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Home My WebLink About33172_SANBORN, RUSSELL_20030207ib[le MA / ❑ 31 DREDGE & FILL 372NERAL PERMITPrevious permit Mod[:]Complete❑ ification Complete Reissue Partial Reissue Date previous permit issued As authy 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 Address City StateZIP' / Phone # ( ) Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A 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 Type of Project/ Activity ~ (Scale: Pier (dock) length 1 i Platform(s) Finger pier(s) i j —-- j I — - - - _r - - - _ Groin length number Bulkhead/ Riprap length - A- — j avg distance offshore max distance offshore Basin, channel cubic yards i- --._ _ r. ........ _.._._. I 4 Boat ramp - Boathouse/ Boatlift i Beach Bulldozing Other- � 'I -� Shoreline Length SAM not sure yes no j Sandbags: not sure yes no Moratorium: n/a yes no , 11 Photos: yes no — Waiver Attached: yes no - i --- -- —_ _ A building permit may be required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Ae Signature Please read compliance statement on back of permit I C 1" Application Fee(s) Check # f Permit Officer's Signature u�1 ; � "- Issuing ate i Ex ration 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, certifythat this project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax:919-733-1495 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) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 BRENDA SANBORN PO BOX 2308 BEAUFORT, NC 28516 ol the! borddee r of 0() - 1P33i 7z HRST CITI7.CNS DD6 BANK NK Fust C'uzons Bank 8 —, Company iJ' Boaulort. N.C. 28516 WWW.fir citizen 513 Dil to pc OwU 66-30/531 006 $l0Uao _Dollars 8 For s.com 00nrke il1:0 5 3 10 3001:0000 -----d4�-�_��.----- - "-Q 5 78 50 1 7 111' 00 5 13 merrcan WDCC OITCH OR FORMERLY 'ID WENZ IB 540 PG 311 0. w � o � o OR FORMERLV S X> WE Al Z z 08 540 PG311 ; I 2' jr- -- -, _I.RS. W 3540G' 30'E 21.29' FOR j�Nh1�1 R. STR0UPE P, CARTERETCOUNTV,N.C. SCALE-- Ja 50' -0 N 2B.7(o' Al /Q// 4E NORTH RIVER —' �t I ' E.).P. NOW OR FORMERLY HILDA KELLER Lg W4 PG 358 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to '.� �J F� !�a s (Name of Property Owner) property located at 0 u (Lot, Block, Road, etc.) on � 0�,r i lS ' � , in 6 6 )'6_, 76-ea l' � � , 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) 4 -------------------------------------------------------------------------------- Signature [)A(,`i0 -T Print or Type Name Telephone Number Date: — _ 0 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY -OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: � L L J ICSN P' O (LN Address of Property: l` P o ?)0 X ,;,5 � � ►�� -b r I1y Fo,�! 1 /\l C� A 3� S7/ c0 (Lot or Street #, Strut 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, Hestron Plaza II, 151-B, Hwy. 24, 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 I understand that a pier, dock, mooring pilings, breakwater, boat house, lift 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.) kl--�I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. r '/J/ 11 - �-) -/-- Signature d�°� Print Name t- 2 s 3 Z Telephone Number With Area Code ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ��r. �f�►v 5. ��-� L l"U ►1k�r�s ' 2. Article Number (Copy h A. Received by (Please Print Clearly) B. Dat c C. Signatur X Agent ❑ Addressee D. eh ery addreiVdifferent from item 1? ❑ Yes f YES, enter delivery address below: *49 No 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7002 051,0 0001 9919 4920 PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 1 UNITED STATES POSTAL SERVIC�t� GM • Sender: Please print,-;yo r,na St- �o,., osta address, and Zed B. this -box :}a I,II+IItIIIIIiItI<<IItIIIItIiIItIIIIIIIIIIiIIIIItttIIIIIIIIIII ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. Received by (Please Print Clearly) B. Date of Delivery ` C. Signature X r��'l/� ❑Agent C� ❑ Addressee I D. Is delivery address different item 1? es If YES, enter delivery addrit below: No 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number(Copyfroma 7!000 ,08 0 0001 .9919 3988 PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 i UNITED STATES POSTAL SERVI r31jA,w ostage`& ees aiUSPS Permit No. G-T I • Sender: Please print your'name, address, and ZIP+4 in this box • } fj �tiillfFFittli{tttll�ilif ttlt�t3tlft�Itiilti�t�iit'tlli?illl MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME LOCATION: 6* PERMIT # 3 (—)a — C FIELD REP. PHONE: j(� 3�j>�' (ram DATE REPORTEDLY COMPLETE: DATE OF INSPECTION 1) Do th easured dimensions of the development differ from those indicated in the permit and workplat? YES/�C [circle one]. COMMENT: 2) SEDIMENTATI &EROSION CONTROL: disturbed areas? /NO [circle one] COMMENT: Has Permittee seeded, grassed, or otherwise stabilized all 3) FUTURE M ORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES [circle one]. COMMENT: