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Home My WebLink About51243_VALENTINE, STEVE_20081015� - ri 24 ❑CAMA / ❑ DREDGE & FILL �� - 1i GENERAL PERMIT � Previouspermit # ❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued i 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 Rules attached. Applicant Name _r l �i<?. i' i'j iv Address City �, State k ZIP Phone # ( ) %t` rr ' Fax # Project Location: County Street Address/ State Road/ Lot #(s) Subdivision Authorized Agent �� "'------- City ZIP ElCW [IEW ElPTA C ES ElPTS '0) �'� ; / / Phone # (,) �� '/J River Basin 'Ali ' 4 Affected ❑ OEA AEC(s): ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body � ., = = - (nat /man /unkn) 7■l� ■■■■ ■■■'"Ti NAM IA •■■IRNMEM■■■ MEMO ■■■■■MEEMO■MMM■MOO■■■■\iM■■■■■■■■■■MOM■ ■■EEE9■M�lE■■■EaEc�■E�JI ��'+l�llal��E■�af�M®®ilii:O■■■■ ' AMMO■�M■�e■■r■■■®M■■■WNE W®■EMME■M■■MM ■ �ii,�il� 'l�li■�llli i!!■■9■■O'I►MiUI�I■■■■M■■�■MOM MOM■ i �■■�■EMEE■M■E� Wo " n MEAN MEN ■■■■■ �n■I�M�1E■■ ■■■� �1\1EE■Er�� MEMO ERNE IMEMEM! n■■M�7J[.11` ' MMM WEN MMINME TIM�'1 ■■■■MEOMO■■1■I�JI�E9EE■�!alntSi�M■M■■■ • ■■ ■ MMO■■O!a■■ME MM■ME■E■EMM■■MMEM■■M■M ■■■■ ®E■■■■■■■®■■■■IEEE■�>^MMEMMEM■ ME■■ ME ■■■E ■■OEM OMEMEM■ME MEMEMMEMEM MEMOMIN MENEM", ■M■MMwM�■ME®MOM■■n■■M■iMEE■■M■■■■M MIN M IN■11W�MOIM■■ MM■Em■■■■�■■■■�■■■■M • EEO■■■■ �MEEE■EEO■■MM■MMMENEW■- I'MINIMMINNIVEEMEI�i��H��■M1111i■■ell Agent or Applicant Printed Name ` t Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Agent or Applicant Printed Name ` t Signature ** Please read compliance statement on back of permit Application Fee(s) Check # PermitOfficer's Si ature Issuing 1 Expiration Date All 1Ql�/t4 Local Planning Jurisdiction 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, certifythat this project is consistentwith 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/ 1-888-4RCOAST 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORINGPILINGSBO'ABTLIFTOATHOUS/E) I hereby certify that I own property adjacent to yB�4e�je \&[e-t ""ts 's (Name of Property Owner) property located at _ '1) 5-6 ev\ A o X V 1, ( (-< c10. ' (Lot, Block, Road, etc.) on �d- laV1S Ccr c �< in�u� U�-C , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: as�g 1,eo�U��((, �. 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: (I be filled in by individual proposing development) 1� v� vos ve 2�� 5~� L V oc44 bo<:9U� r o e • ��SF v- 4� J bb v V' S A (S o to mot- � R � � L S``� � `^ pL � � � S -� c e� QG` 5� v -� i7 ---------------------- (Information for Property Owner Applying for Permit) 00 Mailing Address -(C . City/State/Zip .T)�—�c Tele one Num er Signature Date --------------- (Riparian Property Owner Information) Signature Print or Type Name �5d 550y s Telephone Nu ber Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A pIERIMOORING PILINGSBOATLIFTIBOATHO USE) I hereby certify that I own property adjacent to fs � r-v e `^,� ° `'` -P-s 's (Name of Property Owner) property located at SA� e " moo. ' (Lot, Block, Road, etc.) on G av `5 Ctrt < k in E CaU-Co�r-� , N.C. (Waterbody) (Town and/or County) � .� Mailing Address: Applicant's phone #: /_ g �c�t 0' A �C (b 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 pro osing development) 1�V1 1Mo�ie �`0Ci5�c�, bu 9OCcJ a oP O't- o. (o V 5 4C, -- --------------------------------- ------------------------------------ (Information for Property Owner Applying 7(Rparia operty Owner Information) for Permit) Mailing Address Signature l City/State/Zip Print or Type Name Teleph ne Number Telephone Number Signature Date Date Stephen M. Valentine 07-91 ss-30/o06 5203 Gina M. Valentine 2568 Lennoxoille Rd l Q (ng Beaufort, NC 28516 DATE PAY TO THE NIC ORDER OF - t �,I (, Z -- -1 $ _�c;io. UO DOLLARS Look for! Micro Print signature line. gray type and linework. First Citizens Bank logo on back. if not present. do not cash. Fi�r�sst��Citizens Q ",QiB�sutcnizens.c m r NP FOR /t_,� i:0 5 3 L00 300i:0000 5 7 6 9 6 20 711' D 5 20 3 :>r