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Home My WebLink About45729_PLOUGH, GARY_20060612❑ CAMA , ❑ DREDGE & FILL A � �" IJ GENERAL PERMIT Previous permit# [-]New ❑Modification ❑Complete Reissue ❑Partial Reissue Date pr ious 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 Phone # O_ Authorized Agent Affected ❑ DW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax #( ) ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no Type of Project/ Activity Pier (dock) length Platt Finge Groin Bulk Basil Boat Boat Beac Othi Shor SAV: Sanc Mor Phoi Wain Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP ❑ ES ❑ PTS Phone # ( ) River Basin ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) Crit. Hab. yes / no Closest Maj. Wtr. Body (Scale: t/Ij ) orm(s) . . - r pier(s) - length number lead/ Riprap length 1 • (,. avg distance offshore max distance offshore L i ,channel cubic yards ramp -- louse/ Boatlift Bulldozing - r - 717 dine Length I not sure yes no -� gags: not sure yes no I ,torium: n/a yes no Ds: yes no _ er Attached: ves no A building permit may be required by: Notes/ Special Conditions r 4--k.4.1 1 �, ❑ See note on back regarding River Basin rules. 41) ilre _ , ,►{ UN 1 2 2006 Agent or Applicant Printed;Name Permit Officer's Signature Morehead City D `� Signature ** Please read compliance statement on back of permit ** — -� Issuing Date/ irat' n Date Application Fee(s) Check # Local PlanningJurisdiction Rover File Name A building permit may be required by: Notes/ Special Conditions r 4--k.4.1 1 �, ❑ See note on back regarding River Basin rules. 41) ilre _ , ,►{ UN 1 2 2006 Agent or Applicant Printed;Name Permit Officer's Signature Morehead City D `� Signature ** Please read compliance statement on back of permit ** — -� Issuing Date/ irat' n Date Application Fee(s) Check # Local PlanningJurisdiction Rover File Name r 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 [)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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Gary & Janet Plough Is (Name of Property Owner) property located at 147 Pond_ Dr. , Lots 39 & 40 Atl anti c Beach I sl es (Street Address, Lot, Block, Road, etc.) on Bogue Sound ,in Atlantic Beach N.C. (Waterbody) (Town and/or County) Fie/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 understan r/ oorin pilings/boatliftJboathouse must be set back a minimum distance of fifteen f r riparian access unless waived by me. I have indicated my intentions by inc I do not agree to waive the 15' setback requirement. JUN - 9 2006 (initials) . (initials) I do agree to waive the 15' setback requirement. Morehead City DCM 5-/ W - ------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) s-, -------------- ) ---------------------------------- IJ�' Signature Print or Type Name Telephone Number Date: DATE OF MESSAGE E'sz- la- [:]RETURNEDTELEPHONED YOUR CALL �S2(� PLEASE CALL WILL CALL AGAIN AME TO SEE YOU �irNFn i WANTS TO SEE YOU ',- 171M,4"J'ER COMPLETE THIS SECTION ON DELIVERY COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 if Restricted Delivery is desired. ❑ Agent ■ Print your name and address on the reverse X " ❑ Addressee ;. so that we can return the card to you. B. R eiv y P_nnted Name) C. Date of Delivery j ■ Attach this card to the back of the mailpiece, or on the front if space permits. D. 1. Article Addressed to: We r e is o s10411 s If `hMAY ? 2 2006 bmQCM �j Registered ❑ Return Receipt for Merchandise ! ^/ p Insured Mail o C.O.D. 4. Restricted Delivery? {Extra Fee) ❑ Yes 2. Article Number 7003 1680 0004 0776 6762 i (rransfer from service label) — PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 1 UNITED STATES POSTAL SERVICE RDOWY' 17 VIA`#` ZIM'Wit Fl-wl • Sender: Please print your name, address, and ZFT"Tthis box • J WL- �S'Af,21R: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: i 2. Article Number (Transfer from service label) A. Signature x �a B. Received by ( Printed Name) 22206 MAY 3. I rvice T � p j♦ Press Registe y% Retum ❑ Insured Mail 00.2, 4. Restricted Delivery? (Extra Fee) O Agent ❑ Addressee C. Date of Delivery i item 1? ❑ Ye No Op Mail �� IGI andise �.4 ❑ Yes 7003 1680 0004 0776 6755 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ;i1 UNITED STATES POSTAL SERVICE First -Class •Mail Postage & Fees Paid USPS Permit No. G-1 0 • Sender: Please print your name, address, and ZIP+4 in this box • 9 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Gary & Janet Plough IS (Name of Property Owner) property located at 147 Pond Dr., Lots 39 & 40 Atlantic Beach Isles (Street Address, Lot, Block, Road, etc.) on Bogue Sound ,m Atlantic Beach 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 (15') 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. (initials) I do agree to waive the 15' setback requirement. (initials) ------------------------------------------------------------------------------------------------------------------- I DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing develop ) MAY 2 2 2DO6 J / 0 lSignature �b Print or Type Name Telephone Number Date: CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIN-ISION OF COASTAI, ILANAGE_'v ENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION- AVAIVER FORM Name of individual applying for permit: Gary W P1 ou Address of property: 147 Pond Dr. (lot or street #, street or road) Atlantic Beach; Carteret County (city & county) I hereby certify that I own property. adjacent to the above referenced property. The individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the DivisionrU'al'`. Management, 400 Commerce Ave., Morehead City, NC 28557 or 8within IO days of receipt of this notice. No response is co �" objection if you have been notified by Certif ed Mail. p6 2 2� WAIVER SECTION read GN%Y W �OX B I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature Date Print Name Telephone Number With Area Code 66-90/53 � 7943 . Q,ink plough and T ough 6901 ------ O . O P.O. Box, 292 PH(252)726 p,'\TIF �rBG'� Atlantic Beach, NC 28512 PAY TO THE ORt2ER OP --- -- -- DOLLARS J�{�, •`III_ - --- back. ff not present. do not cash- - ' --j�`" �`, t � and lincwork. F . t Cltizcns Bank logo on e for, 5licro Print signature CITIZENS Py137 BANK' -.� TTp Flrsl-Citrzons 8 N C 28557 O�anY G -- In FOR - u 0 7 94 3 ,*so 5 31,00 300i:00 L 3 L 7 2O3 ___- _--__