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Home My WebLink About33994_ASMAN, WILLIAM L_20030519❑CAMA / I. DREDGE & FILL GENERAL PERMIT ❑Nbw JModification ❑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 15A NCAC Applicant Name Address City �,., lei /Von 1CG State ZIP 90,6'G5 Phone # („�..) c /��- HJ % :. Fax # Authorized Agent c, L)L) Affected ❑ CW PEW ffIPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ElIH ElUBA 7-N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes 1 no Previous permit # Date previous permit issued Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City_ - _ ZIP Phone # ( ) River Basin Adj. Wtr. Body__ s Oat /man /unkn) Closest Maj. Wtr. Body -s1J v Type of Project/ Activity ,. Pier (dock) length (Scale: J � - Platform(s) Finger pier(s) la r I Groin length i I number I c S I Bulkhead/ Riprap length i. -- I I -- ( — I av distance offshore g max distance offshore Basin, channel _ 1 _ I I i l i I T-- cubic yards Boat ramp Boathouse/ Boatlift I r Beach Bulldozing Other !J c,u a, - - — Shoreline Length .5 -- — _ SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no V. t Photos: yes no Waiver Attached: yes no I f' a e required b : A building permit m b SP Y 9 Y C See note on back regarding River Basin rules. S S Notes/ Special Conditions Agent or Applicant Printed Name Signature /d* Please read compl-iyance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date/ MExpi_radon 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, 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 [_ ; Other: [J_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 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 --- j9"M ",j . d 1.e d PRESCOTT BROTHERS INC 2062 141 TARA TRL ARAPAHOE, NC 28510 Z 66-30/531 1 61 PAY 47 DATE TO THE ORDER OF- X-, DOLLARS FIRS-r CITIZENS17, Fu.t.Cifi an, A Trust Company 13ANK Bayboro. N.C. 28515 C��- -33 FOR -. 11@00 20 6 2111 1:•0 S 3 LOD 3001:00 1, 7 It- 10 2 54 2 9 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 4�), ff%a --, /- • (Name of Property Owner) property located at Block, Road, etc.) on 1007t 6eff /day e 's in /V1r e-,el�6' , 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. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: N r (To be filled in by individual proposing development) N4 Print or Type Name Telephone Number Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A 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 (Waterbody) in (Town and/or County) N.C. 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. 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) Signature Print or Type Name Telephone Number Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORNNG PILINGSIBOATLIFT/BOATHOUSE) i I hereby certify that I own property adjacent to / . (Name of Property Owner) property located at of -Z 3 /20 Szo 7c"r /C k - � �� (Lot, Block, Road, etc.) on /7,a !C"v-M /"/00126 CeprG, in //,/-,r'zie/i` N.C. (Waterb y) (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. " I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: t4 � (To be filled in by individual proposing development) r 0 N w 0 p ��24¢k o O � Signature . N Print or Type Name 'le -,?�r-GzB'6 Telephone Number Date: /..? — !elf ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to property located at on (Waterbody) (Name of Property Owner) (Lot, Block, Road, etc.) in (Town and/or County) N.C. 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. 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) Signature Print or Type Name Telephone Number Date: