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Home My WebLink About48197_DENMARK, ANDREW_20070321ll -0 7iJr- n ❑&AMA / ❑ DREDGE & FILL /V-^_ r. GENERAL PERMIT Previous permit # a' []New ❑Modification El Complete Reissue El 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 City .` =x State ZIP Phone # ( ) Fax # ( ) Authorized Agent - Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS ElOEA [IHHF AEC(s): ❑ IH ElUBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) M Groin length number Bulkhead/ Riprap length avg distance offshore --. max distance offshore Basin, channel - Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn Closest Maj. Wtr. Body (Scale: cubic yards Boat ramp j i Boathouse/ Boatlift - �".-- - -- -- Beach Bulldozing Other Shoreline Length SAV: not sure yes 5no _ T—' , 1 — -- - --- —-------- - -- — Sandbags: not sure yes ` no i Moratorium: n/a yes no Photos: yes J � r Waiver Attached: yes no, - * - —.-- A building permit may be required by: See note on back regarding River Basin rules. Notes/ Special Conditions Ageni or Applicant Printed Name Signature **Please read compliance statement on back of per ; it F 1 Application Fee(s) Check # G.141-e- -'Y Permit Officer's Signature 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 howto complywith 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 Ell 0 Fab) ryf t 1t t t t 1 tL1 ! D1t V1 101 • • • 1, I Vf . • YR w Y 1 y1 I hereby certify that I own property adjacent to �v O W /' ' S (Name of Property Owner) propmty located at /1� cJyNif°� 1e .�iA/!/� D�/r�/Tf3 /�C �8S (Lot, BIock, Road, etc.) on �iP0A0 LA,: C , in /i� e le�o LO ttN? y , 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 do not wish to waive the setback requirement. I dQ wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) LO ` KRc��I CIC oy� �P� 1 ,, Ft LOT r t Signature A) cd- � V-Ne� Print or Type Name q cc Telephone Number Date: A i S' 0 7 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to 'I—� c� P �� ►,, Dark's (Name of Property Owner) Party located at k7 tj� vi t— �-, ► v r r �'�. �i (Lot, Block, Road, etc.) on t p.r C- in 2c r, � C-n ALA 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/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I da wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) $�D //� �,f ;�2Z gnature r 1 0<fL"J11 - - -5 Print or Type Name Asa- C? Telephone Number Date: J — Q �- " 67 Donald Oxendine NCDL 3584956 Donna Molina NCDL 8050154 ass 7704t25at 11.6 8 5114 Kershaw Rd. EZShLfd ud Plpieiltoh". Oriental, NC 28571-8723 b y a Ph.252-24949-1301 D'' Pay to the Order of ? ` -2 cad, � Conu SI Fealves. Detaft STATE EMPLOYEES' CREDIT UNION NEW BERN, NORTH CAROLINAlz_ �ly� IUXi 1 C�'l �/� � �sa-� A Y For �1�� VtJ�r',; 11P JI[A 1:253177D49i:0863094867911' �168 ®CHECK GALLERY, 2001 STYLE k P50 1-800-354.3540 w checkgaIj0ry.cmn PIInIW on r Ie0 eqc paper using vegetable-baseC Inks ®MARIE BUCHFINK. LICENSED BY RICH WISEMgN, LLC. j 4