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Home My WebLink About50734_MILLIS, JACK_20080424❑CAMA / ❑ DREDGE & FILL lv' 'r Y� °'� k • — GFNERAL PERMIT fy/ 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 Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC _ � Rules attached. Applicant Name tr- 11 Project Location: County Address City. _-- State ZIP Phone # ( ) Fax # O Authorized Agent ❑ CW ❑ EW ❑ PTA Affected ❑ OEA HHF ❑ IH AEC(s): ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body MENNEN M. ■■■MEMO■■MO■■■■■■■■■■■■0■■■■■■■■■■■■■■■ ■■■■■■■■ MEN ■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■E■■■■■■■■■■■■■■■E■■■■!■E►!FEMME■®■■■ .............®...■■..........■■...®.■■ • - ■■■■■fi■M■■■■OEM■MeEM■■■■irf��/1\\M■■■■NJM■■ Elms N PEMN No MENUMOVEMME - EWE MEN • .. MME■■■E■■■■■■■■■■■E■■■f■I■van! M, !■■■MM■MEE IrEE■■■OE■■■■■■E■■■■■■■►■Mi■■i1MIAM■■MM■ME r:�M ■EEEE■■Es■■�■rrn��r�s®■■■■M■Ej■M■■■EM■E iva'7■ s■■■MM■■li■iililUiiA ME■■OEM■■■■ME■EOM: ilEiOE■■■■■■■■■■■■■■!■E■■■■■■O■E■®Eli 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 Plan ningJurisdiction Rover File Name 111 111 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 consistentwith the North CarolinaCoastal 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 3 w"t , AAJ,JPil:KIN I KIYAKIAIN YKUMK I Y VW NE'K MATUMEM' (FOR A PI.ERIMOORING PILIN(rS/BOATLIFTIBOATIIOUSL,) I hereby certify that I own property adjacent to L,,/ JAGS! 014, G 1 S __ _ 's (Name of Property Owner or Applicant) Mailing address if different from location address (town, state and zip) phone numbers you can be reached at Z y7- 307s (NUJ 1�5 ; b y 6- 67D7 Cr1 DBIL�� property located at i Z b Gi �__V' p/L . (Lot, Block, Road, etc.) on CANAL , in li/y X kAL04G SS ORCS , 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. W1 I do not wish to waive the setback requirement. a I do wish to waive that setback requirement. initials DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) jz'v /Wwj_ Signat6re 0,N CAIV k/ PAW IVS Print or Type Name z Lo - 3o75 Telephone Number Date: i www.nccoastalmanagrmertne0ermits/ADJACEif[? PAR A,NPRC,PERn'OWNERSrATEMWr.pdf AUJAl;E1N 1 K1YAK1AIN YKVYEKl Y V WINER N'l'A'l'Li'1V1h1N'1' (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to L IS 's (Name of Property Owner or Applicant) Mailing address if different from location (town, state and zip) phone numbers you can be reached at property located at /32. P/Z (Lot, Block, Road, etc.) on CAIVAL� , in P/kr *A(04 (, S#01fC5 , N.C. (Waterbody) (Town ind/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/bo ift/boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. initials initials I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) / / J} A ----------------------------------------------------------------- ------ ------------- Signature Mh L c 0,� X kl OJV C J,e Print or Type Name Telephone Number 7 () Date: �C. �, 23 2 0 0 � www.nccoastalmanagemenLnet/Permits/ADJACENTRIPARIANPROPERTYO WNERSTATEMENr. pdf BLUE WATER MARINE I CONSTRoUgCoTION INC. 93 MOREHEAD CITY, NC 28557-0093 I I PAY w I TO THE �I C r : ORDER OF ,0 c .m 5310 66-112/531 BRANCH 02301 DATE '-/— Zq-O$ s zoo, LJ so;, DOLLARS BBM BRANCH BANKING AND TRUST COMPANY 1 -000-BANK BST BBT.com �� /� --.--- -.--- FOR kIII,'S co o. II'000053 L01i' i:053 L0 L L 2 p:0005 2 L498659 211' n