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Home My WebLink About45276_ROSES, BRDUS_20060502�� ! J Cc( /1 C5 W ' ❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New []Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources 1 fp and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ��/ /5ro 'Rules attached. Applicant Name cn r%/icers. �c Y r , Project Location: County , Address v.'Ae L 0 Street Address/ State Road/ Lot #(s) City ��. �r .� 'r�fLi State It,6 ZIP ?]> r2- ;�i✓;� Phone # ax # ( ) Subdivision Authorized Agent City. L ZIP S 2 Affected [ICW 0 EW OTA El ES ElPTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no, PNA yes no Crit. Hab. yes / no Type of Project/ Activity Phone # (" '') 1 y'/- 03,? River Basin Lji1 Adj. Wtr. Body f''' : _ s (nat ma /unkn) Closest Maj. Wtr. Body �" c o -4✓ (Scale: Pier (dock) length Platf Finge Groin Bulk Basin Boat Boat Beac Othe Shor SAM Sand Mon Phot Wain orm(s) r pier(s) — — length 1 number headlength{� Ri raP li avg,disiance offshore max distance offshore r�, r -- -. `� . }'"�- `�rj •��•� SAC; -# c=k' channelv-41j I j .._._,—..- -- �z • C>!r erg. cubic yards �' � I � � _ _ � r .# t ram/ ramp K i9K - - - :_ I - Y ;qkl J house/ Boatlift In Bulldozinge — t-� --- O � dine Length-' d � I not sure yes no i t gags: not sure yes no torium: n/a yes �no ' Ds: yes (no er Attached: ves hio v A building permit may be required by: .41,A � �Veh.' J ❑ See note on back regarding River Basin rules. Notes/ Special Conditions �a +! / JUN l99� J ` �/gf?jx& . Y, Morehead C1 Signature Please read conSpliahce statement on back of permit Application Fee(s) Check # Permit Issuing- Tate Expiration Date Local Planning)urisdiction Rover File Name A building permit may be required by: .41,A � �Veh.' J ❑ See note on back regarding River Basin rules. Notes/ Special Conditions �a +! / JUN l99� J ` �/gf?jx& . Y, Morehead C1 Signature Please read conSpliahce statement on back of permit Application Fee(s) Check # Permit Issuing- Tate Expiration Date Local Planning)urisdiction Rover File Name I 4 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: [l Tar - Pamlico River Basin Buffer Rules U 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 s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to -896's (Name of Property Owner) t� property located at (Street Address, Lot, Block, Road, etc.) on C , in TL U12C, 6ZX61 , 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) ----------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To c be filled in by individual roposing development) �: -- c> O b SF✓`f Gv�¢LL lv/H �1FGc% �b Ex /S�/N 6 SEA ui,�cL 'DY2Ca5t 130T 4/Fy �Emov� Couc�[-�£ Ex 15-11a '& e -� Signat e OC Print or(Type Name (// f -,'�76 -- Ali) /- Telephone Number 25 . _ 7,2 Date: e D. /«4-e '� T/f 7-Y EkiSt/u Aelv SEAS,41L OL -� Z�1� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to _��G5'�15� `s (Name of Property Owner) property located at 1 Y �MIV- m — (Street Address, Lot, Block, Road, etc.) Oil in 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/boatliftlboathouse 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. I do agree to waive the 15' setback requirement. (im ials} GU� ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) J Exf51:#6 .5cA vim PCMrg CducV-e7t" -1�4h?f Print or Type Name Telephone Number Date: 4 / - d BROADUS S. ROSE, JR. SOUTH CAROLINA ACCOUNT LIC.3436151 PH:252-247-7638 125 BAYVIEW BLVD: ATLANTIC BEACH, NC 28512 DATE (�~ 3944 66-112/531 PAYTo THE 1 f� �► $ ��' ORDER OF KJ C t s DOLLARS El BBUBranch BCompanyNP tE -- FOR 118003944n' i:053101121t:511826503511r 4