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Home My WebLink About50762_SULLIVAN, MATT_200805141:3CAMA / ❑ DREDGE & FILL ^^ n n ��`'2 `GENERAL PERMIT ��'Iv�' permit ermit# ' t C New ❑Modification El 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 I SA NCAC O Rules attached. Applicant Name i _ .F , ! , ✓,' t_ f Project Location: County Address +, _, (:1;; `t.t!_ . Street Address/ State Road/ Lot #(s) City i State `'�.,. ZIP r7 Phone # O D.Eax # (!) Subdivision Authorized Agent City ZIP Affected El ❑ Ew El ❑ ES El Phone # ( ) River Basin ElOEA ElHHF ❑ IH ❑ USA [I N/A j AEC(s): Adj. Wtr. Body i P i ( i (Kt /man /unkn) ❑ PWS: ❑FC: ( y, ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length � �(j � � Platform(s) Finger piers) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channelT,i cubic yards Boat ramp ` Boathouse/, Boafl ft } X T Beach Bulldozing Other I _ __ _ __ _.. __ -- ti i — I � � I Shoreline Length t ; I SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no I Photos: yes no Waiver Attached: yes no A building permit may be required by: ) ` I I ! !� Notes/ Special Conditions i I ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature Please read compliance statement on back of Application Fee(s) Permit Officer's Signature R— ermit ** Issuing Date Expiriti& Date 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 ❑ 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 Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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) 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 08/09/06 c Akulfew P. Sullivan 66-30/531 1667 Susan 13. Sulllvalf I l 1702 ,Cars ,CaFfe Aforehead city, NC 28557 PAYER OF IT - ORDER OROF N C Dr=, N $ aoc),-j ix>i iARs 8 First Citizens Bank tirstcitizens.com FOR tA) 1:053 L003001:00 L3 L7497670il 0 L667 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT • (FOR A PIE"1OORLVG PILINGSIBOATLIFT/BOATHOUSE) be i I hereby certify that I own property adjacent to (a i i J 0_'s (Name of Property Owner) property located at l � � t-- 0 1 -� L'A W�Z- z (1 N 14 (f (Lot, Block, Road, etc.) on _Cet L uCA ( l ) in M 1 f�-- ke cl C l , N.C. (Waterbody) (Town and/or Count He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area o waived by me. I do not wish to waive the setback requirement. , YR 16 ZOOS I do wish to waive that setback requirement. Morehead CAY 0CM ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ---------------------------------------------------- (Applicant Information) ( --'� o 2-- �--\D(,) 61-4oA Mailing Address City/State/Zip '2 6 cl 2, 1 Telephone Number I. l q0 Date � CApJAI V L - v- .------------------------------------------------------------------ (Riparian Propert , Owncr Information) SignattLire J�JNaI�L��SV`arvc�� Print or Type Name 2-52-) 7267g33 Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT • (FOR A PIER1?V1OORLVG PILLVGSIBOATLIFT/BOATHOUSE) f I hereby certify that I own property adjacent to 0 Q +?- "I ] t d G(n 's (Name of Property Owner) property located at t T 0 L l— � I J L- 6 Wg , 1 e W / �,(}- JZ 1 4C / (Lot, Block, Road, etc.) on aUf 5) C LAAO 1 , in N e l e- i/-a N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his 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 rip V #� waived by me. I do not wish to waive the setback requirement. ;APR g 6 2008 I do wish to waive that setback requirement. Morehead City 0CM ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filler! in �y,individual proposing developittent) (Applicant Information) Mading Address tom- d r J c G 26 ity/Statelzip rj�- 2' � 0 U 2 2 elephonc Nimber Date ------------------------------------------------------- (Riparian P rty wncr Info ation) Print or Type Nut 2 5 )- -- "7 Z 6_- 3 4 Telephone Number Number Date / i/