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Home My WebLink About43540_MONROE, MIKE & SALLY_20051110GCAMA / I i DREDGE & FILL • , rT GENERAL PERMIT Previous permit # 101`4ew ❑Modification CComplete Reissue ]Partial Reissue Date previous permit i ued 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 t El Rules attached. Applicant Name J ' r.� ?` Project Location: County Address �"��``�" �` fug r2pr Street Address/ State Road/ Lot #(s) City State� / ` c ZIPa 8' �l ., ' Phone # (�� ) '(,�i f - ��'f Fax # O Subdivision Authorized Agent City t'Ir�i' ZIP Cw SEW [-v"?TA ❑ES ❑PTS Phone # ( ) _ River Basin Affected - i OEA ElHHF ElIH ❑ UBA El N/A .. � f AEC(s): Adj. Wtr. Body �' (nat /man /unkn) _� PWS: ❑FC: ORW: yes / no PNA yes /(no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore_ ___ max distance offshore Basin, channel cubic yards __ Boat ramp Boathouse/ Boatlift ' 'j Beach Bulldozing 1 Other Shoreline Length -^ SAM not sure yes no Sandbags: not sure yes (no Moratorium: n/a yes bo Photos: yes no Waiver Attached: yes• no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit ** Application Fee(s) Check # (Scale: ) - See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date Local PlanningJurisdiction 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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 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) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 t ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIE"IOORLYG PILLYGSIB OA TLIFTIB OA THO USE) I hereby certify that I own property adjacent to && " v�, t7�Zt / ,410,y1C01= 'S (Name of PropertN- OiNner) property located at 92z% ,WREely /Ez_f� 2b (Lot, Block, Road, etc.) on &wx �C/�'�i� ,in A1C-2je_JT7_ N.C. (Waterbody) (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/mooring pilings'boatlift/boathoLise 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 the setback requirement. I do wish to waive that setback requirement. — q -------------------------------------------------------------------------------------------------------- DESCRIPTION' AND/OR DR LAVING OF -PROPOSED DEVELOPMENT: (To be filled in br iiidii;idiral proposing dei,elopnient) Meo2� -----------------------------------------------------------X�S_i_annatffe - ----------------------------------------------- 1-4() C'J��j==l(��s Print or Type Frame s z 7 q s —_3 3 S� Telephone Number i Date: c 2 S-- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIA100RLVG PILINGS/BOA TLIFTIB OA THO USE) I hereby certify that I own property adjacent to /Itoi. 'i ,S /✓/j��' 's (Name of Properrh Owner) property located at E-2`/ 414IR121VY F� RDAA (Lot, Blocl:, Roacl, etc.) Oil �� y l/�f� , in /t/%�A�k/ TT N.C. (Waterbody) (Torn 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/mooring pilings'boatliftlboathouse 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 the setback requirement. 1' I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in Gv individual p)-oposin developnnent) r � i Lim, (� 13Ay .1 MDoP,\,V Cf J T-k V E �Z ' r B Z L1 I ------------------------------------------------------------------------------------------------------------------- Signature 1D 1D1q, I s , Print or Type Frame Telephone Number Date: PIP —/F—yj MICHAEL MONROE 4399 SALLY S MONROE 824 MURPHY FARM RD 64-22/610 MERRITT, NC 28556 %� BRANCH / �b✓l/ ° �. N�� s BRANCH 77252 Date Order of / ✓ 1 J i" A ([ Dollars mg WACI�OVIA n Wachovia Bank, N.A. For- CA,M 1:0610002271:100006472294111' 4399