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Home My WebLink About58840_FURTNER, KATHY_20110919❑ CAMA / ❑ DREDGE & FILL -. i GENERAL PERMIT ❑New ❑Modification El Complete Reissue ❑Partial Reissue 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 y IL I d Previous permit # Date previous permit issued Applicant Name <, t r C-1 c % Project Location: County Address '- �. t4�, t } # �i Street Address/ State Road/ Lot #(s) City State ZIP i Phone # (`) Fax # (i) -' "� Subdivision Authorized Agent 1' City ❑ Rules attached. ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): o OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards (, Boat ramp Boathouse/Boatift Beach Bulldozing Other Shoreline Length SAV: not sure yes Sandbags: not sure yes (no Moratorium: n/a yes Photos: yes Waiver Attached: es' no (Scale: ■■■■■■■■■■■I�li�►�I►:■��7®■■F��isl■■■ ■■■■ ®■■w®■■■■ MELIFA ►AMPAS w�MMW a■w ■■■■ ■w■■■■■■■■ON ■��r�l.�www�r�wr�w�►�■■■■ww SEEM =214MMOVAIII12d IBM EMME MENJI-10H at ■■■■■■■■■■ I�;i's.r,i�i��i�%�i■wrrw■■■i1�Ii■■ ■■■�■ ■■■�■■■/i/!il�l!■�f7► so 1K2;rAW'-WAZX;iR MONSOON�■■■■■ M MENES ■■■■■�i■■i■��► jai=ii�■ii■ ■■■■® IN■■■■■■■■■%��%i■i■■■w■■■■11 ■ ■■■■ ■ ME= ■■■■■■■ �I■1� `` �■■■■ ■■■■■ MEN MUMMIXIMMEMOMMEM ONE ■■■■■■■■■■■■■■■■■■■■ IN■■■■■■■■■■■■■Elmo MEMMOMMOM No Y A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name � f- ❑ See note on back regarding River Basin rules. Signature ** Please read compliance statement on back of permit r, Application Fee(s) Check # PermitOfficer's Signature Issuing Date Expiration Date 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 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) Revised 08/09/06 "�j...�.... WDENA North Carolina Department of Environment and Natural Resources Divislori of Coastal Management @evedy Eaves Pen:ue, Gover a James H. Gregson, Director Dee Freeman, secretary Date _ 2j& 0 Applicant Name klIg iA l" /7U vfI7 et. -- Mailing Address 119 wk,4 1gI' ts,r (C QLaw I certify that I have authorized (agent) _ Re, e.5� #tit /-L-'% act on my behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to instaII or construct (activity) CL �t h f o 14 oat at (location) t in t S Q ►— pr ►'k- kP o ff( Ca Na 't This eertification is valid thru (date) 30 2-0l 1 Signature . 400 Commerce Avenue, Morehead City, Notch Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www riccoastalmanagement.net An EqA % BngD W — 5D% Rapflied 110% Post Cmmw PaW HOME13UILDERS PH (252)726-6229 236 SALTER PATH RD PINE KNOLL SHORES, NC 28512 PAY THE OR ORDER OF ®First Citizens Bank FOR ------Mize J C & � / �/ QC it 2 L. 2 90 3o 1:0 5 3 100 3001:00 13 12 160 :t 242903 DATE } / 66-301531 133 $ 700 DOLLARS 8 F ° w ADJACENT 1.PARIAN PROPERTY OWNER STATEMENT (FOR A PIE'R'hf00R1,VG PILLYGSiBOA1'ZIFTIBOATHOU.SE) I hereby certify that I own property adjacent to— ko14 fc-) (Name of�roperty Owner) property located at _ _%1-�-- (,c) ►_�_ ,1 LI L3 -�L91 - (Lot, Block, Road, etc.) (� �w.,i� �� ;r] (Waterbody) (Town and/or County) Applicant's phone Mailing Address:._ _ ja_�( Ile 11as describezl to me; as shown below, the develon.nelit he is I>ropoSIDg at that location, and, I }lave na to his protxlFal. I ?Inderstand that. a pier/mooring pilings / boa'lift / boathouse 1TIi1St lie set 'jack a 1711r1S num distance of tJiteer! fc,"t (1j') ;;roil; Iny a;ca of r:;�arlall acceSS �_1111css waived by me. (If you wish to lvuive the setback, you must iniiial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/Ott DRAWING Or' PROPOSED DEVELOPMENT: (To be f lied in by Individual proposing development) (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip Telephone Number Signature Date -brct— ", (Riparian Property Owner Information) �Q DlA Signature G/j( Print or Type iame o Tolephone Number L ate k. A . Mymi — i eE e Y/ PP,OPOx'-"' P POCK MAN NT.5- NOACC, (1) Fie n art to be. co-urdinaud', but ArucMr3U3 Sep=raft WA SCW46W-Irflag. 49 WA P! SAWO W" .114 P. 6uplaft f4w ww�, toil on aftlefisi l'opwa M4kNp4i**+4mt "ch supperLs "p pier aai. (11 Mjjkr mooring pites; Wprekrred to 8'. (31 Pier finger widtlk approximately 3 (5) Shp kugft tame t,6) Mir ht*,bg ia Taw cv.77 trwd ft, CLRCi) IF---V WONIf %�,-r HOW ICT'5116N ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 1 u y+n c, - 's (Name of 111roperty Owner) property located at 0 S � Nr , Lai- 3-�— , (Lot, Block, Road, etc.) on �1 1e cv�4l� e�-,J- , in ti � � kho l,l ES o, �� , N.C. (Waterbody) (Town and/or County) Applicant's phone #: A2- -�'9-2-a 99 6 Mailing Address: r J ? LAA i -T e 19 S 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) y (Information for Property Owner Applying for Permit) /J9 c�.7A,'k /4,s-( h Mailing Address pL. k�, t(— ��S City/State/Zip cgs i 2_ �QZ- V; 2-- -2 C Telephone Number zsrr" Signature y Date (Riparian Property Inf C,frmation) "1,11 Signature Print or Type Name -Si Z - 4 (4- Telephone Number Date