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Home My WebLink About47160_DILLON, VERNON_20070122/cam -U 7 ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT 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 sources and the Coastal Resources Commission in an area of environmental concern pursuant to 5A NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # (`) Fax # ( ) Subdivision Authorized Agent City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore_ Basin, channel ! cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other -' I - - -- — - -- --- - i 41 Shoreline Length SAM not sure yes no - - --- - Sandbags: not sure yes no Moratorium: n/a yes no Pay Photos: yes no Waiver Attached: yes no -� A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # (Scale: ) r._..__�-. _ I i - J See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Local Planning Jurisdiction Expiration Date 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 Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 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) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 06/29/05 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ; ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER ` o-A'► ` FORM �j�. �✓�' Name of individual applying for the ermit: ' / OLD P �Ll� � �- ��f�— �C?' <�006. Address of property: ,� -7—A V� Ua_ IZIP (Lot or street#, street of road) � t d . C Mailing address: w4l e c rU e-OLFAX 272 35r i %u�LFvfO co��T�/ (City & County) 'If,? Phone number you can be reached at I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provi it this letter. 1 I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 15' From my area of riprap access unless waived by me.. (If you wish to waive the setback, you must initial the appropriate blank below.) /�I do wish to waive the 15' setback requirement I do not wish to waive the 15" setback requirements Signature 1 , Date w Print Name Telephone Amber with area code www.nccoastal-manaaement.net/Permits/R!DarianSetbackWaiver.Ddf ADJACENT RIPARIAN PROPERTY OWNER STATEME (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUS r,",,�,�— I hereby certify that I own property adjacent to bAen�-t ie- A�m (Name of Property Owner or AppUcant) }; Mailing address if different from location address 2211 -ST- • MAa.y'S S'fO-Ge—i' (town, state and zip) 6&r w phone numbers you can be reached at 91Ot • -4H 1 • 7 4 / It 4 - 141 • ZHo V. property located at 206 Go.S�s 6ft*k_e Loop 1t-14a.D (Lot, .Block, Road, etc.) Ne-xJ.PoR-T,,' N C on Coe-g;e C.tz,--7E-L , in Garza, APerf Cow r -r—1 , 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. do not wish to waive the setback requirement. init initials `f PuT l N SEA w��S Ryky l-NY r/Kr,- I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) y o a- 6, A-x/ LFT /nt- xgot , I- ,d-- %ALE 1` YOe_ V G✓outln TD CuT v�Ci NG 4 al &' • FI` K j'ZA-l`k P,. �_ .. r 2 pPr�>�_ T -t-oP 0 F S.Fl� 1,,,�-� �� 2 y 5 pip� R P �� M �r� D wtl ; / l u .5 P6'C i F RcPC.17y I e A-ri Print or Type Name 910t . -1 H t ZHoq Telephone hone Number � � l� qt -1 � Date: 1 2t,�o www.nccoastalmanagement.net/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATElv1ENT.odf r r►tKathryn Di11on 8059 Naflo a 35 ice Rd. Colfax, 7005 3110 0001 4711 0625 yf��V�N��-T 11 11 (/N17fD STATES nosrA(, seav�cs 0000 28557 aJ�z-2 .i.".:I.y-::�'�:`.•`!:-i•��:.a_..r`..�=37€ ttii3�i;tt�la�iiali��i�i��i��(lia(�!71f��fFti}(l�e! U.S. POSTA& COLFA'X'?NC 27235 DEC 07.'06 AMOUNT $9.69 00022540-9�' A d