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Home My WebLink About45217_WILHELM, JOSH_20060426�. G5,6 ❑CAMA / ❑ DREDGE & FILL f17 GENERAL PERMIT Previous permit# ❑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 I SA NCAC ❑ Rules attached. Applicant Name— Project Location: County Address City Phone # (,)_ Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no, ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) — Pier (dock) length Platform(s) Finger pier(s) Groin length—i$_y;r number Bulkhead/ Ripraplength avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other L; i T- — - - /XI k / i — -- i Ali ' �4 — -- J— ! Shoreline Length ii SAM not sure; yes no _ I Sandbags: not sure yes no - Moratorium: n/a yes no Photos: yes no I Waiver Attached: yes no — — -- ---- -- A building permit may be required by: C See note on back regarding River Basin rules. Notes/ Special Conditions MH I fil Nr V 1r Agent or Applicant Printed Name Moreheadly nacmit ture Signature,. "Please read( com liance statement on back of permit" Issuing Date Expiration Date ApplicationFee(s) Check# Local Planning Jurisdiction Rover File Name 0 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, Orslow -below New River Inlet- and Pender Counties) Revised 06/29/05 Adjacent Riparian Property Owner Statement Page 1 of I em IA-1 Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 3 W—�- i)T-(-V r--;k m is Name of Property Owner property located at Co MCL--q'-YV--CC.) [)e-10e, , Lot, block, road, etc. on 6(2E.) "q0 cz-+✓L �C , in M F-v20.� � T , NC 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 do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development) 7 Signature Print or type name �2. 2 Telep:T7 ber G' Date n�yvv�' http://www.innerbanks.bizJarpos.htm 1 /29/2006 Adjacent Riparian Property Owner Statement Page 1 of 1 Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 3tp-v-- O-Y- HCC m _ 's Name of Property Owner property located at Co Lot, block, road, etc. on 0)(2,E)PD OJOi✓C--�( _ , in _ 61C,2Q= , NC 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 do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development) 0-MP, --4-, �� Signature �IVAQ Print or type name — �3�1� c.,E(ts— ll0o Telephone number �- I -i I Olo Date U1 mO hup://www.innerbw*s.biz/arpos.htm 1 /29/2006 Aec Sec k --- - - INC CONSTRUCTION, fr,1; ss-3o�ssl INN412 -RSANKS MARINE ' ��,f, t y `y E P..O: BOX 190 PH. 252 249 t 429 �, <� /, ►v Z 6 ORIENTAL NC 285T1 `�lr DATE / J / 4 ®0 00 C `,r 1 /; PAY jOD DOLLARS TO THE �� / ! • ORDER OF J(! -. •,\ .. ;-; ift �,(4 �.j%4,��``i/G.y °,`f}1 ,y�!`y ,. r San FIRST CITIZEN lJ' First-C taN 571 /L/fir\ W,nrvu.firstcitize�+s•co FOR II �;p 5.3 .L00 300 1:004 7 L 20 z 11.002L2?' _ __-