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Home My WebLink About59322_RUCKER, ALEXANDER_20111020❑,CAMA / ❑ DREDGE & FILL s� " GENERAL PERMIT Previous permit # ❑New ❑Modification El Complete 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 I SA NCAC ❑ Rules attached. Applicant Name Address City State ZIP Phone # (`) Fax # (�) Authorized Bent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin f Adj. Wtr. Body Lat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length (Scale: Platform(s) Finger pier(s) I Groin length �� number Bulkhead/ Riprap length 1 avg distance offshore Jo - max distance offshore Basin channel I cubic yards Boat ramp r /d - I - --- i Boathouse/ Boatlift Beach Bulldozing_ Other - nj I Shoreline Length SAV: not sure yes no Sandbags: not sure yes no f Moratorium: n/a yes I no � n � Photos: yes no. W o- (y'� � � •' Waiver Attached: yes no A building permit may be required by: ^°- ar izt ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name i PermitOfficer's Signature t Signature ** Please read compliance statement on back of permit Application Fee(s) Issuing Date Expiration Date Check # Local Planning]urisdiction 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) Revised 08/09/06 . . . . . . . . . ....... ....... .... 31 C K Alex Rucker66-30/5461 1216 Sara C)vu&r 715 WestollerAve Wiltstoll Salelft, M 2 7104-2 117 C L? CV DOLLARS f'.k for .1 lurc Pfull ,iumalre line. -)v ype 'I Oivcn.s O;i!7k on bark. 1h7ol pa-svn!. Jo not cash. First Citizens Bank fi rstci tizens. co m i:0531003001:00[,61132313385iiI 01216 4 Revenue Code or (b) promoting, marketing, or recommending to another party any tax -related matter(s) addressed herein. Any tax advice contained in the body of this e-mail was not intended or written to be used, and cannot be used, by the recipient for the purpose of avoiding penalties that may be imposed under the Internal Revenue Code or applicable state or local tax law provisions. CONFIDENTIALITY DISCLOSURE: This email message may not be forwarded to any person without the express permission of the author. This email message and any files transmitted with it are intended solely for the use of the individual or entity to which they are addressed. It contains information that is privileged, confidential or otherwise protected from use and disclosure. If you are not the intended recipient of this email, you are hereby notified that any review disclosure, copying or dissemination of this transmission, or the taking of any action in reliance on its contents, or other use is strictly prohibited. If you have received this email communication in error, please notify us via email at mlonQobardo@plc cpas.com or by telephone so that we can arrange for its return. Thank you for your cooperation. READER BEWARE: Unencrypted, unauthenticated Internet e-mail is inherently insecure. Internet messages may be corrupted or incomplete, or may incorrectly identify the sender. Please contact me if you wish to arrange for more secure communication or to authenticate this message. a�g([ a1n;Eus 1atFAto 41adold 7 • /_/z� � ly (alep) tugl P!INA S1 aoLjea!j4jaa s«i.L lT "" o; ,tlassaaaa sVmlad vWVj Ila 2uiupggo pas 1oj 3u!Xjdda jo asod,ind aq;1oj `jlagaq Stu ao;aa o; y� J (;aa.2a) PM10q4na aAiRq I liagj �1aa I .✓ � ..�� .•, pro � �� c'!�� :SSa1pp'V2tH1I!zW :;amlad 10;.3uiXjddV 1aum0 f41adold jo amiaN WHOA NOI1VZ1110Hinv 1N30V 1N3W30VNHW -IH1SVO3 30 NOISIAIQ O N CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONIWAIVER FORM Name of Property Owner_. :; �r �' ��"(�rG Ht ✓`�i� Address of Properly: l� ✓ u� 1 She /V s r- r-i Y� f't �r�.r�j (Lot or Street #, Street or Road, City & County) G-� Applicant phone #: I q /o 6 5-$2-�4(- Mailing Address: F F13 A'a��h 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. y%ith dtmensions mus+ be provided with this le`ter. I have no objections to this proposal. I have objections to this proposal. !f 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 DCU offices is available at www.nccoastaimangement.niWcontact dcm_htm or by calling 1-8W4RCOAST. No response is considered the same as no objection if you have been nofed 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) Print or Type' Name -'?x / 3 /� a r r'n e- /rZ�r" Mailing Address /V CitylStatelZi Telephone Number Drat (Riparian Property Owner Information) Sib nature tz Print or Type Nam e Mailing Address SOT 2 `z s Gtylstatel 1p q! i -_ �R6 - 17 SS Telephone (dumber Doer a I& 9