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Home My WebLink About53685_SAYLOR, SCOTT_20090522❑LAMA / ❑ DREDGE & FILL �� / 5368 GENERAL PERMIT 4 revious permit # :JNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources j + and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �t' t • 1 Rules attached. Applicant Name - Address City `,if i[ ' --(State_ ZIP_ Phone # (_A :'� `-��x • (_. `)�— Authorized Argent Affected `J CW L) EW L PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ElHHF ❑ IH ❑ UBA ElN/A ❑ PWS: ❑FC: ORW: yes / no PNA yes /`no Crit.Hab. yes / no Type of Project/ Activity Pier ( Platfo Finge Groin Bulkh Basin Boat Boats Bead Othe Shon SAV: Sand' Mor, Phot Waho O Project Location: County _ Street Address/ State Road/ Lot #(s) Subdivision City__ ZIP_ Phone # O River Basin _ Adj. Wtr. Body _ (nat man unkn Closest Maj. Wtr. Body i;--r ; I (Scale: t r .� ) JOCK) lengtn pier(s) length - )umber aad/ Riprap length ivg distance offshore f nax distance offshore channel <i7 r -- :ubic yards i _ — - i ouse/ Boatlift i Bulldozing b \� :line Length not sure yes no >ags: not sure yes no torium: n/a Yes no__- )s: yes no �r Ar nrha i- c nn I _T F TT — T — T A building permit may be required by: f i Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit W Z Application Fee(s) Check # ❑ See note on back regarding River Basin rules. rt Permit Officer's Signature Issuing Date Expiration Date--� Local Planning jGrisdicfion Tj i ver File lNime 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 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/110ORLVG PILINGSIBOATLIFTIBOATH OL' a e t �C� i� I hereby certify that I own property a djc n to (Name of Property ner) MAzb Y 15 7nn4 property located at 113 il V,X LA`fft P4y� (Lot, Block, Road, etc.) Qi / 1 arty Dr.AA on �lIG/ , in Lai 4Nt [ 11• , N.C. (Wate body) (Town and/or County) Applicant's phone #: Mailing Address: d6v{.t� D., N L- A-7 (e (? 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 �/ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) L+. w;5 /Va�-'�o V�ey�---------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address �— 02-7U City/StatVZip Telepho e Numb r (Riparian Property Owner Information) 5 - /�,- oez, 0 ? Signature Print or Type Name Telephone Number Signature �—J Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/NIOORLVG PILIIVGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ��e S /or ro ff'-4% VE (Name of Proper y Own1 property located at 113 kUt"k u ltt P, 9,z"l JAAY 15 2000J (Lot, Block, Road, etc:) Morehead City DCM on (. Wt's %� l 1`r U`+�w,� , in , N.C. (Waterbody) (Town and/or County) Applicant's phone #: �i 19/ f f l -; t10 Mailing Address: P011t VA[ &4 &j4. Al (- a7 & ( Z V. 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 ✓ I do wish to waive that setback requirement. ------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Cw," r 4+ scok _` e�k_ N E s� att", V �f0 to lie -------------------------------------------------------- (Information for Property Owner Applying for Permit) -<"/ 1 Z- pokW"O( a �-. Mailing Address L-- 02-7 �— City/State Zip 10- Ti(--2 og -61047T Telep one Number d s eS�-u 9 Signature Date (Riparian Property Owner Information) 41 Signature Print or Type Name �7 - 3 L1 2 Telephone Number Date V 1 MAY 1 5 euuj MC)r 0,4Q-- cl City DC&l 13-LI140LA Am irox, -7S ' SA oa