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Home My WebLink About48480_BOTTOMS, MATT_20070425i0 CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification El Complete Reissue ❑Partial Reissue 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_ Previ Date Br it # s permit issued_ d,L,r Applicant Name Project Location: Count 11" Address -3 Street Address/ State Road/ Lot #(s) City 114 C State ` ZIP, t 4 Phone #-( )` �� 't j ( Fax # ( ) Subdivision Authorized Agent City ZIP l ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin 1 Affected ElOEA ❑ HHF ElIH ❑ UBA ❑ N/A AEC(s): 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 (Scale: ) 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 i Ax 5 Beach Bulldozing Other i Shoreline Length o r SAV: not sure yes do— Sandba s: not sure es / y r g y . Moratorium: n a es n I � i � t Photos: yes T rib — — Waiver Attached: yes l . no — r A building permit may be required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions - r Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Permit Officer's Signature p Issuing Da J Expiration Date Local PlanningJurisdiction Rover File Name 41. 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/ 1-888-4RCOAST 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 . r V ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to T� ova tilt--5 's (Nance of Property Owner or Applicant) Mailing address if different from location address r2 /�/ S / 6 1-1/ , (town, state and zip) 6 C v F- 010- T I'Mr ( , phone numbers you can be reached at / nronertv located at (Lot, Block, Road, etc.) on ° �� e l �e , in (Waterbody) (Town and/or County) 07 He has described to me, as shown below, the development 4*04ifirAP location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boa 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. initials I do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) T) - -----� ------------------ f Z T;:2ov"D7 , _ i �V f-2,5d0 °-------'L`'- -------------------- Signature Print or Type Name 2� �?55 Telephone Number 1 �s 1 v Date: , FROM ':GROUND CONTROL i FAX NO. :410-592-4800 Apr. 05 2007 07:35AM P2 If *' APR-02-210T 03;24PM FROM-CROATAN'HS + T-ti17 P 002/003 F-460 11JJJAUJ,1N'1-K1YM(1AN !-'RC.1.Yl+;RTY CAVNEAR STATEMENT (,FOR A PJ_FR1M00R11VG PIL.INGSIBOATLI FT184ATEfl USE) I herrby certify that I own property adjacent (Name of Property Owner or AppUcarip Mailing address if different from location address.__I5&L - �d (tows, state and zip) phone numbers you Can be reached at_ property located at App 9 7007 (fit. 3100 t, Road, etxQ . i Qn (A )I& �rp (WRWcbody) N C (Town 11WOr Coin , He has described to me, as shown below, the development he is propositig at that iocatio]a' and, Y have no objections to his proposal Z understand that a pia/mooring gingAoatlift/boathouse must be set back a minimurz distance of fifteen feat (1.5) frQm my area, of riparian access unless waived by me, o riot wish to waive the setback requirement. W06 142 wish to waive that setback requirement. DF.8CREPTYON .ANC/OR DRAWING OF PROPOSE ► DEVELOPMENT. - ----- (To befifled in by in&v&ua1prqpvsihg development) ,.D • - --,.� - �l St rature Print or Type Name L410 2,-S —3 7.3 Tolephonc Number O,�OMS NCDL 3785230 Mp,TTHEw D. B NCDL A977 GALL BOTTOM 2A7.2312 2523 ONE I D C) Y, NC 28557 MOREIIEA 6192 66-7704/2531 08605439573 DnTE 2 DOS u r ees Credit Staff Em to Now Carolina Morehead Cd`/. - sz o tvtEM 0 51, 3 9 �; 2 5 3 L 7 7049�:086