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Home My WebLink About61098_FULCHER, CECILIA_20121018C'CAMA / 0 DREDGE & FILL All �C3 NO. 61098 GENERAL PERMIT Previous permit# New ❑Modification -]Complete Reissue ClPartial 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 ?� t'� e . Project Location: County Address ! �; c. \ t•. ! f <' i% ! ? Street Address/ State Road/ Lot #(s) City I) C P �g;^ ,, t StateJ� ti ZIP Phone # (7) !, +, Fax # O Subdivision Authorized Agent ' g ; �.- i:;.� .� ,�City --- - ZIP CW [j EW g,PTA M ES ❑ PTS Phone # (_ _) _ River Basin Affected � OEA ElHHF ❑ IH ❑ USA ❑ N/A AEC(s): Adj. Wtr. Body (nat /man /unkn) CI PWS: .l FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body_ Type of Project/ Activity (Scale: ' ) Pier (dock) length Platf Finge Groi Bulk Basin Boat Boat Othe SAV: Sand Phot Waiver Attached. yes no, A building permit may be required by: Notes/ Special Conditions on back regarding River Basin rules. ! See note orm s n length — - --T number_ head/ Riprap length K avg distance offshore i max distance offshore__ j � �, • �....�---.+"'�^- •"'..- ,ten._ ...r+.r✓'..-�-.- - y channel i i I i cubic yards ramp house/ Boatlift h Bulldozing �-1-�--�--� r I � , I I I eline Length not sure yes bags: not sure yes �o torium: n/a yes ?no os: yes no � -- I I I I II I � III I I 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 Local Planning Jurisdiction Rover File Name 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 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 252-808-28081 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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) BROOKS DREDGING & MARINE CONSTRUCTION INC 507 BAYVIEW DR PH. 252-728-6886 HARKERS ISLAND, NC 28531 �% 2 /✓� DATE /V ` 5081 66-1246/531 C L L A R S Bea fort NC 28516 FOR 11100508L11' I:0531124661: 0001379 II' IS PROICaPRAK 4" AkRyAle /6-00 (9w"C) pg.. North Carofine DWartrrmt of Envvimment and NaWral Rewwues Division of Coastal il�nagemt�rrt Beverly caves Perdue. Coveao ,lames ii. Cqvwn, Dicer oee Fmwm semrWy Applicant Name Mailing Address I ccrtlfy that T have autharked (aft) to act on my l,rhatf, for the purpvsc of applying for and obtain all CAKA Permits ne¢cuwy to install or wj at (tocatim) This OwdOmdea is valid tkm (daft) Signature 400 Cumneme Avemm, MmftW City, NoM Cmaina ?8557 Phone: 252-$0 4W I FAX: M-247,3= % httwst ww a" EV9lIiAFrnrafmAckm -5(Y& 110%nbuQam T I hereby certify that I ovin property adjacent to e of Property property located at is �) (�i�, (Address, L t Bloc Road, tce) on �._. N.C. (y'raterbody) (City—IT-6, n a for County) The applicant has described to me, as shown below, the development proposed at the above location. 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) 7 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ' l 0-2c �" St ature Print or Type lame k0all L 11 � 'IC.a r . EifingA dress �rLL re n Q& Ci� it / taterZip a C., . If — Telephone Number , 2 � 7 Date ailing Addr s City/State/Zip AJC Telephone Number Date in) (Revised 611812012) , F0 Date I hereby certify that l own property adjacent to Name of property located at on k U11 The applicant location. (Address, Lot, Bloc ,in �f)i ,(!.)-i G (Waterbody) 4UPAVA2 Is operty Owner) 1"1 A_,(L N.C. ity/Town ands* County) has described to me, as shown below, the development proposed at the above I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner In ormation) (Adjapent Property Owner Information) Si ature Sign tune Ue-c�)1G�` Print or Type ame - Print or Type Name Ceg"C-0 Mng.Ad Tess ^ Mailing Address M2 City/State/Zip ;�. z-� s7 t ( -- W�s t (3}(-) 3VS: - Telephone Number ` Telephone Number Date (Revised 611812012)