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Home My WebLink About50728_DILLARD, WAYNE_20080505rA ❑CAMA / ❑ DREDGE & FILL w� V. GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue 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 1 Previous permit # Date previous permit issued Rules 59728 L Applicant Name Y Project Location: County Address Street Address/ State Road/ Lot #(s) '`' !`; , City State i f "\ ^-- ZIP Phone # O - * Fax # O Subdivision ; City ZIP Authorized Agent ; ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin Affected ❑ OEA AEC(s): ❑ HHF ❑ IH ❑ UBA ❑ N/A ^ Adj. Wtr. Body rt (nat /man %/unkn) El PWS: ❑FC: Closest Maj. Wtr. Body � ''`' ~ � ' f% ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity (Scale: Pier (dock) length Platform(s) Finger pier(s) Groin length number ! Bulkhead/ Riprap length avg distance offshore -. max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other — I I I Vc— Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no i Photos: yes no Waiver Attached: yes no A building permit may be required by: �' f` ti (r ( ❑ See note on back regarding River Basin rules. t Notes/ Special Conditions Bent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit07ffi4er's ignature IssuingDate Expiration Date t Avlcc 1 r 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 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/ I-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 Eric Ellis Marine Construction DOCKS • SEAWALLS -BOAT LIFTS DECKS & REPAIRS Phone & Fax: 252.726.6775 01 Cell: 252.342.6775 205 Nottingham Lane Morehead City, NC 28557 jr ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Te-fS4TTTTCTlLT1 1 � }�TLTTI 6�-1 L lJl1 1 J-J l I Hereby certify that I owa property adjacent to 1 !� r 's "�i (" a- me of Property Owner) property located at l �� Q Sg AAC.' i�G"�-�-�< JCO/ (Lot, Block, Road, etc.) on ��✓s 1 , in pJ e/ / �t� -��4 -� _ , N.C. (Waterbody) (Town and/or County) He has described to me, as shown beloth eve ment he_�s proposing at that location, and, I have no objections to his prop 1 Zuncv�,' to pier/mooring pilings / boatlift / boathouse must beset back a minima anc' enf et(15') from my areaof riparianaccess tmless waived by me. (If you �cish to waiveesetback, you must initial the appropriate blank below.) �Y/ I do not wish to waive �f/�% [ do wish to waive that setback requirement. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT: (Too be filled in by individualproposing- djevelopirtent)/ h .74 ------------------ ----------------------------------------------------------------------------------------- h GY1 '7 t naturj Print or Type Name .?( / -5 V-Y - & �4 2- Telephone Number Date: y { ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR I hereby certify that I owa property adjacent f.o PiI14r's �i (r ?ti a' Property me of Pro Owner ( P Y ) property located at ) /-c` r PA4 / )C (Lot, Block, Road, etc.) on t'-�11,57 "-✓ / , in / , i� !'�No �/J �[a a��- �' , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, th eve ment he is proposing at that location, and, I have no objections to his prop �a�nce and to pier/mooring pilings / boatlift /boathouse must be set back a minima i fif en f et (15') from my area of riparian access unless waived by me. (If you wish to wai a the setback, you must initial the appropriate blank below.) �� I do not wish to waive 1 do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing- development) /ac-' s�or/; ,ve` -------------------------------------------------------------------------------=----------------------------------- Signature Print or Type Name ;2Se2 -;2 5/O d Pa d (/ Telephone Number Date: T v7 l r V AkL ERIC B. ELLIS f f V, JASA M. ELLIS PH (252) 726-6775 if �f t'! 205 NOTTINGHAM LN. �;l 9 rS 66-30/531 ``,� MOREHEAD Cr Y, NC 28557 't �,� , f"`,Date ` v 133 Pay to the �,�.',�f ��: ,:� , �;�,� •'� ,` :. Order of — ea v r //—Uff FYRST CITIZENS BANK www.firstcibzens.com For 1:0'S 3. L00 30 01: 00 L3 17 4413 78oils 0.313 3 L mmm OC9arke Hmerrcau i • > > �- lam GUARDIAN SAFETY BLUE ESBL