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Home My WebLink About31640_ROTHROCK, RON_20020517[ �CAMA DREDGE & FILL GENERAL PERMIT Previous permit # F-INew DModification -Complete Reissue ElPartial 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 15A NCAC ❑ Rules attached. Applicant Name Project Location: County_ Address Street Address/ State Road/ Lot #(s) City State zip Phone # Fax # Subdivision Authorized Agent City ZIP Affected 0 Cw [-1 EW 0 PTA Fj ES L-1 PTS Phone# River Basin AEC(s): E OEA HHF E IH ❑I UBA i--, N/A Adj. Wtr. Body (nat /man Pws: FC: ORW: yes / no PNA yes no Crit. Halb. yes no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length Platform(s). Finger pier(s) Groin length number Bulkhead/ Riprap length I J. i avg distance offshore max distance offshore Basin, channel -km cubic yards Boat ramp Boathouse/,Boatlift t Beach Bulldozing Other t Shoreline Length SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes.. no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions i /1 7 /. I / , /r , Agent ?r Applicant PriedName 7 Signature "Please read compliance statement on backof permit" Application Fee(s) Check# — See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Ekpiration Date Local Planning] urisdiction 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, 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 ❑ 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 If 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) Revised 10/C EXPLANATION AMOUNT EASTERN GATEWAY REALTY, INC MARY G. HILL NCDL 2000506 535 HWY 70 BETTIE 252-728-7790 BEAUFORT, NC 28516 12238 66-152/531 H16A PAY AMOUNT �/ DOLLARS I se aan as ,as LtJ 'c�a a OF HECCHECK AMOUNT DATE TO THE ORDER OF DESCRIPTION UMBEa TV c' t V DF0091 WACHOVIA BANK, N.A. MOREHEAD CITY, NG 28557 112012 23811' 1:0531015291: AUTHORIZED SIGNATURE 5461 080039i AP 25 2 D 0 2, 1 43PM i N o - 217 a° 'P 3/ 3 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) T hereby certify that z awn pxoPerty adjacent to Name�s property located at vn 7�S 19 11�b C - (dot, Rlock, Road, etctc..) on �(Wate� in ` 1 `�- N.C. r Body) (Town and/or county) ' Re has described to me as shown below the development he is Proposing at that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive that setback requirement. as wish to waive that setback recrdizement. PTLZDescription and/or drawing of pzoposed development: (TO BE � IN BY INDIVTMAI. PROPOSING DEEVLIApHaq`Z) o tV f w o'z 40 �reu- '6 Signature �( Phone Number cr� \1 . I Iu ADJA RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify that I own property adjacent to Name - located at 4QC) --s� w \--,,, I property on (LUL, biock, Road, etc.) CcnsZ �� in �� `� N.C. (Water Body) (Town and/or County) He has described to me as shown below the development he is Proposing at that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. _ I do not wish to waive that setback requirement. _ I do wish to waive that setback requirement. .'_749I • us )9 1-776" Description and/or drawing of proposed development: (ice BE FILLED IN BY -INDIVIDUAL PROPOSING DEVELOPMENT) To ST2 v.f QC Dw^( �• �w P A l �gnature lo- �Oone Q Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify that I own property adjacent to Namev y 's property located at u5 lq !�7`1(j i 7`�q 1 • (Lot, Block, Road, etc.) on .e_ , N.C. (Water Body) (Town and/or County) He has described to me as shown below the development he is proposing at that location and I have no objections to his proposal. I understand that a pier must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. _ do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILL IN BY INDIVIDUAL PROPOSING DEVELOPMENT) TO az S�R.ow UU C�Q w �i✓ • t a nature /t \� Name Phone Number �OJI