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Home My WebLink About45249_PASELS, RUSSELL_20060515El CA Pw'4A-'/ U-1 DREDGE & FILL 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 %` " ill? J Project Location: County Address City S f " State ZIP Phone # O ' r Fax # O Authorized Agent Affected El CW ❑ EW 0 PTA EMS 0 PTS AEC(s): OEA ❑ HHF ❑ IH O UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes /6nd Crit. Hab. yes ! no Type of Project/ Activity Pier (dock) length Platform(s) Finger piers) Groin length number - Bulkhead/ Riprap length_ avg distance offshore - max distance offshore_ Basin. channel cubic yards Boat ramp Boathouse/ Boatli�t F /' Beach Bulldozing ` Other Shoreline Length > r SAV. not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no Street Address/ State Road/ Lot #(s) 152 9 Subdivision City_ ` ZIP Phone # O River Basin .t Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale: A; ) -- - I i - - —i � — -- —�-T L ' I I r I I -— - _ A building permit may be required by: Notes/ Special Conditions ❑ See note on back regarding River Basin rules. Agent or App [cant. Printed Name ( �J1 H ' Permit Officer's Signature .,�` �, � Signature' ** Please read compliance statement on y�claf�% Issuing Date Expiration Date J-103 0J rrV1lJ - i ��)j Application Fee(s) Check # Local Planninglurisdiction Rover File Name i 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 r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOAI'LIFTIBOAT'HOU.SE) I hereby certify that I own property adjacent to/� i Na vSt ( me of Property Owner n PP property located at ��% `ii?dd/1rJIT19c. .► 7(i� d (Street Address, Lot, Block, Road, etc.) Morehead on �T.vr ,4�oi/ 6( Tec a�L_., in_ 7.Ive A -/use// Sho.r�J N.C. (Waterbody) (Town and/or County) . He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (I T) from my area of riparian access unless waived by me. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (in:tials) I do agree to waive the 15' setback requirement. (initials) ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: /30 A 7 G -7 FT- (To be filled in by individual proposing development) �pcLrrr --Q O �v. f L_ XtS7�n 6 Doe- le I I SoI G+r757-r.✓4 13L,41e. .,,J ------------ l� ------------ `�o , C Le or c- .c/— Ty- - Print or Type Name Telephone Number Number Date: � (` -0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOA 7 LIFTIBOA 7 HO US F,) I hereby certify that I own property adjacent to ass'n-Z'/ �Is (Name of Property Owner) property located at _ .�`I% A1218':P4�f-%.-Fc -/ (Street Address, Lot, Block, Road, etc.) on ileac. r�,ain Tie h'�✓d�r_ Sho.r�s N.C. 4 ^ (Waterbody) (Town and/or County) He/she has described to me, as shown below, the development he/she is pro location and I have no objections to this proposal. I understand that a iL, ; pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (I T) from my area oo riparian access unless waived by me. I have indicated my intentions by initialAg below: I do not agree to waive the 15' setback requirement. (initials) �tr I do agree to waive the 15' setback requirement... (initials) `fir ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: �oA -7,r7 (To be filled in by individual proposing development) 1 I � s` G��p 0 0 q ot PRoPcs06 Lzir )--- .0. 0 �a• 6 L) -- Telephone Nu ber Date: G/ RUSSELL F. PAGELS 0&-04 BARBARA 1 • PAGELS 300 PINE KNOLL CIR. ATLANTIC BEACH, NC 28512-6812 283 C 66-19153 201 D ate Pay to the 8 p order of Dollars li'`tJ Ban of Am a Ad antage° ankof AMerical ems ACH RIT 0530009'1+�961 For �a0 5 3000 b q 6t: 000 6 5 2 �. 380 7 5��' 0 28 3