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Home My WebLink About51871_TANTUM, JOHN E_20071121O _ S� iJ CAMA / ❑ DREDGE & FILL, i GENERAL PERMIT Previous permit# ❑N,vv ❑Modification ❑Complete Reissue El Partial Reissue ","*lDate 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 15A NCAC _ [ ]'Rules attached. Applicant Name ;� C� ; ! C t J �' Project Location: County Address -i - >' i' ?• Street Address/ State Road/ Lot #(s) City State ZIP Phone # O ?' Fax # O Subdivision Authorized Agent City ZIP ►� }'� �'1_ i� ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # (,) River Basinv Affected AEC(s): ❑ OEA ❑ HHF ElIH ElUBA El N/A Adj. Wtr. Body { ❑ PWS: ElFC: nat (man /unkn) ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ) _. M. !'kJam� �� ■ 14 ■■■■■■■: ■. C� ■ ■1�■■REMN■[Iiii■MEN MIMMEMEEMMEMIN■■■■ ■■■:c7■■■■■■ ■■Ww1L1'w!N■0= A■SO ■■E 0.91N i■ ■iRoom ■■■■■■0M ■■®■L►911 ■mil■■■■■■■■■■■ V�0 N E No No MEN NEW MENtH .1 M■■■■11IM■■■■■■■■■■MEN ,NN�N►�ifl��l■■iF�►7■■DJ■�■■■�■��■■■ I��.■■r[>rri��l G ■■■��i■■�■�■■■ ■ �1�a■■l�■■Il■'■■�!!�■■'�/■■■■■■■■■■ 1EWMIEMMMEM■■ ■■■�■■■��■■■■■■.. ■■■ ■■■■■■■■■■■■■■ . ■.■■■■■■■■■.■■■■■■■MEME■■■■■■�■■ '■■■■■■■■■■■■■■■■ ■■■■■■■ ■■■■■■■ ■■ Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature i Issuing Date Expiration Date 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, certifythatthis 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 howto complywith these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 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) 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) ` 1 hereby certify that I own property adjacent to 77- -;o' � s2 & 7"// (Name of Property Owner or Applicant) 47 `� ! Mailing address if different from location address Lock— C- C c, ?o , —F Z I 1 . (town, state and zip) cf-a.' ' ''\C-- aa- s" s -F phone numbers you can be reached a property located at Goo (Lot, Block, Road, etc.) on Gov CA-Le-c�- in N.C. (Waterbody) (Town and/or County) He has described to me, as shown belov�,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 aria of riparian access unless A. waived by me.` : 41 4146"o I do not wish to waive the setback requirement. 0 C T 3 0 2007 initials ✓�� I do wish to waive that setback requirement. Morehead City DEM initials -----------------------------------------------------------=------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To befilled in by individual proposing development) Signaturet/ a�(v� rint or Typ ame Telephone Number Date:) 0 - 10 ' 0 .._._.._.............t.,.....,,.............r-/D......:,oIA nTA!'T:XTMTOA DTA -A F .. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) 1 hereby certify that I own property adjacent to' o" c�--, �iR-vt_ v � s (Name of Property Owner or Applicant) Mailing address if different from location address Goo— 31. k . �C- S� (town, state and zip) Ce��n �1 0 ; ...-t- phone numbers you can be reached property located at 19U Co oolp Ce e.e k Rt.&-JL. , (Lot, Block, Road, etc.) on Go o.� e- C-Le-e-�'— , in eci �� a , N.C. (Waterbody) (Town and/or County) He has described to me, as shown belovithe 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 riparian access unless waived by me. I do not wish to waive the setback requirement. initials t/ I do wish to waive that setback requirement. initials 91OCT 3 0 2007 Morehead City DCM ------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------- , Signature Frz.TA A(c.,f1,� Print or Type Name Telephone Number Date: /0 — /d — (i ................../D,,.-...:I,/ATITAOUNTTDTDA DTA A TChAQXT-P -AF ct b b L-e- 0 f) lz�- - lob SIG[ c GO j � OCT 3 0 2007 Morehead City DCM l4ltc kc�eg_ t�'tb Co o os_e.. C-"-eL 1.00F1 lz�- - lU� 1 j Z'lz PT,I\ X -:3-6tiV� �.� GCS — IBJ44k4(ue • — e e 0 - B Secu 'itn ha need doc u men t. See JOHN E. TANTUM ATTORNEY AT LAW PH 919-366-1300 P. O. BOX 785 WENDELL, NC 27591 PAY TO THE - ORDER OF Cj icil yl. <G 0o fjAj CITIZIJI�iS 108 D /� j�j jj W.ndaitizans Bank 8 Trust Company �ru ,1` Wandall, N.C. 27591 i� i".firstcitizzens.com } FOR ��✓l// llGT C/�t��j a'00 54 7 2nn i:0 5 3 100 300i:00 10 b it ar detaifs..8 5472 / � o � 66-301531 DATE — // 108 ,I _ $�, DOLLARS 8 °� JOHN E. TANTUM LAW OFFICE ACCOUNT 80723L,Sul