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Home My WebLink About60275_HODGES, RICHARD_20120814CAMA / [-DREDGE & FILL f'' N O . 60275 GENERAL PERMIT Previous permit# -New DModification i-Complete Reissue t-lPartial 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` Project Location: County Address c ; , Street Address/ State Road/ Lot #(s) City State ZIP Phone # (_) Fax # (} Subdivision Authorized Agent City_ ZIP _ Affected i CW EW 5PTA ❑ ES ❑ PTS Phone # (} River Basin AEC(s): OEA HHF ❑IH ❑USA El N/A Adj. Wtr. Body- ------------------ — --- nat man unUn PWS: 7 FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body--___-____` Type of Project/ Activity Pier (dock) length Platforms) Finger piers} Groin length _- number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards _ Boat ramp Boathouse/ Boatlift (Scale: ) I Beach Bulldozing_____ Other ------------ Shoreline Length .__-- r SAV: not sure yes no� .--- Sandbags: not sure yes no' Moratorium: n/a yes no' Photos: yes no Waiver Attached: yes ,no' 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 # 0 See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date Local Planning]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: j 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/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Elizabeth Citty. 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) NCDENR North Carolina Department of Environment and natural Resources Division of Coastal Management Michael F. Easley, Gavernor ,lames H. Gregson, Director William G. Ross Jr.. Secretary Date �.�-- Applicant dame Mailing Address O e [eA.jF1j-1 kc- z J� '7 l certify that t have authorized (agent) AeIAf' I�+^sT/% to act on my behalf; for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (activity) at (location) 701 OrL vi.�- ,2 c� �V1 e,4-7#L 144C / Z1 — This certifi Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 t FAX: 252-247-33301 Internet: www.nccoastafmanagement.net An Eoual Opoortunity t Affirmative Action Employer — 50% Recycled i 10% Post Consumer Paoer m CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: AIt Address of Property: -70 or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION g,-- b'-� C. �� 0 r �j t� W ,1rt t i understand that a pier, dock, mooring pilings, breakwater, boathouse, boatiift or sandbags 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. (Applicant Information) �o w)o\ i� Mailing Address j f City/StatelZip a 5d,- �M — 0(A Telephone Number (Riparian Property Owner Information) Signature (�STCIZ Print or Type Name � 51-o-466., 73` Telephone Number 5 b I 1� X" 06 15` 2ei7_ Vale Late Q Q O ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORIIVG PHJWGSBOATLLFI"BOATBOUSE) I hereby certify that I own property adjacent to tC � �G�>> 40 '�� 6 � is (Name of Property Owner) property located at (Lot, Block, Road, etc.) on .�,;��c;� ,in�r.e�� ,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/boatliffi/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. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) �-'10 (Applicant Information) �0 5"y' mo Mailing Address r s J ciry/staterdip Telephone Number 1,1711), (Riparian Property Owner Information) ---��. ure J U/r /U J4�FI3 ff Print or Type Name Telephone Number - -- f a --- Date Date K071-74-2 0 2.12.E K071-7 4-19 Z03A K071-7 d-18 LONG K071-74-17 P %9 HODGES RICHA K 07 1-7 t) 3.0dA 2 ET U X Ro 1.08.x K071-77 -� K071-78 Pamlico County, NC Parcel Number: K071-77 Deed Book: 289 y NC PIN: 7409685275 Deed Page: 594 Owner Name: SMITH NATHAN TRUSTEE Plat: r % ` ' PROPERTY MAP Owner Name2: Deed Acres: 3.1 ,,t,r, Owner Address: C/O WILBERT K TESTER Land Value: 116509 •! Owner City: STATESVILLE Building Value: 179744 N Disclaimer: Owner State: NC Value: 296253 The data provided on this map are prepared for the Inventory of real property found within Pamlico County, NC and are compiled from recorded plate, deeds, and other public records Owner Zip: 28687 Sale Date: [unsupported data type] and date. Thla date is for Informational purposes on end should not be substituted �- ry Situs Address: - 717 FORK POINT RD Sale Price: 0 444 r � V'1 fora true title search, for appraisal, survey, or for zoning vedlfcalron. One Inch = 100 Feet Legal Desc: FORK PT ROAD LOT 2 ` --- - 1283 tBX 190 66-30/531 PO BOX �� 472 ORIENTAL, NC 28571 Date Pay to the UL j Order _ } ` Dollars !. First Citizens Bank firstcitizens.com ._. 44 { �: 0 5 3 L 0 0 3 0 0 +: 0 0 4? L 20 2 12 5 411 -_.___(� L 2 8 3 ______._._ >t 3 Is