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Home My WebLink AboutTidemore, James 79555C (2)_ "LAMA / O DREDGE & FILL IN9 '7()5'j j A B �f D GENERAL PERMIT Previous permit# few ❑Modification LiComplete Reissue -:Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 7 (Y (� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑Y R esLeaitt/a-cVhe_m Applicant Name ,49_'f6�on: County-., Address ,C/C!Ct'v C-- i T (� . _ _ _.�f F- Street Address/ State Road/ Lot #(s) JI City.-- -.i._._C State ZIP ZLI? —_.. --- _1— -- — Phone # ��f ! (! `E Y%ail —. _ Subdivision (_ 'T'� -.- - -- - Authorized Agent_-- —!; MG C�,—c t --i City j;/_'_ %� _ _ 0-- P 1 cw C ES a wrs Phone # ()- R' er Basin "`+� V OEA HHF '.H - - �� 1 �. A� .Q �.( y1 fyman_/unkn) Affected _ usA 7 WA E �f AEC(s): Adj. Wtr. Body_ __ -- "0 L' PWS: Closest Ma', Wtc Body� —` `-- ---- ORW: yes o PNA yes no I Type of roject/ Activity K L / 04.,. '21— 13 tK (3 I (Scale - Pier (dock) length -fyli - --- -"' Fixed Platform(s)�� r -_.- r (y /'� C �*'- tL� ✓�/' A/ 1- / Floating Piadotm(s) Finger pier(s) 1 Groin length - number >tAMA /❑ DREDGE & FILL 9 7,0555 A BCC/ D EN L PERMIT Previous permit # 411 ewreS odification [-]Complete Reissue El Partial Reissue Date previous permit issued As authorized by tate of North Carolina, Department of Environmental Quality -7�� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ R les attached. Applicant Name /G�v�`'� Project Location: Countycey Address C c-e1' -I -e v Q .— Street Address/ Stat ooad/ ILot #(s)J�� City _ (� VIK P%- C State �1/ ZIP Zr_7? W Y Phone # Authorized Agent CAM Z-e-,, &L e,) '❑ CW ❑ ES ElPTS Affected J AEC(s): ❑ OEA ElHHF ElIH ElUBA ❑ N/A ❑ PWS: ORW: ye / o PNA yes no Type of Project/ Activity Pier (dock) length J r Fixed Platform(s) 1 13('11— Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riploffshore avg dista max dist Basin, channel cubic yards Boat ramp Boathouse/ oatlif _ Beach Bulldozing Other Subdivision City Phone # ( ) Adj. Wtr. Body Closest Maj. Wtr. Body 2-- >3 x (—I (, Shoreline Length SAV: not sure yesF- - Moratorium: n/a yes Y Photos: I Waiver Attached: yes no permit may wired b A building per y be required y C' ( Note Local Planning jurisdiction) Notes/ Special Conditions 2 f V__1 JL Agent or Applicant Printed Name Permit Off Signat _ - "Please read compliance statement on back of permit" Signature jam � Ap i tion Fee(s) Check # Issuing Ds 740 erBasin`/"Ll'r _( o _ � man /unkn S (Scale�� I� ) ❑ See note on back regarding River Basin rules. Ind ✓ - "2 e/ 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 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 Iandowner(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 howto complywith 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/ 1-888-411COAST 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 -f {Nam foe P1ro erty Owner) property located at ��14 �.,, �Q ' erg r �l &--V >J C Z on (Address, i, Ioe Road, e c. / p (Waterbody) (City/T n andlor County) 1,1tl t3 The applicant has described to me, as shown below, the development proposed at the above location. _, I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) —e-1 J1-1 e. FYej,, (EQ I~ CkA4A /": f 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 yOOwner Information) (Adjacent Property Owner Information) `�-_�.— �C L -� /Z Si�p�yy1,ryhire x Sign/a�1(jle /f (/Jj Print or Type Name Print or Type Name -2U O PO 13.-)' ib37 Mailjnq t}ddress Mailing Address `Y1C 5.953/ City/state/Zip City/state/Zip z0(1--50(o ^ 12 bo 33 (o G8!{ 3 t q2�- Telephone Number Telephone Number ,�` t--�1 9- (0-11 Date Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that i own property adjacent to .ls,., a a s - f (Name of Property Owner) property located at (Address; Lot, Plock, Road, etc.) on c/ Tr,..i fJ, —� in � ¢ � NC. (Wate ody) (City/Tow and or County) The applicant has described to me, as shown below, the development proposed at the above locatign. I have no objection to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must till in. description below or attach a site drawing) r % - is E r &,P L5, 'rt; G O 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. (Pro erty Own r nformation) (Adjacent Property Owner Information) tAze Signa�tcre ' 6 1 i ttl Fir �/ �rK eS , r Cpn3 V,: Print or Type Name Print or Type Name ailing- ddress Mail' Addr ss City/State/Zip City/StafelZip '2aG -6o(� t7 flo 73 2, 53S� Telephone Number Telephone Number 3, 16 21 y.- Date Date (Revised 611 &12012)