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Home My WebLink About39391_BELL, MICHAEL_20040930LAMA / DREDGE & FILL GENERAL PERMIT -New 'Modification —_Complete Reissue -Partial 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 Previous permit # Date previous permit issued Rules attached. Applicant Name i i l^ f E' Project Location: County_ _ _ - Address_ ''U 44,, '71 Street Address/ State Road/ Lot #(s) City----- ad State ZIP 'r �'7 ; -J Phone # O '3u Fax # O Subdivision Authorized Agent f /-i-, t A"&0/a' City _ _ _ _ _ ZIP_ Affected ❑ CW -1 EW }PTA ❑ ES ❑ PTS Phone # (_ --) _ River Basin 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 Al Platform(s)_ �I i I Finger pier(s) Groin length - number Bulkhead/ Riprap length __ avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift ? �i (? Beach Bulldozing Other _ i I r— U� 1 — t ; : n tr l/ ❑ See note - on back regarding River Basin rules. Shoreline Length SAV: not sure yes no Sandbags: not sure yes �no Moratorium: n/a yes rrio Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions j Agent or Applicant Printed Name dY Signature* Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Local Planningjurisdiction 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, certifythatthis project is consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar- Pamlico River Basin Buffer Rules ❑ Other: FJ 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 / 1-888-4RCOAST 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.nccoastaimanagement.net Revised 10/05/01 15-800 rr UNITEDSTATES pOSTrj, MONEY ORDER o0o POSTAL SERVICE® SERIAL NUMBER YEAR, MONTH, DAY POST OFFICE U.S. DOLLARS AND CENTS 0 7 2 5 8 2 2 5 [15 2 2004--oe-cog 28557C1 91-PND 9 (� ONE HUNDRED DOLLARS & 001t AMOUNT. NEGOTIABLE ONLY IN THE U.S. AND POSSESSIONS PAY TO ! SEE REV SE WARN NG CLERK ADDRESS FROM 000 ADOR C.O.D. NO. USED FOR 1:0 0 0 0 0 8 0 0 21: 0 7 3 58 3 2 50 5 21I' '�. �TAT&.��E�T' ADJ AY.C:EN T RIPARIAN PROPERTY 0� (FOR A PIERIMOORING P1Li(VGS�C3A?Ll�d' '71 G�O -,� t hereby certify that i Own property adjacent to ---- (Name of properly (Dwnerl pro,elly located at -- (l,ot. Bioc'k, Ro. d, etc.) N.C. on _GL __.� -- ° Yn (`�atecbc�dyl (�11 7lor Coce�tty) He has describs+ci to me, as shown t>elproow, the devetc P�understa d 'ZhatenL he is n�a , pier/moor ng and, l have no objections to his proposal. P 1l1P1�,5%t)UatlY1�'urbc�atho+,+sc must be suet back m}nimum dYstan�c of f�ftecn feet (l�') from my arm of riparian access unless waived by me I t wish to waive the setback regU Tlnent --� 14D wish to waive that sett ack requireinent ------------- ----- -----iDESCRIpTION AND/OR DR A��,ING F ROI d E�D DE EL)OPMEN ; (To he filed in byveloPm h -------------- -- - --- -- Signature V Print or Type Name -Telephone Numtwr Date: f 7 �cl 0 _ ADJACENT RIPARIAN PROPERTY O NVN"R STATENNIEENT OATLIFI' OATHOUSE PIER/MOORING PILINGS (FORA 4C '7;9 .r j d j Is I hereby certify that I own property adjacent to (Name of Property Owner) property located at v (I.ot, Block, Ro, d, etc.) on i n CQt' . > N.C. � `��dd1 .�.�9.Y ' (Waterbody) (T nand/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 riparian access unless waived by me. I do not wish to waive the setback requirement. I dD wish to waive that setback requirement. -- -- --- - ------------------------------------------------ -- ---- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT-. (To be filled in by individual proposing development) ------------------------------ Signature Print or Type Name 5� 71,6, - S S Telephone Number Date: