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Home My WebLink About51213_LANGSTON, DANNY_20080812❑ AMA / ❑DREDGE &FILL -/ 1 GENERAL' PERMIT Previous permit# ONew [-]Modification ❑Complete Reissue ❑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. Applicant Name Address r City State ZIP ' ! Phone # # O Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ PWS: ❑FC: ❑ PTS ❑ N/A ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP C Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ME■■■■■■■■■■■■■®■■■■■■■■■■■■OMENME ■■■■■I . ... - . .. No MOMMEMEM ME No 0 Mir.E■■■■�nr�E■■M■ ■MM■ME■Mrs■ ■■M■MM ■ ■ ■■ M.■M...■...■E..®.........■...■E..■■■■ .. :�■■MM■■MEN■OEM■►��+EMM®■E■�M�IEMEEEEMMM■■ MrrE■■MEE■■MEiaMM■M■■■O■■M■M■MN■EM■MNONE MME■M■E■E■M■ NONE NONE MEMEME MEMEMEN MOMMEMEE IN ■E■E■■EEM■M■■ ■MIN .■.■■■■■■■■■■■■■■■..■ ■E■■M■M■MEM■■Er ■■.■.MOMS■■■■■■■■■■■■..■ s MMNnN�!■MM■S ■■EMEaMIE■O■■M■■■MM■EON ■ozeE'■�M■IIli7■E R�■r�etR�lr�ii■IEi9MM■MOEM■■M■M■ M■■■M■■IEGIiiE�l■1�■E■■■■■■■■�M■ ■■EMM■■MO ONE OMEN MEMO - ■■EEO■■i\'�`N71■Nn■■■■■■■ME■EMNEEEE■■M ■MOM■■■■MMM■■MAN■■■■®■NEE EEME■M■■Ef>i'i tiI1EE■M►NEE■MEEM/E■M■I■f;i EMus MEMENNIMMU MMMERIENEr OMEMMEN - EEO■■■■E■■EEEE■■■■EEC■Mw��N■■EEMMEEM MEN ■■Mi�■i■■■M■■■■a■■■SOWN M■■M 1 Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature f 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST 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 RCDENR 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 Applicant. Name Mailing Address �'G �+� t7� 'JAhn.-:�,jr�.'v-� JUL 28 2008 oreq€DCI certify that I have authorized (agent) ,d ��'E � behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to install or construct (activity)yaedsg' l T�) A� i N , at (location) This certification is valid thrn (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consume, Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ,(� rf-•mow-y 41—s r f CJ — 's (Name of Property Owner) property located at 3 L Z /�14 S V 6 t' ,--e-e6 (Lot, Block, Road, etc.) on A_"CA -f- S'o -c / 'in e fie, ,a..�j�-� �� , 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 piling oathouse must be set back a minimum distance of fifteen feet (I T) from my area of rip c waived by me. I do not wish to waive the setback requirement. JUL 2 8 2008 I do wish to waive that setback requirement. eh or oad QtY DcM ----------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) C 05a O 4 tS $ low All Z� 26 2' �.t So cU PS or-2� .�a��s� I o. (Applicant Information) v o4-cl sck -so - /� Mailing Address /,/, City/State/Zip 91(�` 7(7 ( -a V91 Telephone Number rzf3fo0) Date (Riparian Property Owner formation) r Signature 7- 6 f 4 N. St--p 4 �-AIS Print or Type Name * D r ?-13 — Telep eonh Number 7 — 3 0-e Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOOR17VG PILIIVGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to & W �e le-t—& r f 0 — 's (Name of Property Owner) property located at 3 Z 'L 9W 6 (Lot, Block, Road, etc.) on A°ScA-L SO w--c / , in ��l�G �o•.�jl� �-'� ,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 piling � . must be set back a minimum distance of fifteen feet (15') from my area of rip is .l waived by me. pip I do not wish to waive the setback requirement. J U L 2 8 2008 I do wish to waive that setback requirement. Morenead City DO ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 10 r�s,� ��ci gs i�' p�4� t i� � S , o✓ � 1� re ' 2C, � 2Co x 2 fl So cu PS t ook t o ►� (Applicant Information) v oLd SCk-so- Az� Mailing Address It-eA"A 4/, City/State/Zip ql(�- �'C c0 -a �9z Telephone Number 7/31ep 8' Date (Riparian Property Owner Information) Signature c , C- Print or Type Name Telephone Number �(� Date MUD BUCKET DREDGING, INC. PH.252-241-1504 507 HEDRICK BLVD. MOREHEAD CITY, NO 28557 C1 j = 5. DATE t x PAY �t y TO THE ORDER OF l oc 0,;> DOLLAF 3299 66-112/531 BRANCH 02201 BRANCIHBA KI N�RUT COMPANY 5 �_ l 7 `J NP FOR II.000032991I' :053j0112ji:00DS2932W33L lII■