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Home My WebLink About36752_MORRIS, LESLIE_20031203CCAtMA / C DREDGE & FILL 2 4 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 Project Location: County - Address _ _)!-" r - Street Address/ State Road/ Lot #(s) CityState ZIP Phone # Fax # ( ) Subdivision Authorized Agent City ZIP Affected CW &EEW D PTA ES ❑ PTS Phone # ( ) River Basin _; OEA 1-1HHF ElIH ElUBA ❑ N/A AEC(s): Adj. Wtr. Body_ (nat /man /unkn E] PWS: ❑FC:) ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length j j �- number Bulkhead/ Riprap length ' avg distance offshore max distance offshore Basin, channel ` F - !u J _ cubic yards_ Boat ramp Boathouse/ Boadift Beach Bulldozing 44 Other } Shoreline Length f i SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: See note on back regarding River Basin rules. Permit Officer's Signature i, Issuing Date Expiration 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 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 / 1-888ARCOAST 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-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 1MPORTAIVT MESSAGE FOR A.M. DATE TIME P.M. OF _ PHONE - AREA CODE NUMBER EXTENSION ❑ FAX S ❑ MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL SPECIAL ATTENTION MESSAGE I tC-' \/I[ �✓it-� c ^'—p- /�'c� SIGNED FORM 300 MADE IN U.S.A. x �xo X,0ifxOSss SI jrLI 4 >I tng, V t- s o f 41 •� ,moo �� ,,� ��►7 ��o� -- - -- P v•no s a.� o � S . E -- h-pg :0- 41V T-® O e�7Ul� _ �JACEN' R PARLk � PROPERTY' INNER STAT��T I hereby certify that I own proper,/ adjacent _o to, G.arl''is Name of Property Owner) property located at A 7 Sea s L re, S r i JP (Lot, Block, Road, etc.) nn n I on C 0r�. O to Il c� � a n l� r f.fe (Waterbodv) (Town and/or County) He has described to me as shown be'.ow, the development he is proposing at that locadcn, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWrYG OF PROPOSED DEVELOPMENT (To be filled in by individaal propose; development) 0�eon ca. (°ands �'rr_srr :S�crm dais► < awail d �'D a 6 e'Pp h Pe.. a4 I e w wafe T he- ha�ertd.ls will be-YanS��r d arri t�ump��l Cer�4pd 3u Tee+ +ron �-he hi �n wc4r rnor��- 0, W2� n S -nawre 0hry S C r ✓ r P;:at or Type Name A 0� aq z4 - 0 -�- 3S- Telephone Number L C) 3 I DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: "�1 j �- �orr�s b Address of Property:-6 7`f Sec, Sho re J� r tV (Lot or Street #, Street or Road; City & County) 1 heresy certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I h ve no objections to this roposalec,Q. I you have objections to wiaat is eing proposed, please write the ivision of Coastal f Management, Hestron Plaza II, I51-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature D to Print Name Telephone Number With Area Code NOV 17 2003 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying 1 ina for Permit: b Address of Property: (Lot or Street #, Street or Road; City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. _ I h vie no objections to this propQsale�n. If you have =bjections to wjal is�einggproposed, please tivrite the Division of Coastal Management, Hestron Plaza H, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certif ed Alai!. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature�//�� I D to Print Name ;g5P- L:�')cl� -5-- Telephone Number With Area Code