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Home My WebLink About47364_RENDROE, MERION_20060720LiIao '❑ CAMAR / DREDGE & FILL GENERAL PERMIT Previous p rit # ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previbu� 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 CityState ZIP Phone # O Fax # O Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑,oEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Mai. Wtr. Body Type of Project/ Activity (Scale: -- I Pier (dock) length Platform(s) r Finger piers) Groin length number - Bulkhead/ Riprap length av distance offshore I I g max distance offshore Basin, channel cubic yards Boat ram P Boathouse/ Boatlift — Beach Bulldozing ! I ! Other jI I l i i Vl 'I ! � ! •I I I I i ! ! 7-77 Shoreline Length SAV. 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: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions ,agent or Applicant Printed Name OCT - 4 2006 Signature Please read compliance M Permit Officer's Signature Issuing Date Expiration Date V Application Fee(s) Check*` 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: ❑ Tar- Pamlico River Basin Buffer Rules [_I Other: iII 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 OW (FOR A PIE, RIUN i--0 Y—ERED BOAT LILF7) I hereby c-c!,-iffy that T own properr, y adj'actnt to 20-6?-Ae--i (NILMe Of Property Omer) property locateA at 7'�Ilz /S (Lot, Block, Road, etc.) on NWAL -ID '�C(n-t(f 60 Vf\!) , Ln cf(q-�t ((- + r&tr\ k-14. (Waterbody) (Town aiadiorPuutli)' He has desc.Jbe�d to me, as shown below, the dev--Iopr'pent he is proposing at th; I location, and, I nave no objecLions to his proposal. I understand Ghat a pier/uncovered boat 1,1* must be sett back a minimum distant t of Fi iilen icrt (15 01 rIT);Lnan ac-C--sss ljrlje.s waived by me. I do riot wish to waive the setback re IrCmellll. I do w-ish to waive that setback re-GuLrement. DESCR=01N A-N-D/OR DRANVENG OF PR SLD:DEVELOP-IYMNT, : . M (To be fUed in by iadiYfdu--JPr(7'P0 V= it f zuub MO reheact City DCM i Print or Type i,iani e 10021b - 4-5q -: 19 & 7 T-clephont-, Number Date: 0�) mil~ b ��1 `. • ! �(Y l S__j_ L A i! i 1 �1 T_) �� OWNER l � )Ij�R P', � I-FE '�__�1 � .1. (FO:V A PIER/UNCOVERED BOAT LIL I hereby certify that I own propemy adjacent to MP',pbt-I Li (?`dime of Property Owner) property located at __q3A - -5 �lbSD (Lot, Block, Road, etc.) on KT- (Waterbody) (Town and/ ri County) He has desc,-ibcd to me, as shown below, the developrhent he is proposing at tf; location, and, I have no obje~rions to his proposal. I understand chat a pier/uncovered boat Li must be set back a minimum distance of fir -Lean fit (15') from my jaiea or riparian ac:, ss urn_[es waived by me. I do riot wish to waive the setback requir-ement. I do -wish to waive that setback requirement. DESCR.IP1 Oi A_ND/OR DRAWTvG OF PROPOSLD:DEVELOPNLC.'Ii_T: (To be fdIed in by individual proposing devell ment) y7 'ig'�"4152 po j.l JUL 1 12006 11101ehead City pCM -------- ------- --�------------------------------- �- mksrl,46w0�- Signature Print or Type Name 22 - �3 Telephone Number Date: 20 Wt4nc ll 2L1p ,&&, - rm,�o cl? ac- �14\wv, Z�-- 0 [�) �:;, � - 3 �, t. 7 THE FRONT OF THE DOCUMENT HAS A MICRO PRINT AMOUNT BOX AND THERMOCHROMIC. ISSUING AGENT - • • • • MoneyGram. ��/(��Money Orders •VeVIC f0l- C�B�W INTERNATIONAL MONEY ORDER V co 00 PAY TO THE ORDER OF:/ v� PAGAR ALA T< ORDEN DE: ► � I N IMPORT PURCHASER; SIGNER PURCHASER, BY SIGNING YOU = � -- MONEY ORDER: Aul BEFORE CASHING FIRMA DEL Payable Through ISSUER/D AWER� ' WF National Bank MONEYGRAM PAYMENT SYSTEMS, INC. South. Central - iN3rlbault. MN ABSENCE OF THESE FEATURES WILL INDICATE A COPY. 75'S3 919 ♦ ♦ PAY ONLY THIS AMOUNT V V", I TO AUTHENTICATE F{VB,CIRCLE ,PARA AUTENTICAR RESTREGAR EL CIRCULO 1:09L9005331:489 61248622111 90