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Home My WebLink About38887_MASON, IVEY_20040706CAMA / ❑ DREDGE & FILL rf/ -.r 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 15A NCAC ❑ Rules attached. Applicant Name ' f -'r 1 �.y Project Location: County f r Addressi %' - l.? :1 [ . Street Address/ State Road/ Lot #(s) City_ State ZIP--) Phone # (,) Fax # ( ) Subdivision Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no LEW ❑PTA C HHF ❑ IH DI FC: PNA yes / no ZIP__ ❑ ES ❑ PITS Phone # () _ River Basin ❑ UBA G N/A Adj. Wtr. Body- _ (nat /man /unkn) Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity ) (Scale:. / Pier (dock) length Platform(s) Finge Groi Bulk Boat Othe Shor SAV: Mor Waiver Attached. yes no A building permit may be required by: Notes/ Special Conditions on back regarding River Basin rules. n' ❑ See note n head( r pier(s) I length number Riprap length avg distance offshore max distance offshore A6 Agent or Applicant Printed Name T Signature* Please read compliance statement on back of permit Permit Officer's Signature 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: ❑ 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 comply with 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 / 1-888-4RCOAST 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-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 I` . ` HOLD DOCUMENT UP TO THE LIGHT TO VIEW T RMARK ++ HOLD DOCUMENT UP TO THE f.NillT TO VIEW TRUE WATERMARK k:: a. ..� E TRUE WA E .� �`1��1� t �lj��l3 278207767 ,D-86/ZZD 1028115 - ... __ _ __ Pay To The Order Of _ / Date S 07/06/2004' Dollars *ONE HUNDRED DOLLARS AND 00 CENTS $*************100.00 ?z Sender:::Iv zwwm Address Fnaiira, 0 For . 1 �Ey Nnas�,l WACHOVXA��-Pc 7 Ic¢ur•d by tnteyrated Payment Systems Inc.. Enylewoocf, ColorNot Good For More Than $1uf., ,000.00 In Cilibank (New York State)r Buffalo. N.Y. Il' 3 S0 9 2 711' 1:0 2 20008681: 6600 2 76 20 7 76 7811' ADJACENT RIPARIAN; PROPERTYOWNER STATEMEM' (FOR A PIER/1,10ORIiVG PIL[iVGSIBOATLIFTIBOATFIO[ISE) I hereby certify that I own property adjacent to �'s property located at (Lot, Block, Road, etc.) (Name of Property Owner) on AixCLV�L— , in ^ l �eN.C. (`Vaterbody) (town and/or Countv ) He has described to me, as sho%�-n below, the developnient he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooringpilinss'boatlift"boakF►ouse must be set back a minimum distance of fifteen feet (i,5') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to v, aive that setback requirement. DESCRIPTION 4 0 tL s AND; QR DRAWING OF PROPOSED DEVELOP.IEtiT: o X ----------------------------- 'in by bidividua wposing d l lo wren!) ;y b t JUL 01 2004 iZ-, � MOreheacl City DCM ---------------------------------------------------------------------------- L Signature Print or Type Name Telephone Ntirnber Date: 1_— ADJACENT RIPARIAN PROPER ry OWNER OA r oUsN1 (FOR A PIER/MOORING PILINGS/AO L I hereby certify that I own property adjacent to(Nanl f Pr properly located at (Lot, Block, Road, etc.) � in N.C. an ' � County) —�� (Town a d/or Coy y) Materbady) described to me, as shown belo•ty, the development he is proposing at that location) He has desto his proposal. I understand that a pier/mooring and I have cr objections pilings'boatlift/boathouse must be set back a min:murr� distance of fifteen feet (IS') from my of riparian access unless waived by me. I�2 wish to waive the setback requirerttent. i do wish to waive that setback requirement. ------------------------- ---------------------------..-..--------------- m,SCRIP'TION AND/OR DRAN'VING OF PROPOSED DEVELOPMENT: ® (To be fallen in by indiv' ual propossi\ngdevelopmenO T JUL p 1 2004 Mo eheaa ce�y ----------------------- I; : ----------- nature tv� Print or Type Name Telephone Number Date. `! L ------- • - , JUL �I U 2004 Mnreheect City ;�