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Home My WebLink About43622_POOLE, LOUIS_20051229uCAMA / D DREDGE & FILL rv"� GENP-RAL PERMIT Previous # ,�� permit LA%ew ❑Modification Complete Reissue DPartial Reissue Date previous permit issueO,, 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 I SA NCAC / f ' ` ]Rules atta ed. Applicant Name `�' ` `'' Project Location: County_ Address �' �" r`' f Street Address/ State Road/ Lot #(s) City-- State �ZIPf Phone # (r`) ti d� y'1\/ Fax # (�) Subdivision r _ Authorized Agent'} f ,. ,, City— ZIP_J ElCW Eli� EW ❑ PTA ES ElPTS Affected Phone # () River Basin ❑ OEA ❑ HHF ❑ 1H ❑ USA ❑ N/A AEC(s): iV/ �, ? Adj. Wtr. Body / _ (nat /-an /unkn) ❑ PWS: ❑FC: Closest Maj. Wtr. Body k£'� . --__----__ ORW: yes / no PNA yes / no)Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s)_ Groin length number Bulkhead/ Riprap length-__- avg distance offshore max distance offshore t' . Basin, channel - cubic yards Boat ramp _-_ - Boathouse/ Boatlift Beach Bulldozing Other 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 Agent or Applicant Printed Name Signatur ** Please read compliance statement on back of permit Application Fee(s) Check # (Scale: ) See note on back regarding River Basin rules. Permit fficertsSignature Issuing Date Expiration Date JM Local Planning Jurisdiction 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, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: j Tar - Pamlico River Basin Buffer Rules j j 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/ 1-888ARCOAST 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 oj' rj\MR STATEMENT Ceb • certif • that I own property adjacent to -- T he } ) Game of Property owner) ' Pro �}(Lot, Lock, Road, etc.) N.C. on ; :�� yaterbod,�) ) (Town and/or CO ty) (V He has described to me as show .n belov": end, Z have no objections to his proposal. the development he is proposing at that location, DESCRIPTION AI\T-D/OR DRA'4VING• OF pR0 POS pD DIZ EVELOPENT (To be filled in by individual prop g f icnatu re Print or T}'p-- NLMe Cj car- 4 1'7- -- Telepho, e Number xDate: I`� I215 _ — —29- ADJACENT RIPARIAN PROPERTY.' O�'STTER STATEMENT I hereby certify that I 0,n property adjacent to �� dame of roperty Owner) 2t Property located al ) : t� lock, Road, etc.) in�1��-- - ;-. 2aN.C. on (Town and/or County) (VYaterbod}•) Pie has described to me as shotiti.n below, 211d, . I have no objections to his proposal, the development he is proposing at that location, DESCRIPTION AND/OR DRAWING Off' PROPOSED DEVELOP' �4'ST (To be filled in by individual propos g OP 0f1 .445 —29- 11 r i/�iI14 1-na,ure Vi d�'1 Print aSkp Ne. Telepho:te 'umber bate: �s — PHILLIP E: WILLIS NCDL3092090 '` ; %� , ,,�, ,. ; ,\ ,� h, 11073 J. DAVID VVILLIS NCDL 6205237 / \ /531 DBA WILLIS TRUCKING'AND`LAND DEVELOPMENT Z—Zq —pS tl� 66-3047I 22215-NC55 HVJY .(262)249-2877(2b2)249-0313 s Date i `< ORIENTAi. NO 28571' /.! Pay tothe jd ,; ,V ca Order o£ FIRS i' CITIZENS BANK n a w rY�- first-Citiza s Bank &Trust Gomparry LK'F1_I'r K Bayt o; N.0 2H515 .firstcitizens.cotn l 3� - AP at — For 1: 0 5 3 L O D. 3 0 01: 0 0 4 7 110 2 3. 7 4 9 u■ L L O? GUAM"SAFFn eiue WD5L