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Home My WebLink About49717_HEATH, JOANNE_20070713T ( 0-7 4ew A / ❑ DREDGE & FILL E . L PERMIT-6 Previo permit # 1 l odification ❑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 I SA NCAC r� 00 Rules attached. Applicant Name Project Location: County Address - ' ` Street Address/ State Road/ Lot #(s) - - - City State ZIP Phone # ( ) ' Fax # (—) Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected ElOEA AEC(s): ElHHF [IIH ElUBA ElN/A ❑ Pws: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab, yes / no Type of Project/ Activity Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Mal. Wtr. Body (Scale: Pier (dock) length Platform(s) T ' Finger pier(s) i Groin length - -. number -- -- Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel -}----- cubic yards L� Boat ramp ( w Boathouse/ Boatlift 1�: 1 --� Beach Bulldozing ---- — - �- - - - - -- - - - { Other --- ---- ,- Shoreline Length SAV: not sure yes% Sandbags: not sure yes- __. _ -- L. Moratorium: n/a yes - Photos: yes Waiver Attached: yes - - ----- - - r A building permit may be required by: 1 ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Prinied-Namd Permit Officer's Signature Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Issuing Date Expiration Date e Local Planning Jurisdiction Rover Fde ldame 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 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 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date %— — Applicant Name Mailing Address 30% 5 J a-ne,r i 0 /` Cf. 0 r- e-P en ( i Q 0—"-� n �5 -2 / I certify that I have authorized (agent -A An a p� _na4,oLih4to act on my behalf, for the purpose of applying for and obtaining all CAMTTA Permits necessary to AaA install or construct (activity)--? �kewnoo e_ a- S e_CA-� a ram' c4. at (location) % Ta,P t'r �1"i �_n �Q I /V This certification is valid thru (date) Signature Q 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper ADJACENT RIPARIAN PROPERTy owNER srATEMOENT (FOR A PIERIMOORING MUNGSIBOATUFTIROAT.UOUSE) I hereby certify that I own property adjacent to 's (Name of Property owner) Ply load at (Lot, Biom, mod, ems) , , t N.C. on /U� u S e (Waterbody) ('Tt�n�n�nty) .IT has descazbad 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 p ouse must be set back a minimum distance of Ift"M feet (IS') i%m my arty of riparian access unless waived by me. garish go waive the setback requirement. I dQ wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be,flled in by individual proposing development) F t 5e-C± o rN j 5 c c f%a A7 4-0 b-r 1 140 of �P Z qb�- signature zz-%' Print or 'Type Name Telephone Number Dane: 7/ /D ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A P&WMOOJUNG PILINGS/BOATLTFT/BOATHOUSL) - --�o� I hereby certify that I own property adjacent to 6 v� rA-k Q F 1 '� �''� 's J (Name of Property Owner) property located at 3075 J e�rgo (Lot, Sock, Road, etc.) on �2tc S Q in 4'Yl , N. C. (Waterbody) (Town and/or C nip) He has de=fl3ed to tne, as shown below, die pment he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring p ouse must be set back a minimum distance of fifteen feet (I5`) from my area of riparian access unless waived by me. I mot 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) 3 t d 40 hie ace � o �5 J CCi� 16►" Signature 1411,1 li f-f print or Type Name Telephone Number Date: 0-7 - &) WEST* NMI IIMONEV INTEGRATED PAYMENT SYSTEMS, INC. • ISSUE[ UNION ORDER` Greenwood Village, Colorado 08=702'807888 Al 32$329 DATE 071207 }� 82"40AM 7T 1923 06 n .00 087028078886 LOCATION OW27' �N N * k # PAY EXACTLY TWO HUNDRED,DOLLARS AND NO CENTS PAY EXACTLY PAY TO THE 0. �C PAYMENT FOR/ACCT. ybwen �l^.e�illia:our�io rile nwiaii-ra �aaeme srx. W"em Union Money Oroar and Design is a servk:e mark of Wastem Union Hokfin e, 1—/Payat4o at Wells Fargo Bank GrZd Junc ion - Daw 1—. N.A., Grand Junellon, Coa Io �: LO 2 L❑❑ 40❑�: 4❑na ?n 28O 7888 E nn