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Home My WebLink About50644_HEDRICK, ROBERT_20080326IDCAMA / [-]DREDGE & FILL 3 a 110C44 GENERAL PERMIT Previous per it # ❑New El 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 ❑ Rules attached. Applicant Name Address City State ZIP Phone # )_ Fax # O Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ElOEA ❑ HHF ElIH ElUBA ElN/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) `)- i ,!( 11 Subdivision City ZIP Phone # ( ) 1 River Basin_ 'r Adj. Wtr. Body Closest Maj. Wtr. Body ■■l��! _ ��■■ r.E� >i�lOiN�ll��i�I�IIIllM%N[.la.■■�■OLD■%!.11�'/.lf1■%!I■ ■■ i■.r.■■®.�u■��Ui`'■■.��■■ !1■C�Iw!■al■!■11•■lm MINI! ■I.■!lili/J■ ■lw■■r��■�Now ■n�u■■ .1111111N :.. :. M. own MEE ■!■■EIlI ClEEE■N■'■!!■■O��EMENNEN■ MEN ■NONE ■■■■u��uuuur�Nura■■■■■■N■M■M■■■■■■NM■!■■ ■NOME■Moo!■■■o■■E■o■o■■■o■MV ONE ■■■■■MEN !M ■M�!!!NN!■a MEEMN�ENl:aNN!!■E!■EN ■R W■_■■■I.■N161�..■■N■EMMEM iNo■E■NE■ENE■ENENEE■E■E■E■Eiel�l■1r►l ■E■ ■■......!■■ L■S !■■■■i■■■!■■■■■■M!M■N■■■■■■■MN■■■■N■■0 ME N!!N■■N■!C!!N!■Y■NIENu to ■■■■■■■■■■■■■■■■■■!■■■■■■■■■■■■■!■ ■!!! !!!:! ::!!■!:!N!!lN�:.l:lNN :!!lNM: ■1...■O.Nn■EE■■■N■ ■■o■■ ■ !■!O■■■N ■■!■■:■!■■■■■■■■■o.t■!■■O■■!■ONl� MEN ■■o■M ■ ■mom o■�M■■NEN N ®■ ■MOM M■■ ■■■_■■■■■O■RNIN■■■!■■■n■■■■NI■■■■■■!N■■■■ !■■!■■■■■■mmilO■!■■EN■E■■s9!■■■■■■■■■■E 111E■■i■ ■■■■■■■ M■.■■■�.■■SOME■■■■N■O!N■■■ !ENE� ■■■�M■IPNQ ■mil iiiiiii ■■lMMii■!■gin!!■■■■■ EN ! !! IN■.Noll■■■■■®�.■■■■■■NONE ■■■■■ ONE MMI.M ME ■ MEN Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # �e Permit Officer's Signature Issuing Date �'J Expiration Date fys� ,r-Y�15 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, certifythat 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/ 1-888-411COAST 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) Washinzton 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 I hereby G Property located at `' N.- ;xu'A'" >E'11OPERTY OWNER STATEMENT ER/MOORINGPILINGSIBOA L1FT�130i1T1lOL,SL d ) t own property adjacent to (Name of property Owner) 1l Z 44LAl r,.(4►C (Street Address, Lot, Block, Road, etc.) on -f� I S (Waterbody) in 8,, L, (Town and/or County) �— N.C. Helshe has described to me, as shown below, the development he/ location, and I have no objections to this she is Pro osin P��Oadtll/boathouse must be set back a minimum distance understand that p gat that nparian aces unless waived by me. I have indicated of fifteen feet 15 a Pier/mooring y are rog MY intentions by Ijrfl�a �a � from my area of g below: do not agree to waive the 15' setback requirement. I do agree to waive e the IS'(n�I setback requirement. "SCRIPTION AND/OR D r ING OF PROPOSED DEVELOPMENT: E V J ------ �.. � `a, y obef1�di individual pro osin CVFLOp1VlENT: ------ a p g development) f' J. r f Telephone Number C/l•• Date: 7 O f I DJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGS/BOATLIFT/ BOA THOUSE) 4ereby certify that I own property adjacent to _za,s (Name of Property (honer) J#cated at ) / Z 44tL o � -1. c 93t�,,oc L, C e u5 on locatio riparian i • ('�oitiab) j � (laitials) l 44 r (Street Address, Lot, Block, Road, etc.) A G'�y-C. /j `, , n ��L♦^/--,C ��hc 1-, , N.C. Vaterbody) i(Town and/or County) 'She has described to me, as shown below, the development he/she is proposing at that rid I have no objections to this proposal. I understand that a pier/mooring t4fl/boathouse must be set back a minimum distance of fifteen feet (15') from my area of ;ess unless waived by me. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. I do agree to waive the 15' setback requirement. - ------------------------------------ --------------- SCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Tube filled in ndividual proposing development) i a C- -------------------- --------------------------------- S' ature J•L:� I A I -row Print or Type Name 3a3-yq'o 3 Telephone Number Date: � 7 1 r_ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director Wiiliam G. Ross Jr., Secretary Date �; ' 20 ' O--J Applicant Name X n 6c�- h Mailing Address r, 5<6n00k( S'P'�' e�\, I � -a -'s I certify that I have authorized (agent) M c, c1 (�c��k lL �r� tom_ to act on my behalf, for the purpose of applying for and obtaining all CAINIA Permits necessary to install or construct (activity) V /U--�J56 S / yPs ZN 4-L at (location) Z 12 JUL-e U� � -- �, L A L-,e j. "Phis certification is valid thru (date) .-0 i i '_�' I Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Fhcne. 252-808-28081FAX: 252-247-33301Intemet: "v.nccoastalmanagement.net =n Equal Cgoaunity 1.afirrnadve Ac-jcn Emplcyer — 50 o Rec;ded 1 10 v Post Consumer Paper