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Home My WebLink About50681_LANGDON, DONALD_20080606❑CAMA / ❑ DREDGE & FILL Nl.g 1 _{ GENERAL PERMIT Previous permit # []New ❑Modification El Complete Reissue ❑Partial Rei a 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 71 Rules attached.. A li—t Name I Subdivision City ZIP �-. Phone # (' ) ! ' , River Basin Adj. Wtr. Body = f1 C?I C (nat /man /unkn� Closest Maj. Wtr. Body ^! `' . . ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■0■■■■■■■■■■■■■■■■■■■■■M ■■ ENO ■■■■IMEMENSOME ■■■■■■■■■■■■■■■■■■■■■■■■■®■■ ■■■■■■MIEN■■■EN■M■M■■■■■ ■M■■M■M■M■NN■MN■NNM■MN■M■w■MLEM■■■■N ME NO .■ ■M■■ .■■■■■. ■■M■■■i■■■■■■■NMMM■N■■■■■■■. 111FAZW®RIE1111..■. ■M■M.■ MM■■(i■MMMMM®MM■■■■MMMMM■MMM - MMM■■M■ ENO M■ ........■..�..�.■.....■.■...►■,.►...... MMMMM■■■wwMMMMMMMMM■MMM■�M�tM�MM■MIE ■■M■«�I�-?�� .■ ■M■■�■■■■ww:�w■Uw■M■ NNE _�-(i Agent or Ap licant Printed Name Signature Please read compliance statement on back of permit" Application Fee(s) Check # Permit C3'f#icer's Signature //p /` ( Issuing Date Expiirat on Date �a Local Planning Jurisdiction Rover ieName 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 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 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 06;01/2008 20:24 FAX 9197726882 TRIANGLE AUTO la 003 NCDENR North Carolina Department of Environment and Natural Resources Mara ement Division of Coasto 9 wiliiarn G. Ross Sr , Seuetary Michael F. Edsiey, Governor Charles S. Jones, Director 1)ate r v Applicaat NaTe re rM r Ao . JUN 3 2008 Mailing Address ✓'r' _ / v � /G City ok-' ; i certify that I have authorized (agent) eap Aic1lN > L�&O�/I%G to act on my e for the urpose of applying for and obtaining all CANIA permits necessary to behalf, P install or construct (activity) at (location) �1 2- This certification is valid t e) y� Signature 42e 2 Cjrj te Phone, 252-8C6-808\ FAX, 25247-331 ntmewww.n coastairr•anagement.:let An Equal C)Poaun4 `, Aifirmatve Action Employer - 50 a RWjded 1 ? 0% Post Consu— Pape 08r01i2008 20:24 FAX 9197728882 TRI.OGLE AUTO 'U0' 'Inq jgggwdp_ �� 48 i i A RIPARIAN PROPERTY 0 (FORA PLFh'i'A 00ja1IG Pl'LINGS/BOA rL OATyoUSp I hereby certify far I o�vn property adjacent to (Namne of Prop" Owner) Property located at //J.� ,^ �..�� -.. 0E xv""" (Lot, Black, Road, etc.) on " r � C its I�e�S 1V.C. (Waterbody) - t Tom endlor Coerat ) He has described to me, as shown beiow, the development he is proposing at that location, , arid., i have Tie objectiom to his proposal. I understwnd that a pier/mooring pilings/bkwtlif�'boarhouse must be set back a miiiaxim distance of fifteen feet (15') from MY area of riparian au ess uniess by me. JUN 3 2008 i a rot wish'to waive the setback requirement. I d2 wish towaive that setback requirement.'Worehew -city DCM _----------- I-- ---- —------ --------------- -- -------------- �----- ------ DESCRIPTION .AND/OIR. DRAWING OF PROPOSED DEVELOPMENT: (To befiiliedin by rndivaduarprpposingdeveloppwn# fvrL�ra.�r� IV • E-4,-s4)t ,5 DoCj� (Applicant Information) MaihngAddress — euc K;i O l f 'S�OoFj r'ity "State/Zip 9�1'7 (o 3 / !Wephone Number — - Pure _— (Riparian Property On-ner Iufnrm�iio ------ +gnahrre Print or TT)jv Name / .2 Telephone Number Date f —� 06/01/2008 20:23 FAX 9197726882 TRIANGLE AUTO C 001 ADJACENT RWPROPERTY OWNER Ni (FOR A PXFjh�G PLfNGB0LIFTi6«�7�� I bereby certify tIM I own property adlacerit to (Nsaw. of Property O"ker) property located at �'��.t -r C T- Block, R"d, etc.) An (wsterliodY) (Town ss&or Cousty) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his propoW. I understand that a pierimooring pilings/boatlA'# W410ase must be set back a iaiiniinum siistancey of fifteen feet (I5) from MY area or riparian access unless ti waived by mc.'�' 4 tea pcvt wish to waive the se.dwk requirement 44 ✓� j�V c 10 wish to waive that setback mquiremCnf. �®'�� 8 �'. DESCRIPTION ANDtoR DRAWING of PROPOSED DEVELOPMENT: "Ck (To be}�d in by trr�Pvi&W PMPOst�eg &nWW O ��!! pea i (AppWmat Informatiois) _L -r Moiling Ad�esa Cao+Smreop Telephar�e Nwrrber ,Qcste 4b t;4)rr.5 L,' �+ db � I�ierty o+wn� infOr�staa$) Print or Type Som r�phcnt Nratbar b ' r;"' 'A - Dmald R fwmydom o5-o6 66-30/531 1234 133 Patricia M ZzogdaH - 105 Cypress Ct 252 247-6361 G pine knoll Shares, ,W28512 DATE PAY TO THE ORDER OF - - - ----------------------- $ !—a G__✓_ Look for: Mims Print signature line. gray type and linmork, First Citizens Bank logo on back. If not present, do not cash. %�IARST CITIZENS BANK. 50 (vlizens. 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