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Home My WebLink About46069_SPEILMAN, JOHN_20060725r ,DCAMA / ❑ 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 Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name ,' J ' �' , Project Location: County F Address t. '� Street Address/ State Road/ Lot #(s),. f City State, ZIP Phone # (`) Fax # O Subdivision �. '� i /;+'� ,-, � '" / < ZIP .�� k,-_t,•. �,-: Authorized Agent J; City / ; ! A � V 3'CW DEW ❑-PTA El ES ❑PTS Phone # ( ) River Basin AEC: Affected s ❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A Ad'. Wtr. Body t� ° `/ �' �" I y (nat.,/loan /unkn) ❑ PWS: ❑ FC: ORW: yes / no.' PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Rc Type of Project/ Activity Pier (dock) length Platf Finge Groin Bulk Basir Boat Boat Beac Othr Shor SAM Sand Mon Phot Wan (Scale: ) orm(s) r piers) length -- — - -- - -- - - i number ead/ Riprap length - -- avg distance offshore . . ! I max distance offshore T Irk / r . channel J cubic yards F ramp . . louse/ Boatlift) / i Bulldozing — C aline Length y - not sure,, yes no _. )ags: not sure yes no . torium: n/a yes no: 3s: yes no.,— arAttached: ves no — __— __ -- --- - -- — A building permit may be required by: Notes/ Special Conditions i t or Applicant Printed bkmm See note on back regarding River Basin rules. 7 2006 PermitOffrcer Signature •ePlease read'Compti� statement ono Application Fee(s) Check # Cj}y ate / Expiration Date Local Planning Jurisdiction Rover File Name A building permit may be required by: Notes/ Special Conditions i t or Applicant Printed bkmm See note on back regarding River Basin rules. 7 2006 PermitOffrcer Signature •ePlease read'Compti� statement ono Application Fee(s) Check # Cj}y ate / Expiration Date Local Planning Jurisdiction Rover File Name . , V 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 consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules L_i 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to �40kd 'Q16 _,/"ngl'I 's (Name of Property Owner) property located at Z.e% a? I S/Lye/L /�e/�� [ /<-"p/ r' (Street Address, Lot, Block, Road, etc.) on 611-nlq9 Cz F—e G , in ��1�1 �T IVM54- eo C0U1J —1 y N.C. (Waterbody) (Town and/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 accessunless waved 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. (initials) DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) r,. L� 4 Si ure Print or Type Name Z.sZ - Z#- Z3-5� Telephone Number Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATMOUSE) I hereby certify that I own property adjacent to W /LC mom 's (Name of Property Owner) property located at L O (Street Address, Lot, Block, Road, etc.) on '61'ol?2 Ci C-/<:. , inRAil/-Leo N.C. (Waterbody) (Town and/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: lV o I do not agree to waive the 15' setback requirement. (i tials) I do agree to waive the 15' setback requirement. (initials) DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ,) 07'- io'jd"RI,e Signature Print or Type Name -�- / ?l9 .38y iP07 Telephone Number Date: 01 XAY gW6 UNITED STAVr- f='(05$"'kt, EFiVI E T;`R.IANC L REG.i .;IA 4 KRr IrS - ail age 8 n,. USPS n, gmmiw Pe 10 • Sender: Please print your name, address, and ZIP+4 in this box • we In LA -)"I In -�U L� 11, 1 — 7 i -2 -h" - i 7 ifi=rcifii:t=rlt�l=:(firir! Isi r ir,i( Complete items 12, 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 ace the front if sp permits. Article Addressed to: nY\ `Cj n 0 o A. Signa re 9 I i[j Agent X n� ❑ Addre: vVV pats f Deli d Name) Yes D. Is delivery address different from it t? No If YES, enter delivery address below: 3. Service TYPe impress Mail ('Certified Marl A Return Receipt for Merchandise i ❑ Registered [] Insured Mail ❑ C.O.D. Fee) ❑Yes 4 Restricted Delivery? (Ext ra 3yop 00►6 Aicle Number ��55 V q 102595-02-M-' 540 Z, rtservice label) ( (Transfer from Domestic Return Receipt pS Form 3811, February Pr 2004