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Home My WebLink About33648_AMBLER, PHILLIP_20030318CJCAMA / ❑ DREDGE & FILL V1 3 48 ` GENERAL PERMIT Previous permit # New ❑Modification ❑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. I SA NCAC 0 Rules attached. Applicant Name "f�l%i#� -\' i�� j jF t Project Location: County Address -ji? i <� Street Address/ State Road/ Lot #(s) f, /Iz C_ Citys)c StaterZIP c fir' tx;r Phone # Qom",,) DO"-- /�' Fax # (�) Subdivision Authorized Agent t_ -T 1 ttY�( City ZIP Affected ❑ Cw 3 EW D PTA ❑ ES ❑ PTS Phone # ( ) River Basin Ica �-c ❑ OEA ❑ HHF ❑ lH ❑ USA ❑ N/A / AEC(s): Adj. Wtr. Body rl S o \ Q-; C n ❑ PWS: ❑FC: at man unkn " ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wrr. Body ; c 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 (Scale: (v o ) J cubic yards - (` Boat ramp: - - — I i74— I Boathouse/ Boatlift i<_ I I r; w" r Beach Bulldozing -- - Other , - . Y Shoreline Length SAM not sure yes !no -- _ I Sandbags: not sure yes i no j I I Moratorium: n/a yes no Photos: yes no I _ Ij- EI Waiver Attached: yes no -- --- -- -- - — A building permit maybe required by: Q (ri �r� r�(� �� I / Ree note on back regarding River Basin rules. Notes/ Special Conditions"wprr• for tJ cf (%r t ,i rin (� f F; r : ' QI r� h, ; 11,-,n %.�il'�` '`"! ;�� A� / J��Jo r'! 01 "�'iC`�L, rP %CL� !7� ��o�S��% ..lI7Q � t7C, G�l� ,�z •.+''!. . ar.a• /r.inc �t�l/Cl/�r('�f< <�FCr�j< �i7/l%l, c?J'S C.t.{,�✓'�i Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit [ f ApplicationlFee(s) Check # Issuing Date /�, Expiration Date j� (Gpy+k�rl1 �� ll1O��c7 ��fy 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: ❑ Tar - Pamlico River Basin Buffer Rules L� 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: 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 Mail 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.nccoastaimanagement.net Revised 10/05/01 3248 PHILLIP C AMBLER SHARON F AMBLER 66-152/531 CC 307 ROLAND RD PH 252-249-1757 ARAPAHOE, NC 28510 ha To -ripe �� ,� 0i'der Of .a_ //l _ Z. ...Ai ..��n00ili_-- IACHOVU Wachovia Bank, N.A. 14,vlwm, NC 29515 1ViPIlIU lit"#�J-��YrI u._t`,✓" G—If____—,�,•- i:05310315291: 0780 206553ii' 32 _._.._ [t HAllIA- 21- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to� (Name of Property Owner) property located at (Lot, Block, Road, etc.) on �!��`'��J C/��C%C_ , in )M r Cy , N.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/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. MAR 18 2003 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) 0 Signature Print or Type Name _�� - �- -119- a�a� Telephone Number Date: 00 ADJACENT RIPARIAN PROPERTY OWNER STATEMEENT (FOR :4 PIER "�1100RIN'G F'ILI_ -GS-'B0.A 71IFT"BOA THO LSE) I hereby certify that I property adjacent to a J / 1�wL2 (Name of roperty Ov, ner) opera, located at Le, E `-/ 0/'C- 6 ((z Sod f /L b0(7-- (Lot, Block, Road, etc.) in Ami)x&5 ZZ 69��1�N.C. (%Vaterbody) (Town and/or County) MAR 18 2003 He has described to me, as shown below•, the deti-elopment he is proposing at that cation, and, I have no objections to his proposal. I understand that a pier/mooring lings/boatlif-t-'boathouse must be set back a minimurn distance of fifteen feet (.15' ) from y area of riparian access unless wai4,ed by nee. I do not wish to waive the setback requirement. dc0 "' ish to waive that setback requirement. DESCRIPTION AN-D/OR DRAWING OF PROPOSED DEVELOPMENT: f I'c) be_lilled in btu individual proposing development1 C_ 61 � � /our,- s hfile aAJ Print or I ype N ame Telephone Numbc Date: _ Z' /� �