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Home My WebLink About40917_BROWNLOW, ROY_20050223;LAMA / - DREDGE & FILL /J�- GENERAL PERMIT /� Previous permit # DNew El Modification IComplete 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 L_l Rules attached. Applicant Name Project Location: County_ Address_r Street Address/ State Road/ Lot #(s) City C � State _ ZIP :. Phone # ( ) Fax # (_)' Subdivision Authorized Agent City ZIP Affected ❑ CW C! EW ❑ PTA DES i] PTS Phone # ( ) — _ River Basin AEC(s): ] OEA _] HHF C IH - UBA ❑ N/A Adj. Wtr. Body_ _ _ nat man Junkn ❑ PWS: ❑FQ 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 Boathouse/ Boatlift ��?16 • XW- Beach Bulldozing Other Shoreline Length r SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no ,r Photos: yes no y Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printofjame Signature Please read compliance statement on back of permit Application Fee(s) Check # I (Scale: See note on back regarding River Basin rules. )I / Permit Officer's Signature Issuing Date ate Local Planning Jurisdiction Ro me 1 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: L__� 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 (252-946-648 [)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: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax: 919-733-1495 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank. and Perquimans Counties) Morehead City District 151-B 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 �I P l se j� lc vv 'rc? • -7504, 5ovA,h D 2 G ate neap f 5 ie' QJC 2-k5' y DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY ONVNE.R NOTIFICATION/WAIVER FORM ._ Name of Individual applying for Permit: Address of Pro ert (Lot or Street p, street or Road, City &County) I hereby certify that I .own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you leave objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza H, I51-B, My. 24, Morehead City, NC, 28557 or call (252) 808- 2808 ►vithin 10 days of receipt of this notice. No response is considered the saine as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of l5' from my area of riparian access Unlesswa;ved by me. (if you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature Date Payry 'a 1/ lephone Number With Area Code (J : R0`( 6217L�(OW r �ly�tR-i� COFH 7i�iD �wtci� �l .Uc — g \. , DIVISION OF COASTAL hIANAGUNIENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/NVAIVER FORM ,--- Name-o€ Individual applying for Permit: - Address of Property: /h cur c /. -4� . A/C (Lot or Street a, Street or Road, City & Count;;) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached dra%� in; the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. wIV� I have no objections to this proposal. o / If you have objections to what is being proposed, please write the Division of Coastal Rlanagernent, Hestrorz M7: -z 11, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 503- 2S03 within 10 days of receipt of this notice. No response is considered the some as no objectiorz if you have been notified by Certified Mail. NVAI`'ER SECTIOti I understand that a pier, dock, mooring pilin`s, breakwater, boat house, lift c, sandba,s must be set back a minimum distance of 15' from my area of riparian access unless -wa;,ed by me. (if you wish to waive the setback, you must initial the appropriate blank below.) I do wis}, to waive the 15' setback requirement. I do not wish to ,valve the 15' setback requirement. 4A; . 114Lk % - �2-1.-0 - Signature / Dace Print I`'ame Telephone Dumber Wl' h Area Codo-