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Home My WebLink About53359_MEYERS, HERMAN_2009031711 CAMA / J DREDGE & FILL C1"JGENERAL PERMIT Previous permit # New ❑Modification ❑Ctomplett 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 r Phone # ( ) 1 � , ` Fax # ( ) Authorized Agent _, ;! _i Affected L CW � EW q,P`fA �W" ❑ PTS AEC(s): ❑ OEA Cl HHF ❑ IH ❑ USA ElN/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / ;no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platfo Finge Groin Bulkh Basin, Boat Boath Beac Other Shor( SAV: Sandl Mora Photi Waiv Project Location: County Street Address/ State Road/ Lot #(s) Subdivision_ City_ _ _ ZIP_-�_ Phone # ( ). - River Basin, t_ i r i ra -- Adj. Wtr. Body (nat / /unkn) Closest Maj. Wtr. Body (Scale:,;L/777 ) r h rm(s) I _ pier(s) _ length -- . number t ead/ Riprap length -) �� b - -- --- - -- - - -- - avg distance offshore _ ._ ! - - -- - max distance offshore- --= - -- - - -- - ---- -- - - -. channel =ubic yards - - ramp ouse/ Boatlift Bulldozing_ � a I I line Length i not sure' yes no i a- � ia s: not sure es no , � � i g Y r :orium: n/a yes no 6: yes no i-- -- - - + - Attarh—l- vac 1 nn A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit Application Fee(s) Check # ❑ See note on back regarding River Basin rules. PermitOfficer's Signature "-7 , Issuing Date ' Expirlation Date Local Planning jurisdiction Rover File Name A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit Application Fee(s) Check # ❑ See note on back regarding River Basin rules. PermitOfficer's Signature "-7 , Issuing Date ' Expirlation Date 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, 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: ❑ 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 252-808-28J8/ 1-888ARCOAST 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: 9 19-733-1495 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 a c c IK , MAR r 1 2009 �67 Morehead (City DUV Nol lid c-arollna, Depa merit of Environment and Resources 3 'Sion tof Coastal Mann men Nlichae! F Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secret lry Date 3 = I a Aapplacant Naaaac M.ailing Address a I certify that f have aastliaea-izcci (ageant)�� t� 6� t� aet oar say,: - -- --eaa— L,foe• te- s- -Parpos� c,fap�i�ab rxIUr and� obtai ;.nng all-C NLA, Permits necessary to-_ -- install or construct (activity) at (location) 46 t-0L This certifi Signature f I ADJACENT RIPARIAN PROPERTY OWNER STATENIENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to HW'MgiP me -m-fs` -s (Name of Property Owner or Applicant) Mailing address if different from Iocation address CM 5 (town, state and zip) �C'��t2T tiLC �� Sl 6 phone numbers you can be reached at v21 property located at (Lot, Block, Road, etc.) rehp.R- d City DCM on M P111 YYI &P4 : QA PA-L- , in �t � C—PeP -E:f-T N.C. (Waterbody) (Town and/or Coin) 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. initials � =_ I do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) C-' A- t-"Y�L- 1 1 1 \\ 1 1 ---------------------------------------------- ---------- Signature P, C. Print or Type Name 7, e- VS',? Telephone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 1E7ME 'f4t') 1 f l c'-�tr-5 s (Name of Property Owner or Applicant) Mailing address if different from location address_ � 4� L.,Ilr� b P (town, state and zip) '$ 6TIbri- 7--[C- �$5 phone numbers you can be reached at ��5a> ��B' ' 6 (s property located at (Lot, Block, Road, etc.) on rR1' JY\Pjl' ''E: PR 0 R- I- , in L1T�i2-I � C f 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. MAK uz��s (� I do wish to waive that setback requirement. M oreheaa i,;ay UVM initials ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) e-4 b i — ----------------------------------------------------------------- ------ -- ----- -- --------------------------- ature �t-1L:—b'Tz— Print or Type Name ��A'? ` Ll Telephone Number i A -T-- -!� t x �N t . 1� •: i'Yt ■