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Home My WebLink About55262_TEEL, SHAN_20100315❑'AMA / ❑ DREDGE & FILL'��/� f5� y ANERAL PERMIT ONO Previouspermit# [IN' ❑Modification []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 15A NCAC rt,�.n [DRules attacfied. Applicant Name t Address City{ Phone # 44_ Authorized Agent State I ZIP 1{!! #( 1 Affected ❑ Cw ❑ EW N PfA ❑ OEA ElHHF ❑ IH AEC(s): ❑ PWs: ❑ FC: ORW: yes / no PNA yes / no o'Es ❑ PTs ❑ U BA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) TTZ Subdivision City ZIP r [� Phone # O 1 River Basin Adj. Wtr. Body !r't T�i� r?r< i (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length Platform(s) Finger Groin Basin Nil Boat \J- tBeac Othe Shor SAV: Sand Photos: A bu The time period requirement for this V, Bulk 01 ra length Boat TOW,'- Moratorium: n/a yes Mor Waiv er Att Notes/ Special Conditions head/R length -- number � — Agent or Applicant Printed Name Signature Please read compliance statement on bac of permit ** Application Fee(s) Check # llCvcly L/I IICI Il IJ JUJL/cIIUCU UI Illl 14'J 1' �; 2010, pursuant to Senate Bill 831. The Permit Officer's Signature effective date of el piraton for this 1 l_. permit is . Isfutn at _ Expiration Date 7 ' Local Planning Jurisdiction over FileNlme 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 I) 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, certifythat 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/ 1-888ARCOAST 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 (FOR A RIERAVOORING PlLfNGS/BOATLIFTIE Off.THOUSE) t I hereby certify that I own property adjacent to S4P. P WEC- 's (Name of Properly Owner or Applicant) N2ECE(VEf; Mailing address if different from location address Yi (b6 51 �t -Vb' 05S 120 u (town, state and zip) "i1 uE 1.6 t4 P L Z b o9 moe�TieA Cit}v DCIVf phone numbers you can be reached at C9 ►q- $`tS 5 - L 4 `�� property located at 3 ` 1�1-� 7_-> bC +a"LA p TJ c- UJ C (Lot, Block, Road, etc.) on I rogpW CANiNL , in L _ N-mc, INcH . oil-Ty�� ; N.C. (waterbody) (Town and/or Cow) r- 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. I ego not wish to waive the setback requirement. ''afs I do wish to waive that setback requirement. itials ------------------------------------------------------------------------------------------------------------------- DESCRIP' ION ANTIS/®R DRAWING OF PROPOSED DENTLOP11\4ENT: (To be filled in by individual proposing development) L(R N Ac (_ f-6 St JP 61 Print or Type Name p�S Z2�— o�-- Tele hone '?umber 1 hereby certify that I own property adiacent to 5+-IA N 7'EZ s (Nance of Property Owner or Applicant) ( Mailing address if different from location address `4 c4 6 d 3 1 � Tb4:� (town, state and zip) is-C:\(f I b H iN C 0 '7�la l f r• (RECEIVED phone numbers you can be reached at L �l �.�� '87 a -) �'D 'MAR 3 HIG 1 J , property located at 'RT(-A N'[ C 44 "Pi I,—d City DCM (Lot, Block., Road, etc.) on I -AO MAW C- IJ A- l)� , in f L AIM c- � i�`iZ� y` ; N.C. (vi'aterbody) (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. 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. I do not wish to waive the seiback requirement. i'] i ti"c is 1do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------ DESCRIPTION AI\TD'/OR DRAWING OF PROPOSED DEVEIi OPIMFNT: (To be filled in by individual proposing development) .Qnature Pri : a %'De dam �J1Z - 2-1� - eleahonesvumber ` RECEIVED MAR 3 2010 Morahe 4D(-,M North Carolina Department of Environment and Natumai Resources D,pjI�jo<) of Coastal Manapmen Michael F. Easley, Governor Chafl--s S. Jones, Diractor William G. Ross Jr., Secret iry Date ';�' 1 ° [ 1,C) A,pplicanat Naine >IT }7"I'1 LE Mailing Address �� Lj l .6 ) ' �� ` ' I certify that I lime aantliioa�izecl meant �_ to act On My behalf, for the PurpOse €if applying for and obtaining all LAMA Permits necessary to �1A install or coiastriact (acta'vi�') 5 w Pr LL --- at (location) l 13 t4 - _ tTpfl�l l�`'� 'i I.9 certification, is L•<atid thru (date) la � 3b—t-o Signature _. — Aoolicant Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq, Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts)_amount FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact PiF )Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ,. 1. Ate: SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-247-5585 3212 AREN DELL ST. MOREHEAD CITY, NC 28557 PAY TO THE C� y� ORDER OF � LA m 4613 66-112/531 DATE 3- �`-- no ea�a BRANCH BANKING AND TRUST COMPANY 1-800-BANK SOT BBT.com ' 1 FOR 0AA10 t✓ L � �� _� ..000004E 1311' I:053 LO L L 2 1l:0005 2 L05840EE11' NP