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Home My WebLink About51245_WEAVER, WC._20081009❑CAMA / ❑ DREDGE & FILL I0 I �—�� ' �� t 51 245c X— GENERAL PERMITPrevious permit # ❑New ❑Modification El Complete Reissue El 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 Rules attached. _4-. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # (J_) Fax # Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH F UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Subdivision ^. ` t.f ' City 1 ;. fil ZIP r Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body i IME ■w■w■■■■w■■■L�■■■■■r;�■w■�■�■■■■■■■■�■■ ■■■■■■■■■wM■■�■■rrM■w��■■�ri■■an SEES■■■ SEES■■llr�,L�i�t�G�iiI�S��iltsl[��■�Ti��■■■■■■■� SEES ■�■■■■■■■■■■■ SEES■■■®■■■■■■■■ ■■■■o■■■■■■■■■■■■■■■■■■MM■■MMEMMMMM ■■■■■■ ■■■■■E■■■■■■E■EEMS■EME■E■■■ME M■ �7 E�i■No ■■■■MMNMM■■.■■■■■■■■■■■■■■■■■■■ M'SEMI'��®®■'��'"""""M"�•••MM■■■■ME ■ ■■■■■■■Iri':�t1M■■■SwS■■■■■■SEEM■■■■ ® S ■■E�1lE■{�t�A ■M■l�E�li■■■M■MOEN MMMMMMMW EMEM■■■■■■■■■■ ■S■M■SSA,S■M■■MI/.ru7l�ii■■MM■■®MMM■■■MMMM■ MEMO EM■ ■E Mw ME MEESEEMEEEMEEMME M MNE'S MEMOMEE�■EEEEEM Somme SMM■�■■Er ME■aOW\■E■M■MEM■MM■w . • LUrOSE■EEM■S�[liMS■■M■■M■ME■EMEMSM■�■ WMEM.:MM'EEEb1L�'S■■MIEMEMM■MEMEMEW ■■ SEES■■ ■EM■■E■■■MMEM■■■■■M■■■��■� NONE MM■■NAM■■MOMMI MEMEME■®S■■MMMM■M■M ■■SSSSSS MMEiil�irlM■■■E■■MM■ SEEMS Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # �,x PermitOfficer's Signature 1 Issuing Date Expiration Date 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, 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 Citv 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 r � � NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date A� /- Name of Property Owner Applying for Permit: Mailing Address: a I certify that I have authorized (agent) �1,\c�� `; ( to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) V c-,r at (my property located at) J \j This certification is valid thru (date) S' Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper CERTIFIED MAID. • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM Name of Individual applying for Permit: Address of Property: �`- ,Lj," ;• aC✓,�' � �c z� (Lot or Street #, Street or Road, City & County) 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 the/ ypropo i g. A description or drawing, with dimensions, should be provided with this letter. no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 orcall (252) 808-2808 within 90 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags 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 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Applicant Information) Mailing Address City/State/Zip Telephone Number III (Riparia erty Ow er I mat' Signature Print & Type Name zsi' Telephone Number Date 0 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/1YIOORLYG PILIiYGSIBOATLIFTIBO<4THOLSE) I hereby certif; th —o7,1in property adjacent to (dame o Property Owner) property located at (Lot, Block, Road, etc.) In , N. C. (Waterbody) (Town and/or County) on �� 0. 6 t 33 Applicant's ph`tfne #:�a� ' g�� — Mailing Address: C 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 (1T) from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) 4 — I do not wish to waive Cam— n I do wish to waive that setback requirement. ---------------------------------------------------------------------------------------------k CA ------ - - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address City/State/Zip Telephone Number Signature Print or Type Name Telephone Number Signature Date Date ADJACENT RIPARIAN PROPERTY OW�iER STATEMENT (FOR A PIER "NIOORIiVG PILIIVGSIBOATLIFT/BOATHOLSE) I hereby certify that I own property adjacent to I 6Jr— is (Name of Property Owner) property located at '20 (Lot, Block, Road, etc.) on 'I G�Cc/11c' . , in Awe-4N.C. (Waterbody) (Town and/or County) Applicant's phone #:-ZS-2 *V'S/ -9W&ailing Address: 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.) 0 I do not wish to waive k I do wish to waive that setback requirement. ------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip Telephone Number Signature Date (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date �Y It j I f � �, i � � � �� .. � ��'� •Hw..� . . _.� �r-. _..._...Y S"�...� ..�,-n. .. ...,-.--.r ,�" .nwra.�r.slva:� �+r-�r—�m�. ntt.. �:�'7 - �. ... ..M _� ./:. •�� ,J'1j! � 'lam.✓ '�'. 1y�(( �� __....��y' 6 s f. l '- f ----_ __...... ---- - - --- — — --- _, _.. w ._._.. ......_ r r } � � ,+ 1 �� : KL ✓1�rt/aiL izil/� 66-30-531 2573 2009 ,falter ��/L ✓ l 9U�J %J PAY TO THF: 00 oc OKDEK OF_ u'_ p aQ 777 DOLLARS 8 FIRST CITIZENS BANK 135 FIRST CITIZENS BANK & TRUST COMPANY. SALTERPATH, NC 28575 - - WWW.FIRSTCITIZENS.COM FOR --- ----------- j:053 L00300i:00 L3 L74783731I' 2573