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Home My WebLink About32935_BANKS, SUSIE_20030103hCAMA / Ci DREDGE & FILL i` ',� ` 3°2„ 93 GENE RAL PERMIT Previous permit # CNew r]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 15A NCAC ❑ Rules attached. Applicant Name Address I r`t ro �C c , (;, j-}x t City ��` t n r :� (,k State Zip Phone # (_i) `� ' Fax # (, ) Authorized Agent Affected CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(S): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier Groin lengt numb Bulkhead/ avg di max Basin, than cubic Boat ramp Boathouse, Beach Bulk Other Shoreline L SAM Sandbags: Moratoriur Photos: Waiver Att Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # (_) River Basin C Adj. Wtr. Body__ (nat /man /unkn) Closest Maj. Wtr. Body.____ (Scale: 1"J 11),.c_ ) ■■■■■■■■■■■■■■■■ ■■■■■■ ■t\NOON■ ENN■■�■■■■■■■■ 1/■■■M -NOON_ ■ ■_NOON ■■��llln ■■ ■■dNONE' Ni a ■�■■■�■�■■■■■■■■■■■■■■■■■/■■■ iprap length■■ ■�■■■■■■■■ ■■■E■■■■■■■■�'tance ■istance ■■■■ offshore offshore_ ■■■■■■■■® MEMO �■■■■■■MEN ■■ii.l� ��E®■■■per■■■■■■■■■■■■■■■■ E ■■■■■■■■■■® . �■■N■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ H■�■■■■■■■ �■■■■■■■ MOM ■■■■■■■■■■ MEN■■■■■■ ■■ENE■■EN NOON■■ ■■■■■■■■■ mom ME ■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■ ■ ■■ IM EE■■■■■■N■E■NE■■■■■■■■■■ ■■■ ■■ONNOON ■■■■■■■■■■■■■■■■MEN MOM NONE EMOMMMMMM —NE MOM not sure (no' ®■DONEE®■■■ ■ No M-- MOM E■■■®■OO■[��3�1 tx7i EE■■■■E■■■■■■NEE■■E■■■■■N■NEW}�7E not sure yes no P_ EON■ENO■!f■E■■■NEE■®®EE�1Gs7 EEEEEEN�G��HOE■OE■■■■EEO■ no MEMEMEN ■EEE■■yes ■■■■■ ■ A building permit may be required by: See note on back regarding River Basin rules. Notes/ Special Conditions f (� `� �, r^ ��1 ��-, �.C" � `•�.'r i'V '�.f',r. ! %�!V _ .� � 4n, �-, �/ C� '- /� � 1- � ��^ � i'x_/'� �1 /� i l Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature ii'Vfll 03 Issuing Date Ekpiration Date 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, certifythatthis project is consistentwith 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 complywith thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax:919-733-1495 Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (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 #3Z93sJ'�o—bcr---+-•P'<<�cle.11 �- - z-9d-�-/Ar m-- I—seeb nd I i sGs e r u r ir�r, r e r — ----- --- — - 1914 PRESCOTT BROTHERS INC 141 TARA TRL ARAPAHOE, NC 28510 66-30/53' i DATE (/ 471 sQ TE ODR FiRST CITIZENS471 BANtl FirstCitizsns Bank d Trust Company iV Baybwo, N.C. 515 FOR- u'00 L9 0016 IM S 3 L00 3001:004 7 L L 2 54 29ii' _DOLLARS ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ng5/e-. (Name of Property Owner) property located at / (Q %i43eZA V,&,4V L. (Lot, Block, Road, etc.) on 1Pd �/1E��1112wlfC0 , N.C. (Waterbody) (Town and/or ounty) 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) Print or Type Name 2SZ. 2q5'- Telephone Number Date: Zrf;7 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to SiL 1214,,& (Name of Property Owner) property located at Zq- 6 (Lot, Block, Road, etc.) on , in s , N.C. (Waterbody) (Town and/o 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: (To be filled in by individual proposing development) � ee- JD�- Si e Print Type Name Telephone Number Date: ) 2 ) 102— taAri So�� isns T-7 vr