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Home My WebLink About58154_RAMSAY, BEN_20110621❑LAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑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 Applicant Name Address City State ZIP Phone # (,) Fax # ( ) Authorized Agent ❑ Cw El Ew ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no 1� >� Previous permit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) c. Subdivision City Ac ZIP Phone # (Y�� .)� -�Qc Rover Basin Adj. Wtr. Body i `r . ,� . ^ ` h�S h o^a nat man unkn Closest Maj. Wtr. Body ore o :.. ■■.■.■■■.■■■■■■. ■■■■■■■■■■■■0i�P-A ■■■ MEN 7■ ■r�■■■■!lZ■7■■■■■■■ ■!;■■ IN ilia' ig■fv■■■■IEMMMMMMMMNMMMM ■M■ No ■■■■■ ■■■N■■■■■■■■■f�■■ 1.. .�� ■■ ■■ �i�il■■■■■■�■■■ ■■■■■■�■■�N�'!■■■ ■N ■■■■■■N ■■ ■■■■■■■■■®■■■■■■■■ ■N■f■■■ ■■■■■■■■■■■■■■■■■■■■®■■■■■■■■■■Novi■■■ ■■■■M■■M■!M■■■M■■■■NNNE■■E■■■■■�■■■�■ ■■N■ ■N■ ■®�►'�L�■N■N�■NN■■ ■lvR1N■■■■■rI■■■ i ■■■�■■■ IGi ii►�i�l.iii...lilrr�l�. .JN■■■ ■■■■■■■ ■■■■■AN■■■■■■■N■■■NN■■NIA■■■■!!!f ■■N■■ ■■!■■■■ ■■■■■■N■■■■■■■■N■N■NN■■ N■■N■■oaf■■■■■■■■■■■■■■■■■■■■■■■■N■■■ MENEM■■■■■MENNEN .■■N■■■N■■■■■■■■®■N■i■N■■■■■■N■■■■■■MEN . ... .. ■ ic`�rhS�' Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Issuing Date Local PlanningJurisdiction Expiration Date 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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 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 1 �r*o NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director July 5, 2011 Ben Ramsay 621 Maple Ave. Asheboro, NC 27203 Dee Freeman Secretary Attached is General Permit #58154-C to install a 13'x 13' boatlift, at 270 Stacy Loop Road in Stacy, NC. In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit copies are not returned to this office before the initiation of development, you will be working without authorization and will be subject to a Notice of Violation and subsequent civil penalties. We appreciate your attention to this matter. Sincerely, A:—" C�— JC , Barry Guthrie Coastal Management Representative Enclosures 400 Commerce Ave., Morehead City, NC 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer NorthCarolina ;Vaturattt( v(FOR A PIER/MOORING PILI-'VGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to D fl, 's (Name of PropertyOwner) property located at PO �• (Lot, Road, etc.) on gr*s aft , in S ax- N.C. (Waterb dy) ( own and/or County) Applicant's phone #: SU W3-7300 Mailing Address:_«] PAJ<<- AmNwc 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 / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive —51,04 I do wish to waive that setback requirement. ----------------------------------------------------------------------------------------------------- -------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) " C lItf v et,:"�if hf Ftoy- Ova` (Information for Property Owner Applying for Permit) Mailing Address ---------------------------------------------------- (Riparian Property Owner Information) Signature ,S A- i L L D..:..1. —Tama Noma (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to &,r.. N. l��'�S�/ 's (Name of Property caner) property located at L*• (Lot, Road, etc.) on >ri i Q oH/ , in S+"Y , N.C. (Waterb dy) own and/or County) 1111�� Applicant's phone #: SU 199-79oa Mailing Address: tall ��_/�%w4 k pro , p•�. ,2��03 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 / boatlifi / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive Ga-%I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) " G �. VCAI�If hyroy, 4601 (Information for Property Owner Applying for Permit) Mailing Address (Riparian Property Owner Information) r A N tj Err &- t m r9l Print nr Tvne Name 66-456/531 BEN H. RAMSAY NCDL 3205994 621 MAPLE AVE. PH. 336-629-3651 ASHEBORO, NO 27203 4 W 1 I PAY TO THE 2 FIRST o FIRS ■ �� Your Community Bank Since 1935 ASH �0^,NORTH CAROLINA 27203�� g� ■ 1, H /Jl L/ 1 NP MEMO. o 1� e:053104568O: 2730095 24110 0119 2 1192 DATE C! ' r r 11 DOLLARS L�J�