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Home My WebLink About32842_RADY, TOM_20020918-1,CAMA / rJ DREDGE & FILL c'- 3 N 8 4 2 GENERAL PERMIT��7 C. Previous permit # i]New E-Modification IJComplete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name Address (a ( City State ZIP Phone # (-)� r Fax # O Authorized Agent Affected D CW D EW 171 PTA ❑ ES [IPTS AEC(s): i- OEA ❑ HHF ❑ IH ❑ USA ❑ N/A PWS: I FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County______________ Street Address/ State Road/ Lot #(s) Subdivision City Phone # ( _ ) Adj. Wtr. Body _— Closest Maj. Wtr. Body ZIP River Basin (nat /man /unkn) WM '.160al BMW H M. :.. ■■■■■■■■■■�■■■■■■■■ ■■■■■■■■■■■■�■■■■■MM ■■■ Won ■■■_■■■■■■■■■■■■■■■■■mom No MININIME ■II 1 i�IK■■E■■■■■M■■■■■ ■■■ ■■E�I 1 �!!■ r■■■■■■■■■ ■■■■■■M. ■■■■�■ ■ ■ r■■■ .■■■.�...■..: �..■.■■■■■....■...■ ■ �■ �:: I■ ■ I ■ ■v■ :: ■■■N ■■■■■■■■■■■■ lmmWommo■■■■ ■■■■■■■■■■■■■■■■W ■■■■■■■■■■■■■ MOM� ■■ ■0'�■■!■1W■■■OMME ■ ■■■ .. . _. .. NM ■■■I�i�i �1n1lt■�I�r�. .. Agent or Applicant Printed tame Permit O f cer'i Signature Signature Please read compliance statement on back of permit" Issuing 4ate Expiration Date ApplicationFee(s) Check# Local Planning Jurisdiction Rover File Name 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, 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 Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastaimanagement.net Revised 10/05/01 DEREK S SMITH (DBA) NCDL 7836496 2629 BOGUE BANKS MARINE CONST 800 NORTH GATE RD PH 252-247-4428 j // 66-152/531 CC -2'_ MOREHEAD CITY, NC 28557 �( ate BRANCH 88128 Pay 7o The - Q va Order Of Dollars - A�CH�V1A Wachovia But N.A. NI—h-d City, N 28557 COS3161529' 546L LL32L411' 2629 O HARLAND 20 ADJACEIN—F RUPARLAN PROPERTY OWNER STATEN ENT (FOR A PIER/MOORING PILINGS/BOATLIFP/BOATHOUSE) I hereby certify that I own property adjacent to 0M DEG.-o'[ 's / (Name of Property caner) PmPe:ty located at c 6 o c't wezeIf" W Gj {-- (Lot. Block, Road, etc.) on Cd It cy C-Qe lc , in IA4 OUJ'44 , N.C. (Waterbody) (Town and/or C nty) He has described to me, as shlown below, the development he is proposing a_ t`.a- location, and, I have no objections to his proposal. I understand that a ptrimoor-.nQ pdin gs/boadift/boathouse must be set back a minimum distance of fifteen feet (157) f_ —:n my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I d�2 wish to waive that setback recuire.nent. DESCRIPTION AND/OR DRAWLtiG OF PROPOSED DEVEL OP.NrE",-T: (To be filled in by i gividual proposin; development) ?6 Signature sr� � Ant or Type Name x IZ Telephone Number - Date 700 21- ADJACEIN'T RIEPARLAN PROPERTY OWNER STATE-N E'�-T (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to OM Qas 's (Name of Property caner) property located at (Lot. Block, Road, etc.) on eO (r�C� , in Aov ek°al (-1 C , N.C. (Waterbody) (Town and/or ounty) He has described to me, as s1hown below, the development he is proposing at t .a_ location, and, I have no objections to his proposal. I understand that a pit-7/mooring pilings/boadift/boathouse must be se: back a minimum distance of fifteen feet (15 `) f_Om my area of riparian access unless waived by me. I do not wish to waive the setback reeuirement. I d-Q wish to waive tr.at setback recuire rent. DESCRIPTION AND/OR DRAWLN- G OF PROPOSED DEVELOPMENT: : (To be filled in by individual proposing development) 0 e� T �-- Zv --a /2 6 1" 1' Z �G x l Z ,G zx y 10E r 13 0t !, F f- 23� t 72 L, - -F _ Si_. azure sl 7 4 f f dc A2111VIZW2 Print or Type Name ( ZS. Z) ;—;;' kip - / Te'ephone Number Date: c= �-