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Home My WebLink About48998_BRAY, PHILLIP_20070607LO ❑CAMA / ❑ DREDGE &`FILL 4F19 GENERAL PERMIT Previous eit# p []New [-]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural R/ANCAC s and the Coastal Resources Commission in an area of environmental concern pursuant to ❑ 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 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 Shoreline Length SAV: not sure yes no Sandbags: not sure yes `no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Signature ** Please read compliance statement on back of permit ** Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale: ❑ See note on back regarding River Basin rules. Permit Officer's Signature issuingl5ate Expiration Date 7 Application Fee(s) Check # Local Planningf urisdiction 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, certifythat 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/ 1-888-4RCOAST 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 J J U FGR M M. DATE`��TIME M. OF PHONE/ MOBILE FAX TELEPHONED SAGE Cal , CALL b S �-�� *RETURDNEDUR SE CALL L CALL AGAIN CAME TO SEE YOU [:]WANTS TO SEE YOU SIGNED ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to `t'V��I V "`'b(?i- 's (Name of Property Owner or Applicant) Mailing address if different from location address (town, state and zip) '-B "4 N _ ZZ EW, phone numbers you can be reached property located at Z4-� "Ru-� 4n �) (Lot, Block, Road, etc.) -b"4 on 1 bllp r� ?, V cr- , in , N.C. (Wate&dy) (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. TO 6 61, / 0/3 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 f lied in by individual proposing development) MAY 3 I ZIJ07 Morehead City DOM --------------------A�� --------------- Signature I I W At !`� 1►n Print or Type Name *7 - S C 9 I Telephone Number Date: 5 1 225 It,-7 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to �, U, VVk' 's (Name of Property Owner or Applicant) Mailing address if different from location address NC-1 211765((11 (town, state and zip) phone numbers you can be reached property located at (Lot, Block, Road, etc.) r on Nn� � ��y , in�O�T� N.C. (Wate&dy) (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. initials initials I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) flr��rr��ica�t� Signature Print or Type Name �2�,-?- - 7;G--3y1-7 � Telephone Number Date: - �� DPHILLIP M. BRAY PH. 704-330-1190SANDRA M. BRAYown 20 526495 DL. 2 47344 CHARLOTTE, NC 28209 3215 /� ♦ 66-1121531 .1w \ l0 f0 BRANCH 49117 n/rr• o VD - 20o ft ��ClC�4P B oaieim'o �jf Beck. BRANCH BANKING AND TRUST COMPANY AA�- 1.800-BANK BBi om r.M 1 1; 0 5 3 10 1 1�.0001473042432 032