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
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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:
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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:
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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)
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Print or TW Nema
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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
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R'visod 6/1W012
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_ I do not wish to waiva the 15, sotback requirement
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