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HomeMy WebLinkAbout51117_BOND, DOWL_20080523E] CAMA / E DREDGE & FILL GENERAL PERMIT E]New ElModification DComplete Reissue [-]Partial Reiss e A-( Previous permit # 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 :NRules attacped. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City Sta te ZIP Phone # O Fax # Subdivision Authorized Agent city ZIP D Cw F-1 EW El PTA El ES El PTS Phone# River Basin Affected Ll OEA Ll HHF U lH AEC(s): El PWS: El FC: ORW: yes / no PNA yes / 'no EJ UBA El N/A Crit.Hab. yes / no Adj. Wtr. Bod (nat /man /unkn Closest Maj. Wtr. Body M MEEEMEMEME MEMO MMMMMMMMMMMMMMMMMM E■■EMAE(�Ei►�Fi1��0��YiiiiE�'iEfi����fEil�� ��■���� .W. Moll iiii 00iO� �OOOiiOOOOOie�i■■� !■ MEMEMME111WM0 0M MO M. SENS MEMEME111111 MEMEMMENUM NINE ....EOEMOMMIMMINIMM 0 MEMO ism IMMIMMIME, low No 0 INIINNINEENNEEME 0 M■ ■E1IEOE� MENEEMOMEMNM dw M MEMO ONEEMEM FUNWAMWEENUMMEMENE 0 MEN OP51111111MIMMIMMIMMIMIMINEM■M zOOCO:O:000 0 QQ::0:0000MEMENEE0EM Agent or Applicant Printed Name,' Signature ease read compliance statement on back of permit `2 Application Fee(s) Check # Permit Officer's Signature 41S &'1153ate f E--- ration Date Local Planning jurisdiction 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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 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) 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River (nlet- and Pender Counties) Revised 08/09/06 Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILING S/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to tot /8 s Name of Property Owner property located at Sea C''4, , Lot, block, road, etc. on SGG� Waterbody in NC 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 do not wish to waive the setback requirement. I do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing; development) �c� A Nil Print or type name 25Z- 7 III Telephone number Date 6.A.a.C.��� /v/ vvl���,� 11 Z i)'7 6, Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I oven property adjacent to L�} � 18 S3 Sea &J e l� lode C. 's Name of Property owner property located at S S sea CxI�IoCI� L Lot, block, road, etc. on ZC GJ waterbody in Ce4V-Iceel _ , NC 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 do -not wish to waive the setback requirement. I do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing, development) 5cc Sign re Print or type name Te ephone number L' > A44,,,- i- d �16; " 2- T Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILING S/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to Lod #-/8 Name of Property Owner property located at Se,l a, -77f gloSc, Lot, block, road, etc. on 7fC c✓ in �' , k �c� 0o1;4z Waterbody Town and/or county NC I 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 do. not wish to waive the setback requirement. I do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development) sty 4d AQF L u Print or type name Telephone number Date k`''I prolvD,*d: C, x re), 'PIA � A W-� e'aveeej I ci VACOE '54 aver (N� ?-Itd C DOWL H. BOND 1171 VALERY J. BOND 987 HORNE CAMP RD PH. 910-628-0756 66-112/531 FAIRMONT, NC 28340 2 /� l BRANCH 60701 A $"'- � pz' ')- ` Feai �: ACCESS BRANCH BANKING AND TRUST COMPANY BANKING 1-800-BANK BST BBT.Com 0005 29777081, ?[Igo I `