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Home My WebLink About38343_BALUSS, JIM_20040518❑CAMA / ❑ DREDGE & FILL ty 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 Applicant Name -> >�a ,� a Project Location: County If Address i ' Street Address/ State Road/ Lot #(s) CiState 1� { ZIP I Phone # (=� -') ` I? — t �j l Fax # ( ) Subdivision Authorized Agent City ZIPAffected C91CW ❑.EW O'PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body'' " ' ' r/` (nat /man /unkn) ❑ PN/S: ❑ FC: Closest Mai. Wtr. Body ORW: yes / no PNA yes / no Crit. Hab. yes / no iVc�•..e << Type of Project/ Activity ❑Rules attached. (Scale: ) Pier (dock) length t Platform(s) Finger pier(s) i Groin length ` number - - - - - -. - - - ---- — Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel97! - ` cubic yards _ l` Boat ramp Boathouse/ Boatlift ' Beach Bulldozing Other n �•t � Shoreline Length d $AM not sure yes no - Sandbags: not sure yes no t Moratorium: n/a yes no ..� Photos: yea no j Waiver Attached: yes no ---� - -- - - - A building permit may be required by: ;[cf See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printe�Ndme Signature "Please read compliance statement on back of permit Application Fee(s) Check # Permit Officers Signature Issuing Date Expiration Date Local Plan ningJurisdiction 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 (910-395-3900) for more information on how to complywith thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax: 919-733-1495 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 A C� I hereby certify that I own property adjacent to 0�6 s (Name of Property Owner) property located at 3'-r "l PO Z Yn i C P Q , (Lot, Block, Road, etc,) on {l�z-Vh Cr t=, G�- . , in G �2� 171'� 1 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/boadiftlboathouse 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. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) I 1n o. e Y� eo o c \0 • Signature Print or Type Name Te ephone Number Date; 5 — 8 O 14- �na:T'y T!!t - s e fo —I de —1n INNERBANKS MARINE CONSTRUCTION, INC. 1606 P.O. BOX 190 ORIENTAL, NC 28571 66-30/531 252-249-1429 J' 472 DATE. PAY TO THE ORDER OF D E�' $ C, C-) r>0 '00YOr7 y..) L A R S . ...... FFIRST CITIZENS-2 F,�,s.tCo,zns B,nk 8 1-st Company tjANK 0 Mal, N C 28571 www.firstcitizens.com , / /{��. FOR 11100 L C:,o F.;i- i:0 S 3 L003001:00 I,? L 20� '121"Z • �S I hereby certify that I own property adjacent to -V-/) S 's (Name of Property Owner) Property located at �'-i "1 PO!-V) 1 (1:) n 0 (Lot, Block, Road, etc.) on Cf,,LC-_1L. , in G2'uylY -1 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/boadift/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. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual pmposing development) . < 00- L> I Print or Type Name 4:�7-Z —�SCvO Telephone Number Date; 5 - -7 — O L rV�nOZZY '�Tr�,,I;ER: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse i so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. c 1. Article Addressed to: YA 2. Article Number (Transfer from service label) PS Form 3811, February 2004 A. Signature � X 1Cgent ��iC. �C/1l' ❑ Addressee B. Rgoeive ( Printed Name) C. Date of Delivery i D. Is delivery address different from item 1? ❑Yes If YES, enter delivery address below: ❑ No 3. Service Type ertified Mail El Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7004 0550 0000 3921 6422 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE 5irsf-Class Mail Postage &, Fees Paid - LISPS ., Permit No: G-10 • Sender: Please print your name, address, and ZIRF4in this box • m Any -- a--�SW-L �✓1� - P.C. GUI U Cvn h ) % nc , �a% S11 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse j so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: A. Signature (� X�'/� \ ❑ Agent (—� ❑ Addressee ` B. Received by ted Name) C. Date of Delivery ne D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No Service Type ertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7004 0550 0000 3921 6439 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 i )NITED STATES POSTAL SERVICE I First -Class Mail ` Postage & Fees Paid I USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • P. U (1c) Y lccv 6(7 l vlr� 1' Y16c . Q(� 5-1 l