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Home My WebLink About60341_PAYNE, FRANCIS_20120702CCAMA / 17, DREDGE &FILL NO. 60341 . ENERAL PERMIT Previous permit# JNew ❑Modification LComplete Reissue ❑Partial 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 7 Rules attached. Applicant Name �r s Project Location: County Address 0 4 Street Address/ State Road/ Lot #(s) i r city_V-4 , ,e.: , t , n State N C ZIP 2IN O' t Phone # (Ili ) 5S0_:3C} Fax # O Subdivision Authorized Agent C-kr If g Qr % G la City-rLA41r zip 2,1 Z, 11 ^� Affected ❑ CW 3EW [),PTA N.ES ElPTS Phone # ( ) River Basin AEC(s): ❑ OEA I 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,_.. IType of Project/ Activity Pier (dock) length Finger pier(s) Groin length number _ Bulkhead Ripra ngth 6j* avg distance offshore 0 max distance offshore_-3L-e Basin, channelT—.. cubic yards Boat ramp Boathouse/ Boatlift —---- Beach Bulldozing i Other I Shoreline Length z SAV: not sure yes n Sandbags: not sure yes pn- Photos:Moratorium: n/a yes yes Waiver Attached: Me 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 # i (Scale: ) I See note on back regarding River Basin rules. f Permit Officer's Signature Issuing Date ' ExOiravlon 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/ 1-888ARCOAST 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) CERMFIED MAIL ° RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFiCATIONIVIAIVER FORM Name of individual applying for Permit: Mk + t^(- (- r;f ,PrCninct- 5.� J �C�S �1 R'<, QA../ C (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. 8plo 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 I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Applicant Information) 'i S-0 YZ4,51 Mailing Address City/State/Zip 15 1 _ J- 2S -dos I Telephone Number o('. - -- I L Date (Riparian Property Owner Information) Sigriature 6 R U (I /" - R Print or Type Name _295)' 3 q � Telephone Number 6, 1)- l-) Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED 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) 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 roposing. A description or drawing, with dimensions, should be provided with this letter. Z 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 orcall (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, boathouse, boatlift 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) Mailing //Address City/State2ip ,;2" - -?v- s, -- f 3c5I Telephone Number Z- ,ID- % .2-- Date (Riparia Property Ow ;er Info -mation) Si nature Print or Type Name Telephone Number e;-/0 /1- Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date i)(, 1 to1 Z Name of Property Owner Applying for Permit: 11 n L Mailing Address: L I certify that I have authorized (agent) �--' '� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) i2 at (my property located at) ISO SC 4S I, -Clrf— D n +^ki LA w tt C N e- �.S" j , This certification is valid thru (date) N - 2a -IL Property Owner Signature Date OLIVER T. & SHARON B. HAYES MARK P. LEGWIN ATLANTIC HOMEOWNERS 416 HARDWOOD RIDGE COURT PH. 919-550-9330 CLAYTON, NC 27520-8603 66-679/531 DATE 1250 PAY TO THE — �)' I $Ll c,p ORDER OF f off y n ti1i G/IJ ., S r 10 -'�-�� — DOLLARS `ECB� �. aa+oa ` ,� t MEMO I! 0 ) q—� ` lvp i:053 L067991: 00l,35870051I' L 250