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Home My WebLink About50732_MOORE, JIM_20080430❑CAMA / ElDREDGE & FILL �� " • GENERAL PERMIT � Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Pa issue 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 City Phone # ( ) Authorized Agent _ Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS:_ ORW: yes / no State << +' ZIP Fax # �) l ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP lPhone # ( )=- River Basin 1 I Adl. Wtr. Body .(nat -/man /unkn) Closest Maj. Wtr. Body ` t + �✓ �. • ..■■■■■■■■■■■■■I■■��■■l■Cl�■■■�I■!i■i.■�.1■R�■■ :.. - M. ME ■■■■■■■■■■■■■®■■■■■■■■■■■■■■■■■■■■i■■■ ■■■Ili■i■■■■■■■■■■■'■r!■■1■■■■■■■■1■■i\■■■■ ■■■■■■■■■■■■■11■■■1■�■ili■It��11■■■■■■■■■■■■■■ ■■■■■■■■■11■■■1■i■1■Gl:::■!■■■■■■■■■■■■■■ C :: ■■■......a•�>;.is�....1..■■■■■■■■■i■■■ ■■■ ■■■■i■■■■■■■■ - - . ■Ai■�■■■■■■\tom■►rill■!■■■■RG■■■■■■■■■�■■ii�i III! will so ;,� `•_v i c� fir. Agent or Applicant Printed Name ' Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date ! Expiratidn Date OA Local Planningjurisdiction 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, certifythatthis 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 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIE"OORING PILINGSBOA TLIFTBOA THO USE) I hereby certify that I own property adjacent to J 1�@ore S property located at on (Waterbody) (Name of Property Owner) .4 hA,, NQ U-114 (Street Address, Lot, Block, Road, etc.) in c� 4-�✓"f �ar �,�,r N.C. (Town an or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this 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 have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (initials) I do agree to waive the 15' setback requirement. (initi ---------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) �ose a �Al 3 P% o e r s ;?. (•�,� - 4 ---------------------------------------------------------- - -- ------------ -- ----------------- Slg Print or Type Name Telephone Number Date: ADJACENT RIPARIAN- PROPERTY 4L1'FoAT1I0US1:'ENT (FOR A PIER/MOORI:��G PILLNGSIBOA r' 's I hereby certify that proret�� a:?iacetlt to J it h�a4re---------- (Name of property- O\cner) 0 property- located at _ T -- (Street Address. Lot, Block, Road, etc.) �.C. Il: it CJ✓� on (Town an , or Count-) (WVaterbody) is ng at that He/she has described to me, as shown belo«', the development and he Pa ppier moor ng location and I have no objections to this proposal. I P ilines/boatlift(boathouse must be set back a minimum distance of fifteen by initialing (1 ' below: m riparian access unless wmyarea of aived byr me. I have indicated my intentions I do not agree to waive the 15' setback requirement. (initials) I do agree to waive the 15 setback requirement. Pinitials) - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (7`Jer5 ",=— ------------------------------------------------ - -- ]� slgn�— 1 \(JLI"l-f Print or Type Dame Telephone 'Number ---- ISLAND MANNE c"WnU cTION 1280 IOLAND MW TO: HARKERS ISLAND NC 20M 2bZ-I—"if From: Re: Authorization Letter IT2 m. S M °O F e authorize p ,I �19 act as my agent for the sole purpose of obtaining/signing permits to perform work at �Pcvu�� 11�%yiN� �%lia4 � ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOA TLIFTBOA THO USE) I hereby certify that I own property adjacent to J kw% 's property located at (Name of Property Owner) .4 hA Q,,, N Q U -11 a (Street Address, Lot, Block, nRoad, etc.) on , in c4. O'eAtc(7ar4,eP N.C. (Waterbody) (Town an or County) He/she has described to me, as shown below, the development he/she is proposing at that location and I have no objections to this proposal. I understand that' a pier/mooring pilings/boatli ft/boatho use must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I have indicated my intentions by initialing below: I do not agree to waive the 15' setback requirement. (initials) I do agree to waive the 15' setback requirement. (initia[s) --------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) i 1r"°�o5 e � •� ,a cam, Signature 1>g�, J Print or Type Name Telephone Number Date: ISLAND MARINE CONSTRUCTION LLC 1286 ISLAND RD HARKERS ISLAND, NC 28531 PHONE: 252-728-3419 2545 66-21/530 T BRANCH 77585 41 --- "'r PAY TO THE DATE ORDER OF 16 LLARS t �, •^^ WACHOVIA Wachovia Bank, N.A. wachovia.com /v FOR/ ':0 5 3000 2 191: 20000 2 1 7 2 9 3 3 II' 2 5 4 5 ®HARL ND