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Home My WebLink About50770_GOULD, DONNA_20080529i❑CAMA / ❑ DREDGE & FILL G EN E RAL PERMIT Previous permit # l-]New ❑Modification ❑Complete Reissue El Partial ssue Date previous permit issued As authorized by the State of North Carolina, Department of Environmen and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /6 ❑ Rules attached. Applicant Name ; A Project Location: County � Address City_ r' State ZIP = ' 6 Phone # ( ; ?) Sil'y- i : Fax # ( Authorized gent Affected ❑ C'N I EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / r o PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision i" City 0A-r ZIP %= Phone # ( ) _ ` S 1 Z River Basin i,tiSL Adj. Wtr. Body (nat 1/m�) Closest Maj. Wtr. Body c T ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®■■■ ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®■■l ICE■■E�■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Jl►Diu■��■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ IIENNEEMEMENEEN NINE MEMEMEME..... ■W■■■■■■■■cif;■■■■■■■■■■■■■■■■■■■■■■■■■ M. ■■/1■■■■■■■■1�■■■■■■■■■■■■■■■■■■■■■MEMO ■.■/.......■■�■■■■■■■■■■■E■■E■■■■■ES■■■ MMMMMMMMMMMM MEN MENENNEMEM ME miimmmmq■*■■■■■■■■OM■E■■�M■ I�■l\■■ E\■■■C■1E■0►1►oisrAosm■■■■■■■M■■■■■®M■■ ■■■■►\■E■■■■OEM/i■/■//C�'fl!1■■■■■EMEMO ■■■■■E ■■■■E\E■■■■E�i�JII■■■■t/■�■■■■■■E■■■■■■■■■ ■!■■■■ SE ■E■■■■■■Mt■■��■■■■■■■■■■■■■■E■■EM■■ ...: ■■■■■■■■■■■■■■■■■■■■■■■■■E■SEEMS ■■■mom ...■■E■■■■■■■■■0■■■■■■■■■■■■E■■■E■■■0■■E Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date i - Local Planningf urisdiction 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/ 1-888ARCOAST 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 Appendix A PCC' WATERFRONT CONSTRUCTION PERMIT APPLICATION REFACING, REPLACEMENT, OR NEW --BULKHEAD, DOCK, PIER, WALKWAY, TIE -POLES OWNER 000vv.. Gb-w0-- PHONE�- DATE gja3 0' SECTION LOT#WATERFRONT LENGTH j�i ADDRESS 4104 SJAoc, GfiPj CONTRACTOR DREDGE (describe area and depths) - _T_h DOCKS (attach scale drawing) l VN APPROVAL MAX. DOCK DISTANCE TO DOCK DISTANCE FROM=TOBULKHEAD/SHORE INE Left 'Right ' MAX. TIE -POLE DISTAN ' TIE -POLE DIST CE FROM RIPARIAN LINE Left Right DOCK P TFORM W L /WALKWAY W L' D CK PILING DIAMETER / TIE -POLE DIAMETER FLOATING DOCK Yes No BULKHEADS ""� \ P` LENGTH TO BE CED ' / BACKFILL REQUIRED YES NO W _ (0-7(_ 690S LENGTH BEHIND WALKV4,4-YIOR DOCK THING LENGTH I certify that the wood to be used complies with Tables D-2 and D-4 in Appendix D PROPERTY OWNER'S SI NATURE - CONT TOR'S IGNATURE COMMITTEE COMMENTS/ DATE: PCC APPROVAL DATE: f ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to l_ c V l & i- DO A nG CO L 4k 's e1FA (Name of Property Owner) property located at to k I IV 5ckvJv/1eJL, Cd-" i�e.c.� ,�, N L- (Lot, Block, Road, etc.) on , in CA-" a-;-, (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 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) 6 6 off- &Q_� 1 /) 411 ILA S+-rrz bvA_,cd +o o-(- o-e— --------------------------------------------------------------------------------------------------------------------- (Applicant Information) (Riparian Property Owner Information) 5'osV21vQ.- t4ou-, Or Mading Address Signature l-ie w i2ocl City/State/Zip Telephone Number 51 a3l61 Date F1(t-e' 4- R-_t �t�h1/2M Print or Type Name ZSZ 6,? ) z Zf- Z. Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGS✓BOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to �Ly, (,1�rr� 's (Name of Property Owner) property located at Lo 1 S cJ.O 0'1 e'�' ct N e", (Lot, Block, Road, etc.) on ) oW t'60 ✓l , in N�,c.�3 &,A , - FFN - (")e r1 N.C. (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 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) ; CQ CVU,,,' c� c� C 1J11 C f J�+' LA wly*x- --- ------------------------- (Applicant Information) 1�'0 5 b 1 w2- V} eAx, fl Mailing Address City/State/Zip X5a--3qcl- 153, Telephone Number Date F K.--) ro o-�- e" P o 5' -d'. v`r aAJ_'e`) Y\lY 1 1 i L�'7l l Print or Type Name 01 tol —9 Lo 3 - (03 `1 C, Telephone Number Date 6 0 01(-d cl I -- a 5 0 - 5-?-3-sti - DJ 3 a3 LA asp L DONNA M. GOULD 05-07rf�J} ! v 157 SETTLEMENT FELICYA GRAHAM 505 BLUE HERON DR. ss-9o15 NEWPORT, NC 28570-8009 ;; 119 9 p-YDthe�+,, bV C 1 Date ilV gs �� U wcj Dollars 8 .I,... First Citizens Bank firstcitizens.com/►�' For I:053i0030 1':0 LLi8325809ii' 001S? a� Cl.l . COLONIAL CLA7 IN