaeluv_Ohs_ (Fin pAid xn mly) GHMRA1-^+�,� iOpMuaTIrIN WFDOWNFA-SLIPLA•GA EMS Namp^,1 Ad&saa Zvi r¢nn c 51 .—_ _ cey lwc�satw//e \MM �tlG ZipZ_Y��DFMn 91U-3.1�'-617/ V AIHTIURIZehsAGENI LOCATrONOFPRO1ECr: (Addma, N[el aamemNw duwdoste Iv siu; rmmcof Ac adist n'tMot y.) 7.J l 'i5r i e 3z` T ck •o .Ile- AJG 2YSYD OBSCR UONOIIFPROJEC I(Ut WI PoPorsd[t�mklim andIsd d'uN�<e.) c�[I. 2 )S f tl Ls $ L� a PQ S-h t p T SIZE OP IATRARCpA_ _sgvmahzt�_,(__l_.1 PROPOSED USE, Res'd wB (SSogl fsmvF IN'AWti-f WY Q) CureoewiaNad-ItidO Ghn COAV LETE FJrWA R) OR (R BELOW (Conitcsymr Lawlpermff 0 lm Ifya meudsare MAlah AECa➢P8a Myearlvs�erp): (1) OCEANHALITIAECSI TOTAL FLOORARFAOFPAOPOSED BTRUCNPEI Sy fMOosi0so ehewdeiovei living epme, park cps <bvakdabove gtwvd lerutstev[eMLioaM apme WeauJ abovo gvndkvel Eut xcblhgmmkatl�E<a5neal& sysce) a) COASIALBRORELIrgEAE019fZE OF BUH.OBVG FDLYPPROT[ANO UTHFJI HMERVRNISIIR BUH.T UPON SURFACES: —__ aglmefrel (a[lod<s the aw w`Ihe fouodlO®atoll WJdiogs, Nirsnees, mvertdhstr, samsrt wma+Omy pxnE me fteM olhbl tlMappEaLIe AEC.Mach yam sabduiom rthh tlw pa)<[IJenmB) STATESTOR AT¢RSIAXAGE,NMTPE l.bthepmVoc kdinnmsasWlmtmaSlme SI[m WAfegemeetpemabsusdby Ihs NCDivisimdFnary, Atiowal mod Land Rewon<s (OEMIAII YPS_ NO_ BYesIR41hemWhuetmnme PewiwssmfcellowM@,Y lwmpmssl'. wars&". OTiffdh PMARTB MAY BE REQMM: Th<mhvhy Yost ma pUssongms' oaq rm as cihm Ibn Ne CA,J hmsdneNpmMpeemil, et[Ivd'mg hn1Yo11®®edso:Ihmkin6Waki We1L Sep4e Tmk (w mh<t smiwr rvmu F<emmt s}s¢ml. WWtlWg EtnhiaL PMhmg HalmgevdAis CaMili[phlg mwletin estd FmgTCmsnvafmn FU CenCiulip4 SeMDan, S<dlmal Cten4 SUMivbioo ApplorW, Meblh Home Pack ApPoa1. Fliphwey Coomclbm, nd adwry CLnk ssvh Sour LsM Pxmis O®[m Pa mmc lofarmelka. STAT¢AH'li'f OPOWXEIt9RlP: L du wtlmsiPned, meppB<N fore CA1dAmuwdevebpmeo[pmvB, hmg eWws2e vrverofProPlsY W nnrL ae Pmsa embmimd amiu n agsmfwpwps<sofePPA "mgraaCAEumiomdevelopmmtpssmR smh) ILalf penoo IwNx 4PdsrvrcrwlAicapplvYipehxasi�ihml Numt ®Ibn sul v^Nes7 aeniku Ilm:m'lhis iuleml wvhe desrfiatl n: (chNooe) smoo.orrocordlido,rM.6.1olmossoat ue 0eMBook peg<__ude. Cumsy R<gehy of Dntic nun LyvhnlaorlMelilav[e Applkaotbm nehm Oe eswC o[ _Irothv mLLscsk smh es'moscmpssI nrbasF «hk boost rouse a sepsraw shwl R a11KE W Iltdapplveliaa. ND'rIPIGl11OX OFAOJACENTRIPAW.ht1 PROPERTYOWNER91 1 Nnklmwe[maT mxme folbningpemos msosmms dPopMNa WjoomBWn PIvpMT.[elf mxl Wee Biven ACTDALFOTIC¢m exLdlhem romnvistgnry ipkotm Jsvemp mupapMy mA loapplp fwaC..SAIAPmmiL Ch oel IpdhcO) 0) L ito to PPLEDGE losto SI sllmumisse®wd. Wassam g<ewl me bvda siAuavow mes-ha Lmaxdsost ,sxis plalllledeBnmm nhiA soVmsordM s mwatiostmdbreaof f mlmombdge Ibxshs Lwelald" OlB[m Las tio-s lsd Ipmo Bwpeslins IrLsatd goLlems esswiRd wiW Ibia KK'Thh aapMnnov nm meompmi<d by smamme4elioos coxmmg sMdba- aMn ntl eoodpmoeeBM[LstMua. I:L.dRosa sh Iamss"itt W.,ssadmMrmlgmvt Pmmimiovm Di sit ,!C-blaoa8csoati. , Iha Lwd P<s'stri ipor Oev a¢9uy<ORrue 01e Lol<msMNmtlImdi YIC4ettINo will CvalVetwg mfmmalic6 Nemf m WL PnmB applRelinst. Thuto: deyd .l0— T oKoamw persostsulbmiaMm mtnhurbar eSms rw pmpae ore W6 eCAKApemlil ygl'ruf nu Woottton Wolff. Frmrai infwmwfax (IMs%ornA o aiM &—cog m *oo abed n dims back of llda VPllcdMA lhr +wshy sememms, IA. Ocean fins d c An<e wham n[nwrR aoV pr SIGON mode➢%obis IO Me loothfa oed asryijssscssim as nay bepwvldrd arallyby JAegplicme Tile&W's efliv ddiceto m dssenhMby dwa so we mm➢m8edwidmua hmirca in wryyvmn•rldsF mcy he I—a4 nmfrwa tlues Gsm4-MI—liMlea Holes' of arypmmiL Arry➢nwm hiNoPlnBM mAEC wiMuWpemis Usxblecl to<hy4 criv ind and Wv olve-6- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ¢ �'�fA �� s // (Name of Property Owner) property located at Z-L� / /�T,IG? �- .� � �, (Address, Lot, Biock, Road, etc.) on r co in TaG E Scv11, 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. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must till in description below or attach a site drawing) SLR /tL t i C- eot' 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) (Adjacent Property a information) IV �� , 71 Signature Signatur Te7F'P C /c Y" I, PrintorType me ti Prlrttro/T e a ,p Y'rMS / 1V'� ? �2_ 11 L� Lh CJ Maltingggddre s I n dre /"cT.snac,%/e A)c Z. yo {IJ, i N, C. Cut yU CiWtateaip ,/,)/v _ 3 30- G/> 1 °r f8t1-9pv � ` 3T6 I% Telephone Number/email address Tel p o N�umtler/email address Date Dates (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ✓ --r d- C 1u 4- 's �/ (Name of Property Owner) property located at 2 I /fNi9e st. Jgc (Address, Lot, Block, Road, et .) on Vecf/ k in Ac�Lywn"" C Vc , 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. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) � c ,,'t/ac_/ --'� 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) (Adjacent Property Owner Information) `7 /V - ,) 3 (J - 0/'7 / Telephone Number/email address G- /- 21 Date 5-q U (Revised Aug. 2014) *Valid for one calendar year after signature" / ❑ DREDGE O FILL No. 75263 A B 6 D JENERAL PERMIT Previous permit# ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality V N o / a U ( ' and the Coastal Resources in an area of epvlro ntal concern pursuant to SA NCAC i [ lJ ��jj��t (,o.�/ /'�❑(fait ettadud. Applicant Name rrf c/ Project Location: County Vh�l' Se Address 6^V &A /-tn n'e JT Street Address/ /State Road/ Lot #(s) fiC ' Clty )()n,i It i StateA/L/C-ZlP- 2U '�Z02 AAn'r Phone # ((/l1}y3t/ �! 1 J E-h Authorized Agent c rr" ( C Affected QcW MWA AEC(s): OOEA ❑ NNF ❑ IN PWS: ORW: yes / hoo/ PNA yes i lype of Project/ Activity Pier (dock) lengtl Fixed Platform(s) Finger piers) Groin length mbar _ Bulkh" Riprap I, Edistance , max distance Basin, channel _ cubic Boat ramp Beach Other Shoreline Length J V SAV: notsure yes no Moratorium: n/a yes no Photos: ////y�ees no Waiver Attached: no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions _ Ani; v IO ❑ PTS ❑UBA ❑N/A Subdivision City T04/ui "'iffC ZIP W�yU Phone # O ) River Basin Adj. Wtr. Body. a Closest Maj. Wtr. Body L V i (Scale: ) [J See note on back regarding River Basin rules. C� Agent or Applicant Printed Name PermRo Prlt SUBturli **Pllease read compliance statement on back of permit** 4Oo Application Fee(s) Check # AMA / ❑ DREDGE A FILL NO. 75263 �' A B V D ENERAL PERMIT Previous permit# ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 7 1100 v l a U / , and the Coastal Resources `Commission In an area of vlroomental concern pursuant to 15A NCAC (J (.,,/ v'C�'T'1'Yai9/�. /'� Rulff )ttadted. Applicant Name Project Location: County (�r'i)[ �aV Address y C/ f A n f' p�� Street Address/ State Road/ Lot #(s) —�7— City �RCJ''C)04-i z State �zlP_2(Es LU GZ0 2 '4N,'tr ✓T Phone # (# (� E_M i Subdivision Authorized Agent c r j Gl c 'r 1 VL.". City C c c.1" ' C zip Affected q� ♦cw WA ffg ❑PTS Phone# ( ) River Basin �_/�'Pt,C� ❑OF.A ❑HHF ❑IH UUBA ❑N/A AEC(s): Adj. Wtr. Body n F /ma un n ❑ PWS: ORW: yes / no� PNA yes / no,% Closest Maj. Wtr. Body iy �L Type of Project/ Activity Pier (dock) length V VA Fixed Platforms) Floating Platform($) Finger pierwyAr Groin length mbar BWkhw ftiprap length -36 3 idistance offshore,_= max distance offshore_ Basin, channel cubic yards Boat ramp r Boathou Boatlift Beach Bulldozing Other Shoreline Length J U SAV: notsure yes no Moratorium: n/a yes no Photos: rryyeyes} no V Waiver Attached: no III A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions G �-Lhl7ri 2•-r, (Scale: ❑ See note on back regarding River Basin rules. ,.�Ply — -- - Agent or Applicant Printed Name PermitOm s Pr19t¢/� Siiggill **p i lease readcompliance statement on back of permit t`* Signature Applicat/onV^FeCe(s) Check# 155uing Date