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Home My WebLink About34521_BULLARD, RICK_20030709.��s.� r.•o.,w .,..� . ,..r..� <'y q_';��arw'�: Vie..; ,.,� LA'._ _ "a°"v°vs+rsa f CAMA / ❑ DREDGE & FILL GENE13AL PERMIT Previous permii#� ❑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 15A NCAC ~ ' ' (Z)C) Rules attached. Applicant Name i Address City �'.a_a.; l t , �-� r.. State'\JC ZIPQ Phone # (?';.) ., _ Gf�O Fax # O t f (' Authorized Agent X v ,C' w� �az.._.._ Affected ❑ CW FEW BPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Ill yes / no Project Location: County Rz „ i , < 0 Street Address/ State Road/ Lot #(s) f` + L1•r..� C ��. Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body ci',, t , b,Y c(-n C _ (nat %man /unkn) Closest Maj. Wtr. Body— k 4,q , Type of Project/ Activity r' r j, r� v �i , l �0 (Scale: Pier (dock) length L, 'v:;-E . Platform(s)_ Finger pier(s)_ Groin length number Bulkhead/ Rip avg dista max dist Basin, channel cubic yai Boat ramp _ Boathouse/ B( Beach Bulldog Other Shoreline Len, SAM n< Sandbags: n< Moratorium: Photos: Waiver Attach A building permit may be required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions , D%tt Ir., I No kjP'1`rely 01 K n'� o i l lr�� f � t rnA 4 � aim 1I i kgent,orApplicant Printed J/ S�Oature ** Please read //compliance statement on back of permit Application Fee(s) Check # e(j2oc Issuing Date Expiration 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, 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 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 / 1-888-4RCOAST 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 J. David Simpson 601 Windward Dr Ph:(252)249-1381 P.O. Box 590 Oriental, NC 28571 Pay to the Order of_ nRST CITIZCNg-, BAN Pirst-Citizens Bank & Trust Company BF11 �I Bayboro, N.C. 28515 www.firstcitizens.com 1392 66-30/531 Date !!!/// ��/ a71 0 ForZ CK 301-4 M i:0531003001:0047 L75 231359ii' 0 L 9 2 ne' Srru rily rn Irn ncrd Ancu rnen 1. Srr 1,nrk Lnr de In ils. DAVID SIMPSON CONSTRUCTION CO. INC. 800 BROAD ST. P.O. BOX 590 ORIENTAL, NC 28571 PAY TO THE ORDER OF DATE FIRST CITIZENS 472 ( l BAA ICI IIK First Odaens Bank 11 T-1 Company Ori-tal. N C 28571 www.firstcitizens.com FOR eWI CK �uCLs�o Cu?�C 3�.SL/ 1110 L 6 L, 2011' I:0 5 3 L00 3001:00 L, 7 L 16420 66-30/531 472 10,19 DOLLARS B -, � 1w PAMLICO COUNTY BUILDING INSPECTIONS P.O. BOX 776 BAYBORO, NC 28515 (252) 745 - 3861 ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN# I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. & MRS. RICK BULLARD NAME OF LANDOWNER PROPOSING DEVELOPMENT ON SMITH CREEK NEAR ORIENTAL LOT # 25-26-27 ORIENTAL PLANTATION Body SUBDIVISION, IF APPLICABLE TAX PARCEL COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY : SHORE LINE COURT IN ORIENTAL PLANTATION NEAR ORIENTAL, NC. THIS PROPOSED PROJECT: TO INSTALL A BOAT LIFT, DOCK AND BULKHEAD AS SHOWN ON THE ATTACHED DRAWING. FOR A PIER, CHECK ONE OF THE FOLLOWING: I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS. x I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT 1 ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ SEE ATTACHED DRAWING After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their consent and signature. The forms are then returned, along with a building plan and other applicable required information, to the building inspection office for building permit application/processing. SIGNATU _ DATE PRINTED NAME PAMLICO COUNTY BUILDING INSPECTIONS P.O. BOX 776 BAYBORO, NC 28515 (252) 745 - 3861 ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN# I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. & MRS. RICK BULLARD NAME OF LANDOWNER PROPOSING DEVELOPMENT ON SMITH CREEK NEAR ORIENTAL LOT # 25-26-27 ORIENTAL PLANTATION Body SUBDIVISION, IF APPLICABLE TAX PARCEL COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY: SHORELINE COURT IN ORIENTAL PLANTATION NEAR ORIENTAL, NC. THIS PROPOSED PROJECT: TO INSTALL A BOAT LIFT, DOCK AND BULKHEAD AS SHOWN ON THE ATTACHED DRAWING. FOR A PIER, CHECK ONE OF THE FOLLOWING: I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS. x I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT SEE ATTACHED DRAWING After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their consent and signature. The forms are then returned, along with a building plan and other applicable required information, to the building inspection office for building permit application/processing. '6 1[2-� 0-3 SIGNATURE 1 Il • Z- DATE PRINTED NAME 1 6A v /A • CU M �y �gQ-,�11 S ,u1d nal !� -Jnd ad —t rnw �Nh 2: 1.Q 1 �l ---o