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Home My WebLink About50792_PAGE, GEORGE_20080527I ------------------ --- --- -------------------------- --- tgrAMA / 0 DREDGE & FILL GENERAL PERMIT .[]New OModification ElComplete Reissue OPartial 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 15A NCAC_ Applicant Name Address City State ZIP Phone # O Fax # Authorized Agent ---------- Affected 0 CW 0 EW �1PTA El ES El PTS AEC(s): 0 OEA El HHF 01H 0 USA El N/A 0 PWS: 0 FC: ORW: yes/ no PNA yes / no Crit.Hab. yes j no Previous permit # Date previous permit issued 0-Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone# O River Basin Adj. Wtr. Body Closest Maj. Wtr. Body NOREEN -A ME IMMEMELIMMI■ --=MMMMMMMMMM MUMMEME MMM ■MIN MEME ■M MEMEMME■NNEI MINEMEMEMEMEMMEN■ ■NONE MEMMEMMEME MEN NNMMMMMMMMMMMMM ME • ■■■■■■■■■.■■■■■■■■■■■■■■■ MMENE No W-1 MEN MOMEN 0 ■■�r.......'9�rltilL��N■w■■■a MMMINMI Ed 00■ME lowMM M MEMMEMENHEM MMEMMEN M. IRMISMAMME MMMMMMMMI M. M. RMISMEMEMEM MMISMMMMMMM EMGiriMl�'!�■M■■ ■■M■EMM ■MMO EMEMEMEM • HAIMMEMEMME 0 MEWMEMMOMMILMEM ■■■■■■■■■■■■■■:�■OOMM■••••■•■■®••• MEEMMEM ME No AMMEMEMEMOMMEMEMEM HUMMOM 0 No M1 Nommum offinaw W-W-M-Wx ■swom EMEMMEMM EMEMMEMMEMMEEMM SEEM MEMO RENUMMEMMEMEMN ME ---------- ------------- Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Sigr)atur� 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/ 1-888-4RCOAST 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 Depas ment of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr.; Secrai :,r Date 5- a( -ag — -- Applicant Name QU- b .rGL pAoE� Mailing Address �o2`D g�M '7p�b g�H5fWb 9 C 2-74 a 6 l certify- fbat I have authorized (agent:) -Kf��j�{'� �.� �j to act Orr. wr behalf, fo-gflee purpose r+r appi-ying for and obtaining all CANIA. Permits necessary to install or construct at (locatie-n) This certification is valid thru (date) D—:3 Signature: =;;c) ;;omnierce ;venue, Morehead City, North Carolina 28557 °hone: 252-808-2808 FAX: 252-247-33301Internet: www.nccoastalmanagement.net !� irmativ-e Action Employer— 50% Recycled 110% Post Consumer Paper -�---------------------------------------- (FOP, A ��'V {�.Ij� .✓ PLED T 11f* T _ 66 .....0 � C;i <i a �, =i•�: �; ;.;-u =r proven, IcczCed at ( - (L-0t, Mack, Road, etc.) (water -body) (To-m and/or) Cou.aty) He has desc_Zb�i to me, IS be;.ow, the deyoI .opOent he is Proposing at tl,ar lc-cadon, and, I have. no objections to his proposal. I understand P;hat a pier/uncovered boat Ef:- Host he set back a minimum distance or ri — n rat (I5') Rom my ar'a or npanan ac;�;s unless waived by me. 1 I d_ wish CO waive the se:bdci£ re"uire nent. I do wish to waive that setback recuu--Menu. c t6 D DESCRLPTIONi A2'ID/OR DRA (TO be jwed in b-1 --------- ------ P 1s IWAS p IV - OF PRO —7 VEL OT. viducl proposzn8 devel7pmerrt) u T � C, Print or Tye i ianr DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: P4�6 Address of Property: a J's sT --rA y b fs crwtt- (Lot or Street #, StreetbfRoad, City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permi has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the saine as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless Nvaived by me. (If you wish to waive the,,�etback, you must initial the appropriate blank below.) I o wish to waive the 15' setback requireme:�: ren ' 1 I do not wish to waive the 15' setback requir JV A,5--2/-08 Sign4ture Date Print i° 43/7 MAY 2 Telephone Number With Area Code tA0, 1S r 4 �,- R & j GROUP P.O. Box 1885 Morehead City, NC 28557 252-7261253 Yme lac --DC �4F— Of& o Daft 6 _q 6 1015 66-112/531 � Fao,�,a, Back. BRANCH BA 0 AND THUS7 COMPANY 1- BANK BBT m FOR c Lb c NP 110000010 LSli' 1:053 L0 L L 2 L1:0005 297687923'1' ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addresse to:� abfwr 6b4 K Q,17 0b A. Signature X Ro.-.� -ant ❑ Addre Received by P ted ame) C. Date of Del D. Is delivery address different from item 1 ? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered E3 Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 1 4. Restricted Delivery? (Extra Fee) 0 Yes 2. Article(rms rimeNumb7007 3020 0001 9675 0977 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE „ , ..... .. ,a •mAf • Sender: Please print your name, address, and ZlPTTin this box iY%�-)14"- 17-b N-� le)-b _ .. �.e,: �. ii}�iii!!)i!Itt!fifl!liiJ�ii3t��iii!if!i!!!}�S�}iliil!l4ii! !