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Home My WebLink About54381_MITCHUM, ANNETTE_20090820❑ CAMA / ❑ DREDGE & FILL I ` R GENERAL PERMIT Previous permit #�— [�New ❑Modification El 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 7 Rules attached. Applicant Name VI t Address ti ; J! s City State ZIP VV Phone # O ' ) i Fax # O Authorized Agent Affected ❑ CW 0 EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ 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 # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■�■■■■■■■■■■■■■IEEE■■ ■■■■■■■■■■�■ . • ... rM■■ '■■M■a■ ■E■■E■■■■■.■:■ .....■E■EMENU■EO..O.■....E.. ...�. ■■■ ■EN alN NOON ■■■■�■ ■ME 0� ■■■ ■■■ ':■■■ NOON■ ■■■■��a■� ■■■■■■■■WIM ■■■■■■■ORN ■■■NOON■■ ■■■■■■■■■■■■■■ N■ :. . - :. .. .. . - ■E■■ NONE ■■■■■■■■■■■■�■ MIN MOEN MIN ■MEN ■11IMMM Nl■911011 mum i■■■■® ME NOON■■■N1�.�1.�1=�'■�.EE=■■■■■■■■■■■■■ MIN N■■■■ ONEEE■■EEI�t11s■■■■Mltll�t>�EE■■■NEE■■NE■■■■ OE■■■■■NN■;■1■■■O■OfiEN■■■■■■NEE■®■O■■O■E JOE= OEE■N■■fllt4lllfl�l�t■1■�■■■■■®®■■lit■■■■NEE■■■ ■■■■��■ r�� ■■■■i1■■E/11f WEU■ ■■ENO■OEMINH NN■■NNNN■■�iiriL'r''■NN■ ...: .......�... .NN■■ ■■■ OO■■■Nii ■■■N■■■■■E■■■■O■■ ■■■■■O►rl' ERMINNI■NEE\! ■■®■I■■M■■®■■■■MM■ ■■ENE■f�■■� AWAIM■■■■■■E ■ ■■O■■■i■(#NNE■r■■NNO■■NN NI�EIIE■MMENNWN ■NONE �111il�MMMINI■■ :■ ■ �■/11�■NEE■■■■ f1■li!(t�litt!7�►�■■■■■■■■ ------------ Agent or, Applicant Printed Name r C `1,t� Signature Please read compliance statement on back of permit Application Fee(s) Check # PermitOfficer s Signature Issuing Date ! Expiration Date` � 1 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/ 1-888-41RCOAST 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 till.) H t�L' LV 1 M1r AJM1 IN r1%"rJr n 1 I V VV IN V.,n a 1 A I riIV1 IN 1 (FOR A PIER/MOORING PILINGS/BOATLIFTIBOAT/H'OU1SE) f I hereby certify that I own property adjacent to l l'% � /��l�C,)1()/X 's (Name of Property Owner or Applicant) Mailing address if different from location address -P'0 (town, state and zip) Dcty' S Y) (�, a �-S phone numbers you can be reached at 5 `� property located at I u-! S ecj (Lot, Block, Road, etc.) on - C3r2 scluncf ,in �Zi�- d�e ,N.C. (Waterbody) (Town and/or County) A 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/boatliftfboathouse 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. AUG 1 0 Z009 initials oread-City .)CM ------------------------------------------------------------------------------------ - e.� DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) + L / V 5 hoo vv 6� P y1L Signature Print or Type Name r.,9"V X) C/l/ C' 6 6 n S Telephone Number 3 S� � Date: www_necoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATE1vMNT.pdf ADJAt-EIN I KIYAKIAIN YKVYL+KI Y VWINER N'I'A.'lh1VIE1N I (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to An Y)e- `� or 's (Name of Property Owner or Applicant) Mailing address if different from location addressL2 e� (town, state and zip) g� phone numbers you can be reached at S �Z 17 r, property located at l W�C�f� (Lot, Block, Road, etc.) on �� r�`�`>�� H ,� , in !yG , 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. mitia r` I do wish to waive that setback requirement. AUG 2 0 2009 initials ---------------------------------------------------------------------------or-CM it Y DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT. (To be filled in by individual proposing development) J� pw IC a 64 I --------------------------------------------------/------------------------- G Signatu 14 Print or Type Name Telephone Number Date: � o 7 www.nccoastalmanagementnetJPermits/ADJACENTRIPARIANPROPERTYO WNERSTATEMENr. pdf DAVIS SHORE FERRY SERVICE 148 WILLIS RD. P O BOX 45 DAVIS, NC 28.524 PAY TO THE ORDER OF 1526 66-21/530 BRANCH 17,113 DATE —24 I $ ,-a60 '00 ` DOLLARS 8 s"""" � Featurse oeieue o� sect. WACxvvIA Wachovia Bank, N.A. wachovia.com� J � FOR c � 1I'00 l 5 2 ,'I' IM 5 3000 2 191: 20000 2\1 40 3 6 L W -. a