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Home My WebLink About58356_WEBB, ANNIE AND LUCY HICKS_20110912❑CAMIA / ❑ DREDGE & FILL GENERAL PERMIT C;New [-]Modification ❑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 lV �Y- Previous permit # Date previous permit issued ❑ Rules attached. Applicant Name ;� Project Location: County Address City Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) ❑ EW C PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP i Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body - ■■■■■ii■■■iii■■■■�■e®i�i�iiiii■i�■i■■■■i■ -RIANOW-ME mom ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on Please read compliance statement on b�f peLmit g' Application Fee(s) Check # � ♦ � 1. i �; ,! 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, 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/ 1-888-4RCOAST 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 w P _=gym:= •� .�., .�,�,� .� .. ._ �, ��+, ,M. .. _ , ..... , 66-85/531 2718 LUCY ANN HICKS 103 WEST COURT8584 CAPE CARTERET, DATE PAY TO THE ORDER OF Lfi DOLLARS 3d d j RBC Bank' ev ii■ 2 7 L 1.0 5 3 L008 50l:0 2 0 L 56 MEMO — -- - - - _ — -- �N CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM Name of Property Owner: A rill ice- VJ e bb l k"d— I c «.e-y A rnn PlI k5 Address of Property: 103 W eS �- �l�u_r �; .�� r�r�-P�� (✓C�r 4 (Lot or Street #, Street or Road, City & County) Applicant phone #: -� S:)- - 4cl 3 - 6 9 a Mailing Address: /G� 4,',es� oort-,- T I hereby certify that I own property adiacent 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, must be provided with this letter. A� Q_ I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 90 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 9-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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. di.)'I do not wish to waive the 15' setback requirement. (Property Oytneer Information) Signature b aey Ann A1G1's ,4r)nte Is. Webb Print or Type Name %O3 �� , Cane. �a,�.�e2.ert,/✓C Mailing Address City/State/Zip 025�Z — .3 9 3 - (, Sa Telephone Number Date (Riparian Property Owner Information) ," : A ,'q .v Signature (J U Print or Type Narfte av: Mailing Address C A - _1 a,�2R5�8� City/State ip L -31 Telephone Number �'& I i Date X CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: { a r1 I_bb a-,x-�c L u, Address of Property: 5 &/-"-" _ Jc - _l— (Lot or Street #, Street or Road, City & County) Applicant phone #: --�d - 3 J 3 - 1,, S ,;� `/ Mailing Address: ICJ S �tyza-t 66� 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_tne development they are proposing. A description or drawing with dimensions must be provided with this letter. L,--Ch-ave no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift 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) Signature k' Y q o n i t Print or Type Name Mailing Address CitylState/Zip Telephone Number Date (farian Property ner Information) Signature Print or Type N6me Mailing Address City/S ate/Zip C":�"O Telephone Number �l Date �A i . l< U