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Home My WebLink About50687_COURANZ, GEORGE_20080408514X ❑CAMA / ❑ DREDGE & FILL 5 687,,- GENE. RAL PERMIT Previous permit# ❑New LIModification ❑Complete Reissue El 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 �� '.✓ _ryi t l r1� Project Location: County Address 1 i "-' �I ; Street Address/ State Road/ Lot #(s) ,- City _ State ZIP �(" Phone # ( ) ^ ` Fax # O Subdivision I Authorized Agent City "' 1ti i, ZIP- ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) 4 YVI� River Basin t Affected ElElElElElOEA HHF IH UBA N/A ; AEC(s): Adj. Wtr. Body � � � � - � `� �f . �� '(nat /man /unkn) ❑ PWS: ❑FC: l- ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body y }� N, Type of Project/ Activity A-11 (Scale: Pier (dock) length ■■■■■■■■■■■■■■II�S1�7■■■I■■�■Iiiil■■■■■■■■■■■■ Finger pier(s) Groin length ell, number Bulkhead/ Riprap length G1■I■■■■■■■■fl!JR►■!■l�■■■■■■■■■■■■■■■■■■■■■■■ avg distance offshore ■l■■■■■ail!■■■!J■S!■■■■■■■■■■■lll�■ \■■■■■Cir.■■ max distance offshore ii■■�lir■N�"i'r�■!■al■i■1�■■■■■■■■■■■■■■■■■■■■■■ Basin, channel ■Ill\■■■■llstn■r��1■■■■■■■■■■■■■■■■■■■■■■■■■■D� cubic yards Boat ramp ■��i1i1�■111�<tt7111`.■■■■fi■�flli■■■l�■■■■�1i�/ �7■■■■ Boathouse/ Boatlift ■■■■■■■■■■■1�■■'�■■i®f I"r�iii■lgs■■i■!!■■'�■■!�'filFlsilii Beach Bulldozing Other ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■S°�■■ ■■iiili�i■Itl■■C�11■iii�l�l�!11{■�iil��il7ipl�l�ifii�!■■ice ■■■�f■iiiili^i�i��CT.�S��i1�'a■'��IIL'�3�'��IL��![�■�� , Agent or Applicant Prig ted Name Signature Please read compliance statement on back of perm" Application Fee(s) Check # Permit Officer, Signature L/ Issung pat t E p ration Date Local Planning lurisdiction 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: XNeuse 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 arthe NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Offic ;F7; or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rul 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/ I-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 Inlet- and Pender Counties) Revised 08/09/06 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. -■ Attach this card to the back of the mailpiece, (Yr on the front if space permits. 1 1. Article Addressed to: f ./ �Y" a- ((fie r'vi ne �3 )•,�? N-joa) I A. Received by (Please Print Clearly) I B. Date of Delivery C. Signature X ❑ Agent ❑ Addressee D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes i 2. Article Number (Copy from service label) ' PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 !i, UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box I ■ Complete items 1, 2, and 3. Also complete i item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. Raived by (Please Print Clearly) B. rate of 9elivery C. Signatu X ❑ Agent ❑ Addressee D. I delive addr di erent from item 1? ❑ Yes If YES, enter delive address below: ❑ No 1 3. Service Type ❑ Certified Mail Ls ❑Registered ❑Insured Mail �l �-3 Q3�-3 �3 2. Article Number (Copy from service label) ❑ Express Mail ❑ Return Receipt for Merchandise ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes j PS Form 3811, July 1999 Domestic Return Receipt 102595.00-M-0952 1 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • a AA��ovies 4Xxicroffie � ox, �L , WiTual MITI REOWID 7099 3220 0009 4824 076 tl 3 CJ %- 14,;' 4 C. I 7t'a OIZIPZ41�t,)Ila F?L-,rL)RN 'TO Sf---NDr-R NOT ME.LIVERABLE AS ADDRESSED UNIAMLE 'TO 1 41 USA Ar A cA on e 5 ADJACENT RIPARIAN .PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFd%BOATHOUSE) 4 1 herebv certify that I own property adjacent to �� (Name of Property Owner-) property located at _ — -- (Lot, Block, Road, etc.) Oil in _TCt-_ky1 ( L C_ ` (Waterbody) (Town and/or Cootlt'y) ----- -- tie l-,as 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 / hoaihoi ise 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 dodo 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) C Print of T\ pe 74/5-_- 70 - Telephone Number mate: 3 �/ GEORGE R COURANZ MICHELLE M COURANZ 486 POINT VIEW DRIVE MERRITT NC 28556 :;. PaY to theN Date N� f 66-30/531Order of 471 ,¢,U N U�� c►ri CITIZ� fir, tcicze s comNS BANK For ':053 L003001:004? L?559 QOnkegrn� on D9 ------Dollars 8 II' OD88 4 - -- GUARDIAN®SAFE BBL— LUE WDBL