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Home My WebLink About38817_BARNES, L M III_20040618YCAMA / (-i DREDGE & FILL GENERAL PERMIT New '']Modification ❑Complete Reissue EPartial Reissue 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_ l -l"- Previous permit # Date previous permit issued Applicant Name ; I i-'i`z =` �i �;,'i.•- Project Location: County Address �;,;) ;' { i Street Address/ State Road/ Lot #(s) C Rules attached. r. .g 71 � (014 � 1 City , t State ZIP -_ — — --- C 2 r Phone # ( ) i s� Fax # O i" l Subdivision_ - Authorized Agent i"Z.i! a ti I City t- r E. • ' ZIP_ ❑ CW ❑ EW [jP'tf•A ❑ ES ❑ PTS Phone # ("� ) r �" `' River Basin` Affected ❑ OEA C7 HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: � , !�J AEC(s): Adj. Wtr. Body ! ~ �•-i-nat Iman unkn ORW: yes / no PNA yes /rno Crit. Hab. yes / no Closest Maj. Wtr, Body I _ `' L• -- Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift' ^," Beach Bulldozing Other Shoreline Length " L-L� I SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no I Photos: yes no Waiver Attached: yes no ( n A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name p Signature ** Please read compliance statementon back of permit * Application Fee(s) Check # (Scale: j C See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Local Planning jurisdiction i Expiration Date 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 j I 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 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 / 1-888ARCOAST 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 HOLD DOCUMENT UP TO THE. LIGHT TO VIEW TRUE WATERMARK ...� - r .--' �' HOLD DOCUMENT UP TO THE LIGHT TO VIEW TRUE WATERMARK 1028105 �11JIJ t J1tJ��1 '•�' 382677649. 10-66/220 Pay To The Order Of Date j\ F A r 06/23/2004 Dollars *ONE HUNDRED DOLLARS AND 00 CENTS $*************100.00 Sender `'�% I✓,','-V�/ - Address T I� For WACHOVIA 2 Z•J - by enus ME � J,S� t f 1 Issued by Integrated Payment Systems Inc.. Englewood, Colorado Not Good For More Than $1,000.00 To Citibank (New York State): Buffalo, N.Y. 11' 3 SO 2 ?11' 1:0 2 20008681: 6800 38 26 ? 7649 21" JUN--LI 2004 Mlcreh E-Ilad City DOM --------------- L_ ADJACENT RIPARIAN PROPERTYOWNER STATEMENT (,FOR A PIER/tiIOORIi G PIL[iN'GSIBOATLIFTIBOATHOI„SE) I hereby certify that I own property adjacent to 2-- M 8 A 2i JE-75, JET-- �'s (dame of Property Ov ner) property located at FYQ,—__ _ (Lot, Block, Road, etc.) on o Y �� > in � Zz1- -eyK N.C. (waterbody) (Town and/or County) He has described to me, as sho«,n belo-w, the development he is proposinz at that location, and, I have no objections to his proposal. I enders ".and that a pier/mooring piIinQs'boathft/boathouse musk be set back a minimum distance of fifteen feet (15') from my area of 6 r' c unless waived by me. t� . I do not wish to waive the setback requirement. I do wish to waive that setback req Uirement. JUN 0 9 2004 --------------------------------------------------------------------------------------- rehe i1//I DESCRIPTION ANWOR DRAWING OF PROPOSED DE.VELMMENT: (To be filled in by individual proposing development) 5tgitahire ,z , C". i �o Print or Type Frame Telephone Number Date: G D — ADJACENT RIPARIAN PROPERTYOWNER STATEMENT (FOR A PIER1b10ORING PILIjYGS BOA TLIFT/BOA THO USE) I hereby certify that I own property adjacent to Lo m, -' oe5 is (Name of Property Owner) property located at N-6e Fes— t, +- 'S-f. (Lot, Block, Road, etc.) on s �� , in_ c2�+E%kc� _ N.C. (�i'a erbod�) (Town and/or Count) He has described to me, as shown belox, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/iiioon'nc pilin,sl)oatl;f ,boathouse must be set back a minimum distance of fifteen feet (i5') from my art , waived by me. 11*�777Mrim I do not wish to waive the setback reclttirement _ I do wish to waive that setback requirement. JUN 0 9 2004 ---------------------------------------------------------------------------------- oreh- : CRY_ Q DESCRIPTION AND;OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in bV individual proposing developinent) ----------------- Signafure Print or Type Name i/g - yZ-Z-/3-!S Telephone Number Date: