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Home My WebLink About54359_THOMAS, RICHARD_20090807OCAMtN / 11 DREDGE & FILL GENERAL PERMIT Previous permit # ue E]New Modification []Complete Reissue CPartial 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 D Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City tl State ZIP 4 Phone # ....... A,, ax # Subdivision Authorized Agent City ZIP CW 0 Ew EJ PTA DES ❑ PTS Phone # Affected El River Basin 0 OEA D HHF [I 1H 0 UBA [I N/A -. AEC(s): El PWS: El FC: Adj. Wtr. Body ORW: yes/ no IPNA yes / no Crit.Hab. yes no Closest Maj. Wtr. Body Mill I MEMMEMMEM .....::::■:::::::m::::■■■::�::::::■■■:::: ::......:::.:::::EM:::: ■ M. :i■:::■■■::■■::i:■r■■■.■■::■■.w�® M. M ::■:■■::■:■..........■....■�....... ■::::.::■::■: MEMME IMMEMEM IMMMEM MOMM■MEMIMMOMMM M1r.A.MMMMMMMMM 0 MEME =MNMMM 0 I MMEMI IMEMOMEMMMERVINIME■MM ME M V-0-0100 14151 ME M MEMMEWSOMMOMEMEMMIN MINIMUM IMJIMMEMM�so=M '=M■ IMMEMMEM LM EMME MEMOMMER's NUWNNErME MN'"I NA1111EMm.o ANN wWMINEMNMEME f liq NO 54,,Ni�xll ffloom MEIMEM SON A", WE ME No L Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # PermitOffice Issuing Date E pi tion to /X Local Planning Jurisdiction `-Rover File 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/ 1-888ARCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/NIOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 1?1(, lq/Ir I y_ b01AAIS is (Name of Property Owner) property located at Ei�± S"f"- (Lot, Block, Road, etc.) on lsj I (�►� 0—neek— -,in B '/�}�{ :r� , N.C. (Waterbood1y)�p (Town and/or County) Applicant's phone #: /l✓% Mailing Address: 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 1 do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing developEr m (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address City/State/zip Telephone Number Signature Date Signature Print or Type Name 619 7-0 Telephone Number Date property located at 01 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to Rzk A ('Th am 11-5 's (Name of Property Owner) N. CD (Lot, Block, Road, etc.) on Or in (Waterbody) ZT (Town and/or County) App cant's phone #: " Mailing Address: (D—s;L - 9� - '?D 7A ) 0I-1- He has described to me, as shown below, the development he is proposing at that leeand, �- 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 in dividual proposing developm �� rim (Information for Property Owner Applying for Permit) rr Mailing Address ` g CitTy; State/�iy 'e umber Signature Date (Riparian Property Owner Information) Ne(Aj Signature Y-4 �'� / Pnnt or Type Name s - << - �oS7'-7a Telephone Number Date s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to -R 1-0-6 d a► lAs 's (Name of Property Owner) o o� property located at I %sa3 C'Yi)oJ (Lot, Block, Road, etc.) on 'Aq /O P S e in (Waterbody) (Town and/or County),, y Applicant's phone #: 10 — 90b, Mailing Address:- -J&r-� i"t`"C,x Jt 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 (I T) 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. ------------------------------------- N�� DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual propin�kosing develop I (Information for Property Owner Applying for Permit) Mailing Address Bea-44-6�-+ c 7;r ity, �ta+o,, r :�CSA - �a y ; 70�--I- Tdbp/l�o umber Signature Date (Riparian Property Owner Information) V Signature Pr.n. or Name ;? t lys Telephone Number 0� Date ! .5 LEA.) MILDRED S THOMAS RICHARD CARLYLE THOMAS PH 252-728-7092 1603 FRONT ST BEAUFORT, NC 28516-2315 1168 /G 66-112/531 02201 n BUT I� _ BRANCH BANIONG AND fRU.T COMPANY m BEAUFO T, RTy 6 OLINA - i:o S 3 40 1 1 2 Ili: 5 2904}}�� y�}9 Lii' i1 168 } W Yd.P6�. _2��M�`•21?'•�fin....`n[:I�M ` 5- iY'xF�Aa`" �A�9��2iS iYS: ��. . � .. o,#�T%i .:.x:,s;. w.,-.�,4r... .�A�:>.. ,s sue_ ._.�..� �.4 fiw.;•�