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Home My WebLink About51810_DAVIS, RANDY_20071127❑ CJKMA / ❑ DREDGE & FILL �.)C GENERAL PERMIT Previous permit# ❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued I 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 i❑ Rules attached. Applicant Name Address City State ' ZIP Phone #95-1 " 0 ?�Lp Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ 0EA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body nat man unkn Closest Maj. Wtr. Body Type of Project/ Activity (Scale: i ) Pier (dock) length Platform(s) I Finger pier(s) I A I II Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel I tY _ I I cubic yards Boat ramp Boathouse/ Boatlift �4 f _ Beach Bulldozing Other I A Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions 1 Y _ N—See note on back regarding River Basin rules. Agent or Applicant Printed Name _ Signature Please read compliance statement on back of permit" Application Fee(s) Check # ;1 n Permit Officer's Signature Issuing Date 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, 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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 �wi'iJ111l�Ii41�11� 7004 2510 0001 2=49 5270 a fiew I*bp Z& n s o2'0� 62r7 hZ damn �1 1 , +plc .S 1 U.S. POOSI PAI ORIENTAL.' NOV2071 1." uwrrsc SrhrE3 AMOUNT rosrnissavics 111,1111111 III .i�iim $5 21` OOCO 78571 000358--0- 5A- NIxII_ 2 a 3 5r i Oo 1ilt��C7'7 Rf'TURN TO SCNOCR NO MAIL. RECEPTACL.C- ' )NACL-M TO f'JRt.Jl-'9RD MC:: 20,57-.10.19090 --41 2057100190 1„11111!„ 1,1, I„,1,,,!!!l,,,,,, 11l, i„11,,, ■ 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, or on the front if space permits. 1. Article Addressed to: ZYZ rl '� Ueae-n A n(-. a'SS--) 1 A. Signature X ❑ Agent ❑ Addressee B. Received by ( Printed Name) I C. Date of Delivery 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 2. Article Number 7004 2510 0001 2549 5270 (rransfer from service laben PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 P.O. BOX 190 ORIENTAL, NC 28571 OFFICE (252) 249-1429 FAX (252) 249-2429 WEB SITE wtivw.innerbanks.biz EMAIL info u,irinerbanks.biz Dear Sir/Maam, Enclosed is an Adjacent Riparian Property Owner Statement. We are required by CAMA to notify the owners of the adjacent properties so as is this letter is purely notification of our clients intentions of building a structure on the water ie. Pier, boat lift, seawall etc. The structure will be within CAMA's guidelines as CAMA has the ultimate decision to accept or reject the proposed project. The statement is our proof that you have been notified of our clients intentions. We do not require any waiver from you personally for this particular structure, so if you would be so kind to sign the form and return to us in the enclosed envelope, it would be greatly appreciated. Thank you for your time. Sincerely, Nick D'Ambrosia, Vice President Innerbanks Marine Construction Inc. Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PH INGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to e14 Nt: DiaYT-3is Name of Property owner property located at (.. C"-T 07 block, road, etc. T" on , in C) exe,1141 . , NC 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 do not wish to waive the setback requirement. I do wish to waive the setback requirement. i Description and/or Drawing of Proposed Development ! (To be filled in by the individual proposing development) ! -- - - - - 1-lc y_ -, - - --- -------------- Signature Print or type name Telephone number Date http://www.innerbanks.bWarpos.htm 1 /29/2006 Innerbanks Marine Construction Inc. (Piers, Sea walls, Boat lifts, Permits) Nick D'Ambrosia, Vice President NC license # 55828 Ph/Fx 252-249-1429/252-249-2429 /B Cell 252-671-7757 Email info@innerbanks.biz P.O. Box 190, Oriental, NC 28571 www.innerbanks.biz p11 Ac, 0�5s i 1 Adjacent Riparian Property Owner Statement (FOIL A PIEItMOOIIING PILINGS/BOATLIEFT/BOATHOIISE) I hereby certify that I own property adjacent tos Name of Property Owner erly located at 1 propi `.CA��2 �� ` i L (ih r't=•, �' ' `� block, road, etc. on , in C e. +nl-rqA , NC 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 - 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) i In y _ L�� i C�Z r-�r�► � � ; is cc- 36, fvC� fir AiggnaWr�e LCk Print or type name qtq- 97/--5-7o7 Telephone number NZ-0 Bate http://www.innerbanks.biz/arpos.htm 1/29/2006 Page 1 of 1 r.7 108'!-"1-73 3 304-26 /4 4��' 9686 r 1081-1-72 72 0532 � �� 081- t 1081-1-7'I�'f1 '� ' 1� http://www2.undersys.com/pamlico/pammaps/mapfiles/wv393367462348032.png 9/11/2007 MI-NA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date 13 i'k' 6" i Applicant Name ZA111P �)ws Mailing Address 8y &a 77Ry (- G 11Q . 4R,4PKg0,1 ' /�LC, Z S 5-1 v I certify that I have authorized (agent) T3 to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Dec< , at (location) 7Z NN< rell Er �/ /=N Tp-L) Ak- This certification is valid thru (date) %Z809) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www,nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper Page 1 of 1 IDENTIFY RESULTS Layer: Parcels ACCTNUM 23157 LASTNAME DAVIS, WILLIAM R FIRSTNAME CAREOF ET UX WENDY P ADDR1 41901 CYNTHIA LN ADDR2 CITY HOLLYWOOD STATE MD ZIP 20636 PARRECNUM 9601 NAME DAVIS, WILLIAM R MAPNO 1081-1-72 CONTROLNUM PIN CLSCODE DISTTOWN D02 INSERT 1081 DBLCIR BLOCK 1 PARCELNO 72 SITEADDR SITUSADDR SITUSROAD EXEMPT LEGDESC1 SEC 3 LOT 72 BUC BAY WEST LEGDESC2 CONNIE COVE TOTACRES 1.55 CRNTTOTUSE 0 CRNTTOTDEF 0 CRNTLANDVA 82500 CRNTBLDGVA 0 CRNTOBLDGV 0 TOTCRNTVAL 82500 FIRECODE S HOUSECODE SEWERCODE SALEAMNT 170000 SALEDATE 9/27/2004 SALEDATE2 74418 SALECODE S ROADNUM 0 PCTCOMP 1100 WILLBOOK 0 WILLPAGE 0 DB_PG 431/695 DEEDBOOK 431 DEEDPAGE 695 PLAT jPCA 32-1 MOBHOME 0 DELREC SRAT 0 MYDIS 0 http://www2.undersys.com/scripts/testadv/usiwebpc.dll/usi?formes=identify&MouseX=31... 9/ 11 /2007 INNERBANKS MARINE CONSTRUCTION, INC P•O. BOX 190 PH# (252) 249 1429 `ll� /` ��;'2� �- ` 2636 ORIENTAL, NC 28571 ; �\v. PAY �/y� *� DATE F Io,(6,_30/531 ORTO DER ;) � / LJ 4J2 ORDER OF DOLLARS 8' First Citizens Bank ens.com f? I � I a FOR_ _"�LA1----AGrAr _ DAJIS j F I44,416d -77 .0 5 3 iO0 3001:00 4? 120 128 2 20