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Home My WebLink About39382_BUCKL, WERNER_20040818❑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 �� '� Project Location: County Address �� "'" P1 " ( Street Address/ State Road/ Lot #(s) . City �w`� i✓ 4X% i State i! ( ZIP Phone # (.J ) `: 1 ' µt Fax # O Subdivision^� Authorized Agent City /V ZIPS ElCW [BMW �-A ❑ ES ❑ PTS Phone # ( ) River Basin vGl-4e- Affected ❑OEA ❑HHF AEC s : O ❑IH ❑UBA El Ad'. Wtr. Body�+, I ,;�� µ.., i to ;i• ..; C'"`" naf mangy/unkn ❑ PWS: ❑ FC: i ORW: yes / no' PNA yes / ,no) Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity ( A Scale: VOA Pier (dock) len h Platf Finge Groin Bulk Basin Boat Boat Beac Othe Shor SAM Sand Mon Phot Wain head/ In r pier(s) length I number Riprap length avg distance offshore max distance offshore ..- _ -r ttt i I � - ❑ ,channel cubic yards ramp house/ Boatlift Bulldozing- r - i 1 _ _ r aline Length i not sure yes gags: not sure yes en-0, itorium: n/a yes os: yesl" i- 1,t er Attached: ves? nn - A building permit may be required by: Notes/ Special Conditions F t? N1 4' 1-50C1C(.. Agent or Applicfaf11 ri e 7 Signature Please re4d,compliance statement on back of permit Application Fee(s) Check # 5ee note on back regarding River Basin rules. Permit Officer's Signature Issuing Date VFacpiration�te„ Local PlanningJurisdiction 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: ❑ Pamlico River Basin Buffer Rules El Other: Zse 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.nccoastalmanagement.net Revised 10/05/01 WERNER & MARY JO BUCKL 03-01 4001 FREEMANSBURG AVE EASTON, PA 18045-5520 gl78 LAFAYETTE AMBASSADOR BANK PO BOX 18002-5091 LEHIGH VALLEY PA 18002-5091 60-213/313 / $ IDU PAY TO THE C � ORDER OF �p 0 tq DOLLARS 8 MEMO ►i'008L713n, 1:03L302L331: 37 382 Gila ,APR-16-2004 FRI 10:59 AM NC DIV OF COASTAL MGMNT FAX NO, 4 P, u ADJ AC EN-f RIPARIAN PROPER'I' Y OWNER STATE MENT (FOR A PIER/MOORING PILINGS/BOAT LIITIBOATNOUSE) 1 hereby certify that I own property acljacent to -7ZyyA SAC -7 /�T- (Name of Property Owner) property locatecl at ZCT (Lot, Block, Road, etc.) ott ��lq� �o CIA-, in �P1,2�r&y �� i�� 2 �V�M, N.C. (Waterbody) - (Town and/or County) He has described to mc, xi 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/boathft/hoathouse must be set back a minimum distance of fifteen feet (I5') from my area of riparian access unless waived by me. l do,.11pl wish to waive the setback requirement. I cap wish to waive that w1back requirement. DESCRIMON AND/OR DRAWING OF I'ROl'OSED DEVELO)'A1ENT. (7'o be fillet) in by i► dividual proposing development) ,Z —0 P I O P 6 -M t3 t-tzv kP 0] 2-ov C} . �-- AXIS CNO CIJ4,,J6 ,) L� ski S�rt�vc. Un�LZ rve c�A�� d� ------------------------- _---------------------- ------------------------------- /- -------------------- Signature - U-5 t L, 0 t- iL Print or Type Name .2- %, Z i.- -�' 3 2- S 3 Telephone Number Date: y 1 _? 6 /-/ _�� • *APR-16-2004 FRI 10:59 AM NC DIV OF COASTAL MGMNT FAX NO. 4 AW AC ENT RYPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOAT I-WBOATNOUSE) 1 hereby certify that I own property adjacent toC)�t- (Nanie of Propei-ty Owner) property located at �� #q- I'l s L3 1 LJ- 60UI&T (Lot, Block, Road, etc.) ort,— IN"q /J4ZOW/ -- , in rA("��- LP ["Z1300A C124vt(Al 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/boatlift/hoathouse must be set back a minimum distance of fifteen feet (I5') from my ana of riparian access unless waived by 111e_ do,pol wish to waive the setback requirement. I d-Q wish to waive that setback requirement. DESCRIPTION ANWOR DRAWING OF PROPOSED MVELOPMENT: ('lo be filled in by individual proposing developmeul) --- N"J LoC/ 77,,,�s � --� 2' OH ® 6� 26 2Z_0 i O 2'oV o l� �xlS�i�vc. PDCV- tv� C�tA,n,ci� ,nature .J ol„) Foe-ryf'1. (� ' 4H� �f Print or ,rype Name 30Y_ -S�--�- 7S'-S'Y Telephone Number Dace: