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Home My WebLink About54345_WILLIS, GILES_200908038-3-096s ❑CAMA / ❑ DREDGE & FILL GENERAL , PERMIT �/ ❑New ❑Motdific�tion ❑Complete Reissue ❑Partial Reissue 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 1 SA NCAC s /� 5414-C Previous permit # Date previous permit issued ❑ Rules attached. Applicant Name Project Location: County Address D �,,,, 4.EG.�n � �? . Street Address/ State Road/ Lot #(s) City tC <<r7 ,-}� f` State J;; zip ; Phone # ()4;-D) Fax # () Subdivision Authorized Agent City. IC_,�J zip CW ❑ EW ❑ PTA ES PTS Phone # (- ) �� 1`1-�`�,i River Basin Affected El❑ El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A�` AEC(s): El PWS: ❑FC: Adj. Wtr. Body? �� !� K (nat /man /unkn) ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length i avg distance offshore max distance offshore Basin, channel I. cubic yards �, Boat ramp j Boathouse/ Boatlift I Beach Bulldozing Other1,_. p n at I Shoreline Length -," � & o j SAV: not sure yes Sandbags: not sure yes P-00 Moratorium: n/a yes j Photos: yes io _ Waiver Attached: yes, rr tt A building permit may be required by: �'�' ^- , �1 _ i Notes/ Special Conditions ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name i r 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, certifythatthis 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/ I-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 t ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORINGPILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 6r tx 01_ �� '10, C0 M 11 4- L (8 (Name of Property Owner) property located at 3 Pt G 0�"' k' 091 l�" P Y (Lot, Block, Road, etc.) JUL. 2 3 2009 on in (f-;>L_0 0C EST'�E:P— , N.C. (Waterbody) (Town and/or co4ftrenead city DOM Applicant's phone #: o��J �� -� Mailing 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 (IT) 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 proposing development) l l,-r ) J\J P 4 %0 (Information for Property Owner Applying for Permit) Mailing Address � A (Riparian Property City; fState/Zip U)iIl/4M g �u � _ rin� T)P_9 J Telephone Number Telephone Number S' ature Date Date ADJACENT RIPARIAN PROPERTY OWNER STATENIEN veto (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOIISE)nn I hereby certify that I own property adjacent to V6 1 _� (L. —I��t t'^ `� ( S' "-- (Name of Property Owner) G p � _ . �; �ead City 9�CiVi property located at 5 0 f i d� , (Lot, Block, Road, etc.) on G G(�� C�� , in G l8 Q � , N.C. (Waterbody) (Town and/or County) Applicant's phone 7 �,S a V 1 Mailing Address: '5a 1)C>CQ-fi e 10-c1 e4trgt-% 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 proposing development) �-e �� — v� c •—� tip. oc, 6 R- �— D p"I l 9 70 . (Information for Property Owner Applying for Permit) Mailing AddresY City/ State/Zip (Riparian Property Owner Information) Signature or Tvne Name u e ep one m er Telephone u ber Signatu e Date Date COL. GILES W. WILLIS JR. (RET) MRS. GILES W. WILLIW JR. 153 DOWN HOME RD. 252-729-3561 GLOUCESTER, NC 28528 AI C Bank ofAme-r- a n�n" aio sus 5 00 0o �, ox� Sci -:)------------- �� C 14000 6 5 31: 1 5 6 5ii■ 7 4 31 few 1565 30-65/11 PCC 91 I 91 $ Wure lii li nol presrni. do nul cash — -"�� F��: o^ Over SO Years of Military Banking r 76303614n■