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Home My WebLink About40707_BROWN, WILLIAM_20041216[ 1CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New I (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 I SA NCAC i Pip - Previous permit # Date previous permit issued Applicant Name t% f'I Ayti, DtuAl Project Location: County Address_ �1 1 fL �h J�r4 i .l. (>� ' `T ¢ Street Address/ State Road/ Lot #(s) City 1u/e..kt 'A C 4 Q State 1.1i. ZIP Rules attached. Phone # ('-� �) -%'� Fax # ( ) Subdivision Authorized Agent City_ / ZIP Affected ❑ CW DEW -FrI'TA ❑ ES ❑ PTS Phone # (,' ') � %5� River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A _ j ii AEC(s): Adj. Wtr. Body L + C� L o e (nat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body 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 i SAM 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 v Agent or Applicant Printed Name Signature **Please read compliance statement on back of permit" Application Fee(s) Check # (Scale: ti See note on back regarding River Basin rules. �- �.---- Permit Officer's Signature Issuing Date Expiration Date Local PlanningJurisdiction 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-13 Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 sp J'J�7J 12'0 Pl A L 1\1In nJ?J-�I�J NOT VALID OVER $1,000.Op2 2 7 2 ISSUING BRANCH I ! I .t{ . .. fl DATE -h9cIGF , .:.:.UI_4' ss-541/S20 PAY TO THE '$'* :Tr j s'FI:.t . of_+ ORDER OF G` DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE AND OTHER TERMS ON THE REVERSE SIDE. BB&T AP DRAWER. TRAVELERS EXPRESS COMPANY. INC. FOR DRAWER �O� r-ekM F'O ROX 3A75, MINNEAPOLIS. MN 55480 !`pJ \,�/ /�'EE. FIRST INTERSTATE BANK. HELENA, MT WO •! `�. ".._M Ill L I L9 2 2 7 211, 1:0920054111:01707L0451092,10 ■ 'I'l HS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to 1,,,11 i�,- +C c2oLy,- is (Name of Property Owner) property located at L- o f 19 y 13 B I(A;,t Po �-T R 0 4 0 (Lot, Block, Road, etc.) on <-CI L cn CsiPe lc, , in Iti�r� C,�-�r tJcN.C. (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 understand that a pier/mooring pilings/boatlifUboathouse 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. t, I & wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled irz by individual proposing development) 1S or�L o 0 Low .2o ass ------------------ -------------------------------- - - - - - - ------------------ Signatur Print or Type ame Telephone Nu ber / �(� Date: �� o 1 • - ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to t,-, 2(; ,_ �i-CaRo�U� � — - I I (Name of Property Owner) property located at off- 1c� 9 13 P oR o A (Lot, Block, Road, etc.) on CizLc.o Creek- P--c N.C. (Waterbody) (Town and/d 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. t/ I do not wish to waive the setback requirement. s, I d_Q wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Po �.k �.� :) � Q � N-- a :.� (� � �' � 1� P ra � 2r'�-� �-�n -e.� •e- w • � 1 }J.e, � � d'o � L o 2 0 c4 T ( SF> �o -4- P-DoCY �� T LI a-J ' 4 � -----�-- --- -----------------------1�- ��+ }-------------------------- -- 5 - S1gna v ire Z112 Print or Type Name (;?5z) --7Z(o - 573- 7 Telephone Number Date: 1 % — R — Cz P o eon,* a� ► � 6-1)a l -956�-