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Home My WebLink About51150_BURTON, ED_20080724C]CAMA /'J DREDGE & FILL ` ,, / IN, as _:3 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 _ 11 Rules attached. Applicant Name '`'"' Project Location: County Address City _ State _ ZIP Phone # ( ) `�� Fax # () Authorized Agent (_ t Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit•Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City _. " ZIP Phone # O River Basin J 1C_ 6) Adj. Wtr. Body (nat /man /unkn Closest Maj. Wtr. Body ■■■■■■■�■71M■■■a■■�l■■■■■■fl■ram■■■■■■■■■■■ .•... • • MENOMONEE NNE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ME INNIME ME ■■■■■■■■■■■■■■■■■■■■■■MEMO■■■■■ ■■■■ ■■■■■■■■■■MEMO■■■ME■■MM■MM■MM■M■ ■ ■ ■ ■■ ■■■■■EE■M■■NE■■EW�►.'�1■■■■■■■■■■■■■■■E■ ■■■■■■■■■■■■■■ ■■�Z%■r■■■■■■■■■■■■■E■■E■ ■EEO■■■■■■■■■■■�■�■■■■®■■�■■■■■■�■■■■® ■■■■■■E■■■■■■■■■■■■■■■■E■E■■l�■E►,■E■■� EEEM■■■E■■■■■■■OEM■■■■E■M■EEE■■►.IrE■■7G MW ■■E■��■■■�■\�'■R�11■■M■■■■■M\■%W.■III a■■■ SEEM ■■■■■NERMfi■■■■N■■■�mmmu ,■■■■■ MEMO■■■M■M■■M■\UM■■MOMMMUMBaEMMEME■ ■■■■■■■■■■■�iililli�iY■■■W■■■■■■M■■■■■ i t Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check# Issuing Date t, /, Expiration ate to ) f4'/') 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, 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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 Eris; Ellis Marine Construction DOCKS • SEAWALLS *BOAT LIFTS DECKS & REPAIRS Phone & Fax: 252.726.6775 al Cell: 252.342.6775 205 Nottingham Lane Morehead City, NC�128557 �: �V�.<..ol� BLS U r "�-..✓ � 9/cJ•—,P6 --��dy ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/7YI00RItVG PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I owa property adjacent +.o A—,r- jUwarw (17i�,��sry . 0�- 's (Name of Property Owner) property located at Ze, f / Ave- L tz/ /G 0 dg ��e�� /Jr* Ifine (Lot, Block, Road, etc.) on Caha oi'n�v We in 0 ire -e s ,N.C. (Waterb dy) (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 / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------- Pending approval from the Pine Knoll Shores Building Inspector, 4,, ,o, .5' C,'v�a nadir PIKSCO Corporation has no objection to the proposal requested for Lot 21, Block W, 160 Oakleaf Drive, Pine Knoll Shores, NC. j0A4U�) l5. SH ,tcPoSS'* *Vf Pi K cam, d C-dP,r F , Print or Type Name Telephone Number Date atiq' 02 q, �o� 67ot `III- ffos-14 ►� ZS2- ZIJ7- o7ZI ar + i '¢ a 1 7 � • 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERXIOORIIVG PILINGSIBOATLIFT/BOATHOUSE) I liereby certify that I own property adjacent +o E Fo�i.�ar�f �Nr� - .%- 's (Name of Property OWner) property located at 4-of .?/ 13/ae k /✓ /6U 0Rlr1""aIc /a- e (Lot, Block, Road, etc.) on Cara / o;�'/oR4, e Sown e/,in -5Xoyels N.C. (Water ody) (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 / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive _ I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Print or Type Name & 3�zl- -I�z Telephone Number Date: ERIC B. ELLIS 3872 JASA M. ELLIS 205 NOTTINGHAM LN. 252-726-6775 `� 1� Q� 66-30/531 MOREHEAD CITY, NC 28557 Date / rJ 'J 133 Pay to the 41 �f- n j I $ �/ 0, 00 Order of Dollars First Citizens Bank firstcitizens.com � I � \(� � y For NP t:053 L003001:00 L3 L71,487'BO"n 031372 GUARDIAN® SAFETY BLUE ESBL AC'Inrke /lnu�i�rori