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Home My WebLink About39380_BALARA, RANDOLPH_200408131�CAMA / _ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New --Modification —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 15A NCAC — Rules attached. Applicant Name gef 4 1-p .9i'1 61014 Project Location: County Address /3 3 BffcmW OG1,�. b2 i J c Street Address/ State Road/ Lot #(s) City nIE J�,.lUC,L- State i� ZIP 29'a1Z - Phone # ( ) 2/�7-7043 Fax # ( ) Subdivision_ Authorized Agent City __ ZIP ❑ Cw ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin Affected AEC(s): ❑ OEA - HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body— _ (nat /man /unkn) ❑ PwS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body- - Type of Project/ Activity (Scale: ) Pier (dock) length ---- () w��17 J Platform s ` r - Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp `` - Boathous Boatlift Beach Bulldozing Other f �7 ,01&t. %%F�— Shoreline Length SAV: not sure yes no Sandbags: not sure es no Moratorium: n/a yes Y no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions I � � . � - a ` L i - I i 5 1 I I i i I I i i - -- i — - --- ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit .7�'6- Application Fee(s) Check ## Permit Officer's Signature Issuing Date Expiration Date Local PlanningJurisdiction Rover File Name LM 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 (252-946-648 I) or the Wilmington Regional Office (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888-4RCOAST 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 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 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 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 ;;_ ` = R. S. Balara 06/95 �t�3��) 66-30/533 7869 13 Mary Dee Balara ph Hm 252-247-7013 /ITS 133 Beechwood Drive f) \ I I l/ pine Knoll Shores, NC 28512 /�/� Xv PAY TO TI IL �l ( r _ $ Gv ORDER OF / v I)OLU\RS - • I,nuk lur. �li�ro Print signature line. gran hpe anJ IlnncnrA. I i"i Cit-- 14mr iapo uo bar A II not Irte�ruL Jo ind r,r.h o j'RRS CITIZENS 133 r ��r>r� First -Citizens Bank dTrust Comperry BANKAtlantic Beach.N.C.28512 rrww.flrs/tdtlzen� FOR i:053 L003001:00 2?8?909508i1' 0?869 G COTTC) r�l�,� 20 Zjkrza6 ,!!,/, ��%cCo P/r, /V SC toy �( Wesy - Aa� 3. .t; �-)eine,09?5-b tosuV65 4o bCt�,(YV6� 115 A�c��A�V At Gi tom-1 -mil I 0 -p I ,r, I ID DOCK VE ------ let DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER"NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: 6 Address of Property: (Lot or Street a, Street or Lad, City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza II, 151-B, H►vy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 ivithin 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) V I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. S1ona,Qt -' / , / Date 1 C� rint Na e Telephone Number With Area C de 6;--ksr f / 7i�1/v'C A-5 /LCS�i�y l v 0-0 I -� DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: Address of Property: (Lot or Street ##, Street or Road, City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying, for this permit has described to me as shown on the attached dra,�ving the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I I have no objections to this proposal. If you have objections to ►vhat is being proposed, please )vrite the Division of Coastal Management, Hestron Plaza 11, 151-B, H)vy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 )vithin 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) 1/ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 7//i Signa e / Date / ✓ iLl ��Ul-1 Ca Print Name 1-"2- ZSla-�oD s Telephone Number With Area Code ZI/48F Call-, PC') v -0