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Home My WebLink About51183_BUETTNER, DAVID_20080610\��14 a�jA / ❑DREDGE &FILLs 5m - 3 la PERMIT Previous permit # [!]New ❑Modification ❑Complete Reissue ❑Partial Reis 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 ules attached. Applicant Name '' Project Location: County `y , t f (G i Address ) (: Street Address/ State Road/ Lot #(s) City __ } State ZIP Phone # (`) Fax # ( ) Authorized Agent ❑ CW ❑ EW ❑"PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Subdivision r City ZIP Phone # ( ) j) River Basin � Adj. Wtr. Body ` ! 1`Y1 ``K`�v`�—�t /man /unkn) Closest Maj. Wtr. Body ' f I V/� a ONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ • ■■■■■■■■■■■■■■■■M■■■■■■■■■■■■■■■■■■■■® ■■■■!I■■ \R:SI�■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■ ONE ■i0■■■►a■!r■ai■.ri■i■■ NEON ■■■■■ ■EMM■■■EMMM ■MEMO■■■■■■IMMENSE ■■ so ■■■ ME ■ ■■ ■DOMED ■■■MOO■1w■/nil■��r■■ ■On■►' ■ OOOM■O OMOO■O■■■O■■l■■MOB;i��C: Z�'L'3:ilili■��■ . EM■M■■MOO■■■O■O■■■JM■■■r■OM■■■M■■■■■M cry■■........�®..�..■....MEN .IMEMEMEN .... .. Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's )ignature � 0/ Cog— Issuing Date E Expiration Date 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: ❑ 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/ 1-888ARCOAST 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 Inlet- and Pender Counties) Revised 08/09/06 4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORIAG PILINGSIB0.4 TUF71BOA THOUX) I hereby certify that I own property adjacent to S (Name of Froperry Owner) property located at ,Lot, Block, Road, etc.) on in N.C. (Waterbody) (Town anMor,'CountjT) He has described to me, as shown below, the development he is proposing at that location, -and, 1 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 oll"riparian access unless waived by me. I dono-t wish to ivalve the setbacl-. requirement. I do i-vish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individuai proposing development) lkal - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- -- - - - - - - - - - - - - - - - - tApplicunt Information) (Riparian Property Owner Information) Mailing Address Sign re Ci ht ,ISfatelZip Print or 7:vpe Name Telephone :'Vu.�raber Date -�Q 3 - q Telephone iVitinber ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to baylo( QI— 's (Name of Property Owner) property located at o� �C%�S�J/I`8 P/'1I4't T1 (Lot, Block, Road, etc.) on �/�'� ' S ��`�2 /� , in C!'l-t VC17 , N.C. (Waterbody) (Town and/o 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 do wish to waive that setback requirement. ---------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) o r/e�J ,�ve�rj2� (Applicant Information) / 3s Wu krA&I ,v�l Mailing Address l City/State/Zip Telephone Number Date t��per� (Riparian Property Owner Information) 6" n n , I '/q ,�_lAo ,t ) SignatulIZ" r it Print or Type fanie L Telephone Number 4L. �oO<;< Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to �Gi �!/pt,UPQI` 's (Nan a of Property Owner) property located at (Lot, Block, Road, etc.) on �� S <ree/L , in C/^��(�`�s) ,N.C. (Waterbody) (Town and/o 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 do wish to Naive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) po��r (Applicant Information) ?S W4-k'dv-f�s )alvle Mailing Address �gvel"' /VC City/State/Zip Telephone Number Date ----------------------------------------------------------- (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date DAVID L BUETTNER BARBARA A BUETTNER 1673 135 WATERWAY DRIVE HAVELOCK, NC 28532 65-320/550 BRANCH 01411 Pay to the e Date Orderof /V o�8d.� C7j� ov�Ks Dollars + WACHOVIA Wachovia Bank, N.A. �( $� /° ppwachoviavia.com 11 �> For l /I 1:055003201i:1010026316472--