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HomeMy WebLinkAboutLigato, John 77365Ci_CAMA / DREDGE&FILL GENERAL PERMIT'New tYodification Complete Reissue partial Reissue As authorized by the State of North Carolina, Deparrment of Environmental euality and the Coastal Resources Commission in an area of environmental concern puGuant to l5A NCAC Previous permit #_ Date previous p".rffi - Rules attached. N9 77365 BCD Applicant Name Address c ztP Project Location: County Street Address/ State Road/ Lot #(s) Phone # (-_)_ E-Mait ___Subdivision ORW: yes / no PNA yes / no Affected cw €w PTA Es AEC/s): oEA HHF tH UBA PWS . PTS . N/A City Phone # (_) ztP River Basin Adi. Wtr. Body I!a!J!qa4t!!k!) Closest Mai. Wtr. Body )<> Pier (do<k) lentth _ Fixed Platform(s) _ i Floatint Platform(s) _ _, Finter pie(s)___ L (Scale:) + Groin lenAth number .t- Bulkhead/ Riprap length_ | ayg distance ofthore i fffiffimax distance ofhhor€ Barin, <hannel +M L L Eoat ramp I I I I I I I I I L -\L Boathouse/ Boarlift l j Beach BulldozinS I Other t,r F ---1-f-f-t--r--+-.i T tr sAv: not sune Moratoaium: nla Photo6: Waiver futached: I ll .l I yes 1 TT r-1 A buildinS permit may be required by ( Note Local Planning Jurisdiction) Notes/ Special Conditions See note on back regarding fuver Basin rules. Atent or Applicant Printed Name Signature # Please read compliancestatementon backofpermit * PermitOflicer's Printed Name Signature Application Fee(s)Check#lssuingDate Expiration Date State Authorized Agent Type of Proiecv Actiyity ffi#tffi <utic Frds_ r ShoreIne Len8th Statcment of ComPliance and Consistency This permit is subiect to compliance with this application, site drawing and attached general and specilic conditions. Any violaiion of these ierms may sublect the permittee to a fine or criminal or civil action; and may cruse the Permit to become null and void. This permit must beon the proiectsite and accessible tothe permit ofticerwhen the proiect is insPected forcomPliance. The applicant certifies by signing thii permit that l) prior to undertaking any activities authorized by this Permit, the aPPlicant will confer with appropriate local authorities to confirm that this proiect is consi$ent with the local land use plan and all local ordinances, "na z; " 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 Coastal Management, in issuing this Permit under the best available information and belief, certi! that this project is consistent with the North carolina coastal ManaSement ProSram. Division of Coastal Management Oflices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 2s2-808-2808/ | -888-4RCOAST Fax: 257-247 -3330 (Serves: Carteret, Craven, Onslow - Nonh of New River lnlet- and Pamlico Counties) Etizabeth Ciw District 401 S. Griflin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:.252-264-3723 (Serves: Camden, Chowan, Cu.rituck, Dare, Gdeq Pasquotank and Perquimans Counties) Washington District 943 Washin4on Square Mall Washington, NC 27889 2s2-946-6481 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 Counti6) l lf indicated on front of permit, your proiect is subiect to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to it; lo;ation within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact rhe Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wif .ington n"gionalOffice (910-796-721 5) for more information on howto complywith these buffer rules' hnp://portal.ncdenr.orglweb/cm/dcm-home Revised 7/05/ I 7 River Basin Ru les Applicable To Your Proiect: Ir Tar- PamlicoRiver Basin Buffer Rules ]l Neuse River Basin Buffer Rules Other,--- ADJA. EN r R r pAr:X^ltlRi 8I""?t:Iftffiii,i&H-* D AIVER FORM Namo of propcrty O,vnen hn L, Address of property: I o (Lot or Street ,, Strc€t or Road,County) MailingAddr.ss: tk) Agent's Namo #: Agent's phon6 * I hereby c€rtify that I own pro appMng for this permt has de scdbed to me ag ghown onthoy e proposing.the attsched d rawing_tho development p6rty ad,i acenl to th€ above rafergnc6d property, Tho individual n I b'g$llels!ila this proposal. - I havc objcctiel5 6 rhis proposal. aha Olylrlon ol Cor.al Uan.gtr'nqtt (DCs) tathoald bt m.lld b I 27 C.n tn l Ottvl E t, Cottlfr.d tlail, (Pro Ownor I rmaUon (AdJace cgntrctd at (910)rger?t5. No r*tporla ts t Owner I nformatlon) LD+ { Joun k;oqTa hrBente L Print or TW Nema TGATL)De R U"-Lutf Pin t or fype Nam€ lo t"R,,tcposnrr l-*^tp, nr-E slr.".-Elot Mailing Addtass ,-J ncKsdl{tLLE il,a, ?ts70 -ai<-Uo,rr,rll-, NC Z6Ial> Mailing Address Cttyrsbblzip City6tite/Zii&tt t7l ?r,{.5a F b{A }o- Number fobphone Numbot /--4 -Zozo R'visod 6/1W012 Darc ;t*5-- )o >o Dal. 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