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Home My WebLink About54352_WILLIS, DONALD_20050804❑CAMA / ❑ DREDGE & FILL GEg4EFML PERMIT `�G Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resource and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC- ' c° [Mules attached. Applicant Name Address io 1, "- v Q..e- Z Ch, . City r4 State IV ZIP 2-Sl� Phone # (Z�) Fax # ( ) Authorized Agent Affected ElCW ❑ EW E.]PTA ❑ ES ElPTS ❑ OEA AEC(s): ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes /; no' Crit.Hab. yes / no Project Location: County It. - Street Address/ State Road/ Lot #(s) Subdivision r. City. ZIP t Phone # (?)_ `b-'��'v� River Basin �I;� Adj. Wtr. Body „�1 1 � (nat /man /unkn) Closest Maj. Wtr. Body f c i } • Jcs ■ ■�■■IIC10■�■ Raw -t1111■■■■ ,�■■■■■■ ■11111 .' .' . M.:.. . 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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/MOORING PILINGSIBOATLIFT/BOATHOUSE) A t I hereby certify that I own property adjacent to &a& 1 ��J s property located at (Lot, Block, Road, etc.) (Name of Property Owner) on , in , N.C. (Waterbody) (Town and/or nty) 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 �8 waived by me. I do not wish to waive the setback requirement. AUG 3 2009 I do wish to waive that setback requirement. Morehead City iDCM ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------ (Applicant Information) l�)� M6LWk AA& Mailing Address City/State/. Telephone Number &-6111i'l Date CJ ------------------------------------------------------------------------- (Riparian Property Orvner Information) -0 Signature L Print or Type Name a52-- -128-3521 Telephone Number Date 0 - L liJVL-iLiJlSa A A A'1&.: 3.i� AA--%jl IL- L YVG EILIIVGS/I30ATLIFTBOATHOUSE) I hereby certify that I own property adjacent to � � �� J is property located at / (Lot, Block, Road, etc.) (Name of Property Owner) on_ �� , in N.C. (Waterbody) (Town and/or nty) 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 setback requirement.In %I TC t I do wish to waive that setback requirement. n !1U� I Ctitl� -------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT "'" (To be filled in by individual proposing development) (Applicant Information) Mailing Address City/State p �Ylv - Telephone Number Date (Riparian Property Owner Information) Signature be- 1 m r ea D cr�s Print or Type Name 2-26 9 y Telephone Number GA" 3 Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT y (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) i I hereby certify that I own property adjacent to property located at on (Lot, Block, Road, etc.) in (Name of Property Owner) I N.C. (Waterbody) (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 setback requirement., I do wish to waive that setback requirement. AUS 3 200� -----------------------------------------------------------------------------------------= anad_City DCM DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ----------------------------- (Applicant Information) Mailing Address City/State/Zip Telephone Number ---------------------------------------------------- (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date Date I DONALD WILLIS 233 Ph 252-728-5007 106 Marsh Breeze Dr 66-21/530 Beaufort, NC 28516 e BRANCH 77513 Date Pay to the Co 0 f> order ofACR 1 L/ �✓ Dollars + WACHOVIA WACHOwA AT WORK Wachovia Bank, N.A. v- a.com C For - � � � �� i:05:In 00211:1010L08647862112 0233 Y' DONALD WILLIS 233 Ph 252-728-5007 66-21/530 106 Marsh Breeze Dr %' BRANCH 77513 Beaufort, NC 28516 Pay to the(/Date 1 order of - L L tee Dollars 8 kus WACHOVIA WACHOVIA AT WORK Wachovia Bank, N.A. 70 'o 'a.com ! For l Q ` - ----"`%1-- — - _� .:0530002L l:LOLOL08647136211' 0233