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Home My WebLink About33179_WATKINS, WALTER_20030207.I CAMA / El DREDGE & FILL GENERAL PERMIT Previ2serm(it # DNew DModification ElComplete Reissue ❑DPartial 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 El Rules attached. Applicant Name I& � ( - Vla I i' - r Address — City — — — — — — -- State /1) ZIP Phone # C 2 1 Fax # 5 2 q2. Authorized Agent Affected D Cw El EW El PTA DES 0 Frs AEC(s): El OEA El HHF 0 IH 0 UBA 0 N/A D IPWS: EIFC: ORW: yes/ no PNA yes / no Crit. Hab, yes no Project Location: County "r Street Address/ State Road/ Lot #(s) Subdivision City ZIP—"- ciz Phone# River Basin 1Vl Adj. Wtr. Body & I!, 1- 0 i (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Ale,,-J6 Pier (dock len th Platf Fing r pier(s) Gro'K length number Bulkhead/ FUprap length_ avg distance offshore . max distance offshore— Basi channel cubic yards Boat ramp Boat iouse/ Boatlift ..... MEMMME =N E E EVARWAFAM� Beat i Bulldozing Oth':r INEMMANO OEM KWHARM MMWWJWMN�11111111111111 -EWWA Shor fine Length SAM notsure yes no * 1 Sand,,ags: not sure yes �o Morkorium: n/a yes ,,no Phot s yes 'po Waiv�r:Attachecl: A building permit may be required by: Notes/ Special Conditions -W F-IWANAMOMMKIWA (V 4 lot, �f 8ecic L fAIV El See note 14 4- or� on back regarding River Basin rules. If 1' 1Al 0(1( frqApt 6/ 0 I 4t 'f"f Permit Officer's Signature C Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Issuing Date Expiration Date A41,1704— Local Planning Jurisdiction Rover File Name Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Issuing Date Expiration Date A41,1704— 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules [1 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 Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax:919-733-1495 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 JANET W. WATKINS 1781 NCDL 1966711 PH. (919) 266-6321 2917 AIRMAX DR. RALEIGH, NC 27616 66-7704/2531 �— /1 / CJ Date Pay to the Order of U-WCt-YS �� Dollars State Employees' Credit Union Wake Forest, North Carolina 1:2S3177049i:0862812847911' 178L PR -4-rE Y q afl Coe ASS Ff me- r VL IL4A Fi Y-e o ry 46 phi P P R J X 20C, C AJ I t V A -TO r3c, '�uL-K1-1rzAn K ui rz PLAj F7,>Q_ �J A L T-C- VZ WA4i K I 11(o nL-v%r-,,4 N. OVIATJLvZIAL 10 ,R tI 'J V E: PQ S -F IE DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: �� %�/�—d� Address of Property: A (Lot 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/ 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 H, 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature I/ Date Print Name q / 0- ---)- S -"/- = 3�)' --� � Telephone Number With Area Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �� 21L ex �,�� S Is (Name of Property Owner) property located at v 2 f' ice/ C—`� (Lot, B ock, Road, etc.) on , in f2 L ,-tg / i I C �,� cc- , 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) Signature Ids 0� Print or Type Name q12- -- 3:�3 Telephone Number Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1')�9 #(A r21" s (Name of Property Owner) property located atL U (Lot, ck, Road, etc.) on , in A" )All '�'`C X- , 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) ignature -r QPC Print or Type ame !�,l(7- 2F/-.2� ..?� Telephone Number Date: =Jig— d a MIN 1: ►: Kai a I J a• !. __ I a 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: Address of Property: (Lot 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 ha-ve no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plain 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.) I do wish to waive the 15' setback requirement. v� I do not wish to waive the 15' setback requirement. S`-natUre// Date Print Name 9/ a Telephone Number With Area Code