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Home My WebLink About45242_O'CONOR, TOM_20060510t ❑CAMA / ❑DREDGE &FILL � 242 GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete 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 15A NCAC ❑ Rules attached. Applicant Name Address City State ZIP Phone # ( ) Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Agent or Applicant Printed Name Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Permit Officer's Signature Signature "Please read compliance statemton a enCM Issuing Date ApplicationFee(s) Check# Local Planning Jurisdiction Expiration Date Rover File Name c T • 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 (910-796-7215) 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to vC4 f' 1)'Jk N-'J�,P'S (Name of Property Owner) properly located at (Lot, Block, , etc.) on __ y S ftn), L , in PAC cJ �� W-�, N.C. (�� atcrbody) (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 (its proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT Jb Y (To be filled in by individual proposing development) city, lDbt ODD J3vL�p1t/�� ----------------------------------------"('1-5-c ----------- -- - -------------------------- -------- Sig ature Print or Type Name 0\ra Zt2 C`I 5-0 t vS Telephone Number Date: '(-'3 1 L y l-- f ADJACENT RIPARIAN PROPERTY ONNINER STATEMENT I hereby certify that I own property adjacent to �� V64f.AJk ()Cy ^ v P, s (Name of Property Owner) property located at +! (Lot, Block, o, d, et.c.) on 1 3 Cr�)C. L , in 1✓ e S � �'1►Y r� N.C. ( �, aterbody) (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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be felled in by individual proposing development) T�J (661 DLD &'Ite-N�A 0 Signature //�-'A-/ I\/a 64%-+IA �c Print or Type Name Telephone Number Date:�- MW-9,3-2005 MON 09:06 AM NO DIV OF COASTAL MGMNT FAX NO, 4 AI)JACENI" RRIARIAN PROPERTY OWNER STATENIENI' (FOR A PIER/MOORING PII,I4VOSIB19ATlIE2%IIOATIIOUSE) I hereby certify that I owil l.)rgorty adjacent to, o -k ` (Name of Property Owner) pro'Nrty I(Ka;ted at �� L-f-I 1 O t (Lot, )dock, Rua , etc,) 1 q �`- ke" a �1 S tl�'v �rr� { ; N „C. (Walerbody) (Town and/or County). I-te leas &escrib d to me, as shown below, the development he.is proposing at that locati,,)n, and, I have, no objections to his proposal. I understand that a pierlmooving pilint;s/Uu;ltlififb�,ilhort,c: iljust bo s(t back a mininlulln distance of fifteeil feet (151) f , nn my �,r or ril;arion access unless waived l)y iIle, �?. A—I_dt.ttiI.t wish to waive the setback requirement. 19 I.09 wish to waive that setback requirement. r /41 ---.._.----------v----------------------- Qk DESCRIPTION AND OR DRAWIN(T OF PROPOSED DEVELOPMENT: ;.. (To be fillyd in by individual proposing development) V `16�. a C 1VD` Signaturc Print or Type Name Telephone Number Date: _ fk, q le 5 T iini-CJ-LUU� FUN M U6 AM NO DIV OF COASTAL MGMNT FAX N0, 4 F 01 ADJACENT RU'ARIAN PROPERTY ONVNTR STATENTEN-' (FOR A I'IE IAWRING PIr,!NGSIB0/1 TC Fp yoATIJOUSE) I hereby certify that T owl, property adjacent to ,M A j of PI-QN11-ty Owner) C Oil � (f,ot, dock, J ! 1 ---in- Ovaler-body) a �t✓�rrc , N C. (�'4W11 F►r�cl/pr �'.ouiity) nncl, He has dc-.sccritkd to n,e, as shown below, the development he is proposing at that lacatil�n, l no objections to his proposal. I understand that a pier/mooc;ng Piling;s/b�;ltliftll}ori!lion.sG rrurst I)G &4 back a niirlimum distance of fifteen feet (15') from my a',ca ofr'il��ti�m access Unless tvztived by rt]C, -- .bN.t wish to waive the setback recluirerttent. TOP wish to waive that setback_ requircmlent. ------------------------------------ --------= --------DS(hIhTILd �Tnl01DRAWIG OF PROPOSED DEVELOPM-E � (7'0 bflyd in by individual proposing (Ievelopment) • _ f 904 }W ----------------- Ign Print. or Type Name `1 I. ct 2 l 2( 1 s-u Telephone Number Date: �B 12- 'j- / z) HAS A-CRO-PRTNT AMOUNT BOX AND 11 CC) gemc f"v ` . , ISSUING ENT PAY THE 4 in ORDERR OF j-4 NOT GOOD 4llJJPU CHASER, HA,-SIG OVER Co PURCHASER, BY SIGN NG YOUA GR E TO THEOTERMS ON THnATE REVERSE SIDE CD lil �a y� co MONEY ORDER ADDRESS / GIFT CERTIFICATE: RECIPIENT Payable TAru WF National Bank SOW Central fa ABSENCE OF THESE FEATURE,$ W,p.,L TNQICAIE A CQpy o a - n aull MN ISSUER/DRAWER: TRAVELERS EXPRESS COMPANY, INC. 1:09 1900 5 3 31:480 6 74 2,5 7 36u, 90