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Home My WebLink AboutJones, RobertA. v.fNAMA El DREDGE & FILL ENERAL PERMIT Previous permit # ew ElMoidification ElComplete Reissue E]Partial Reissue Date previous permit issued As auth rized by the State of North Carolina, Department of Environment and Natural Resources f and the, Coastal Resources Commission in an ar?a of environmental concern pursuant to I SA NCAC Rules attachM. Applicant Name Project Location: County—( \1 Address- I A Street Address State Road/ Lo ' . 1'.. Phone # % 1V ? ( Ci Ck A state I I Luz X ) n I OFax # Subdivision �Authorizecl Agent I city, K I V VV; f Vir Y \ A I LOP Affected. \V.\CW 3,EW )kTA El ES 0 PTS Phone # River Basin E] OEA 0 HHF 01H 0 UHA 0 N/A AEC(s): Adj. Wtr. Body OFQ 0 PWS-1 fl ORW: - yes PNA yes 4'noj Crit.Hab. yes no Closest Maj. Wtr. Body NNO 0 N N ft IN 14 Md JIMMEWIPM7 In 0 L qr ,A; NEEMENEEMONNEEME E=MM.1k MMMME ffirl"PUTN' IMEJ 21 SMAN ?"WaMMIN mawwra- all OWN11111 NINUME MEMMME MUNNE11111OM■MiNOMEM NEIMPTOW NEWPONEW ■I M. ME NJ r_ 111191 0 mmpmmmmilioimmmm!,=Mmmmmoommmmommmommom MENERNE E=MNNI WINNIEW110 VENNOON It M Bi F" MEM WNWINUIM .. Was F0011MOOMMINEMME IMMERM■OEM= NOMMM � J OROXWOMEM■ONOMM MMMI See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature * `, Pled `e , ad compliance statement on back of lApplication Fee(s) ffic s Permito, 7 Signature / v Issuing 134Ar' 7 IS �L Check # Local Planning Jurisdiction Rover File Name Y � a a 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 landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules 0 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 Quality. Contact the Division of Water Quality 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 Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headauarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-8884RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth City District 1367 U.S. 17 South 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 -below New River Inlet- and Pender Counties) Revised 08/09/06 r'•�'_� `�}7"J3� � G� �{?a {'i�=�1`}>7i? " 1J 'a e ):3�:3:� :�L il;a.,3si, '�:<3:icr)��7.7.:�i'-�?i;�, �.�';�� Applicant: Date: 00 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance.total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other / Dredge ❑ Fill ❑ Both ❑ Other ✓� redge ❑ Fill ❑ Both ❑ Other ✓ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ . Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ 232-u 's-2ZOG :. .: revised.02J03/1@ 252-638-3683 08:48:25a.m. 10-16-2013 i L M To: �/7 �G�4'y�.Q- /I��I From:,4/1,C, �J G1 ✓P� Company: Fax: L rZ1j — JYD d Pages: [including cover page] Phone: pate: 7))7/ Re: �)ax 4�� oej(AA,� I If IVOI, 10// kf A d/% 252-638-3683 08:48:32 a.m. 10-16-2013 2 /5 .1, J , ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 124044 g• J-war 's d0 O property located at 4K pikef (Name of Property Owner) (Address, Lot, Block, Ro d, et ) on ��ke' ,fOts�� , in Jd%h'�iCll,� G% , N.C. (Waterbody) (City/Town andlor County) The applicant has described to me, as shown below, the development proposed at the above location. X l have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) lr Ili J ,II►f 0A11r��!LTA16 ydo7 00 rt ?f'N°p 0 woo. D T& & a 3 i 60f, 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.) c: do wish to waive. the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjace t Property Owner Information) 4he-�, i46= - Slgtt tune Sig ture 29ha � J d�JZf &AdAl aVgkp�J:brf/I Prfn(0r0 pe a�N � J~. Pti Print D 55 0Z Mail A dress�N Mailin Add ss �10W.C. na c ef�� -- d 4k CitylSttajte/Zi]�!^7 (' Q / a Citty/State/Zfrf3� I I J. I Fy ! % r ! 6 �y ! � r et -Z - - 1 Telephone Number Tein hone Number 2 01 27 Date Date (Revised 611812012) 252-638-3683 08:49:21a.m. 10-16-2013 1 ?- • - I 415 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to 120heA E. TrIq,"T 's v0 Dk property located at 4 �• �T►rtd` (Name of Property Owner) (Address, Lot, Block, Ro d, etc.) on �� ,f Otslll , in 100/C' �iC� 16%2� , N.C. (Waterbody) (CitylTown andlor County) The applicant has described to me, as shown below, the development proposed at the above location. X I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDMR DRAWING OF PROPOSED DEVELOPMENT (individual proposing developMef1t must fill in description below or attach a site drawing) 93 fi o g 1101 I1 l'p 9 WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set 1 ack 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.) ' ( WY-' do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Owner I z.r. t'ri or T f3 diCpe,4am er� Ma L dW( - dr 46 Mfa Ctty� - 'Lr!k I /! d Telephone Number Date (Adjacent Property Owner Information) Signature, 60414eL Print or 731pe Na e W o ( ?e Mailing Ad res Ax Ci4'/Sta1e21p S-a-rl-1(0 os� Telephone Number Date (Revised 6/1 &2012)