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Home My WebLink About42924_COX, SHANE_20051017+❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT p Previous permit # ❑New ❑Modification El Complete 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 ❑ Rules attached. Applicant Name 1, 1/ �- �' f .G",Y Project Location: County Address_ 1, Street Address/ State Road/ Lot #(s) City � State ZIP Phone # ( ) Fax # ( ) Subdivision Authorized Agent City 4_.i�_ IcN"CZIPj/:�• ❑ Cw ❑ ew ❑PTA El ES ElPTS Phone # River Basin Affected AEC s : ❑ oFr4 O ❑ HHF ❑ IH ❑ UBA ❑ N/A Ad'. Wtr. Body �1�,�� I y nat nag ❑ 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 � �— f Shoreline Length �! SAV: not sure yes Sandbags: not sure yes f o Moratorium: n/a yes 5&- Photos: yes t w' Waiver Attached: yew no A building permit may be required by: Notes/ Special Conditions (Scale: `3 r} - ' J �.� - _- . . . - . .- . _ C e .. 0 Agent or Applicant P'ted Name Signature `/- Please read compliance statement on back of permit ❑ See note on back regarding River Basin rules. Permit Officer's Signature ,r Issuing Date Expiration Date Application Fee(s) Check # Local Planning Jurisdiction 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, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: LI Tar -Pamlico River Basin Buffer Rules �Other: Ll 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 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 Fax: 919-733-1495 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, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/OS IHI5 MULTI -TONE AREJ!k;W,THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM I- I . . '< Y' NOT VALID OVER $1,000.00 ) 7 63229279 ISSUING BRANCH MAIN DATE 0I::',TQE-'ER 24 2(.)015 93-541/920 PAY TO THE ORDER OF BT DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE 1D rip AND OTHER TERMS ON THE REVERSE SIDE, DRAWER: TRAVELERS EXPRESS COMPANY, INC. (JT�t� M-Ryq ?q IF cbri snt- KBOX 9476, MINNEAPOLIS, MN 55480 P�(� R. SifFLif AWEE, FIRST INTERSTATE RANK, HELENA. m47c- 4 ic p 6DRAWER c- prm Pr p f: Pm 11-5 rg c -4 o i-n- :s- 1: .J -AI IJIG 3 2 29 2 ?9111 1:09 20051, 1 11:0 1 ?0 7 10L. 5 L09 2110 0 THTSDOCUMENT HAS AN ARTIFICIAL WATERMARK PRIN IN) ON I III BA(K. 1111 1 RON't 01; 1111; IX I Is l I I NjI( Y—, I i 1 '141 1 1 NJ \',Jl r."Rl 'I R All',IN( I ()I IIIFSI* I [.A I I Nlg I% I I I INDICATE ATE A (01'1 0 - .' . z'.: : � D'Jt CEN [' ►_1 z r°� Y '; � 'l- x 0 yV+, R S'r'AX EM. L I`4 ,FOR A PIE_ R117NC0 VER—ED R Ofi 71 IFI) t i I herebv certiF that I own e � Y propene adjacent CO (Nlknle of Property yruer) Q p _ O uer) property located at (Lot, Black, Road, etc - -- (W"aterbody) (T_ o_vn and;'ojr, lCo�u ty) He has desc-ibed to me, as shown below, the deve!cpr;tent heis proposing at that location, and, I have no objections to his proposal. I understand i;hat a pier/uncovered boat lift must be set Sack a minimum distance or rirte°n rat (15') rrom my area of riparian access unless waived by me. I do not wish to wa.ive.the s8back reQuireme;tt. i - j I do wish to waive that setback requirement. ------------------------------------------------------------------- DESCRI (DN N-N-D/OR DRAWING OF PROPOSED DEti FLOP-NIENT: gTo be fled in b,V individual p,.,po,s-ing de,,-64,prnent) Telephone Nurd-1,r Date: �, ----- --' Y it Uli, �iDJACENI.' k�i-r t� Sri i v' '.'p 'I X (1�N�� 'r is i T Z'� - .(FOR A PIF.RIUNCOVEF-'D BOAT I!IF7) I hereby cArtify that I own property adjacent to S ("iJinle orProperty Owuer)` property located at v�01, (Lot, Black, Road,-- �i on �n .c. (Waterbodv) (Town and./orl County) 'i He has desc.-ibed to me, as shown below the devclopr;rent he. i; propesin; at tFat location, and, I have no objections to his. -proposal. I undersmnd that a pier/uncovered boat. lift must be set back a minimum distance of n'fteen fe--t (15') from my area of riparian acczss unless waived by me. / I do not wish to waive .the seiback reQuirement. I do wish to waive that setback r uire ev ment. --------------------------------------- ------------------------ ------------------ DESCRLYrITON A-N-D/OR DRA'WE "G OF PROPOSED DEVELOP-A&F—N-T: (To ed in by in wjl E.r;po�:n5 u�� , e!��prnent) PLNL- i ----------------------- 3Y i ----------------------------------------------------- 4SIzane Print �I�y�� I`v•�Jne Telephone MrnbgI r Date: ;