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Home My WebLink About36791_PARKER, DAVID_20040206TiCAMA / DREDGE & FILL t<- GENERAL PERMIT Previous permit# El New IElModification Complete Reissue DPartial 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 Q Rules attached. Applicant Name 'Jov J i',, ire Address 1 -1 ,r 1 I< P), Vc City, � /,, F 1 r 1 State `'�r ZIP Phone # ( .'17Z Fax # ( ) Authorized Agent ^. , 14 Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑I PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) a w r Subdivision City ZIP Phone # ( ) River Basin /l''v Adj. Wtr. Body I,ti •„ (nat'/man /unkn) Closest Maj. Wtr. Body AV u '~ Type of Project/ Activity "t", llu� �l! Pier (dock) length Platform(s) 1 Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift r" c -' <. i� Beach Bulldozing Other i Shoreline Length 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 x'.� ,!,14 Signature Please read compliance statement on back of permit Application Fee(s) Check # �c Y % t 17 - a See note on back regarding River Basin rules. ;_Jf Permit Officer's Signature Issuing Date Expiration Date r" n 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 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: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / I-888-4RCOAST Fax: 919-733-1495 (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 UNITED STATES POSTAL AlONT]E 1T ORD-R 15- 0 POSTAL SERVICE® °0D v SERIAL NUMBER YEAR, MONTH, DAY POST OFFICE' DOLLARS AND CENTS 06440707203 `00"+-02-05 2'65700 MN ONE HUNDRED DOLLARSA 00$, AMOUNT: - NEGOTiABLEIbNLY IN THE U.S. AND POSSESSIONS PAY TO $ SEE REVERSE W RNING CLERK ADDRESS FROM ADD d C.O.D. NO. OR USED FOR C ?/ V If i:00000800 21: 061, 40 70 7 20 3li' �)Arri iD r C G ADJACENT RIPARIAN PROPERTY ONVNER STATEMENT (FOR A PIER/MOORING PILINGSIBOA TLIPrIBOA THOU E) � _' s I hereby certify that I own property adjacent toIs of Pr mpetty Owner) property located at n ' , N.C. on (Wat bad (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 roust be set back a mininlUrn 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 da wish to waive that setback requirement. ..----- -.--------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) �4 J-/ 7 d�7 1 yo�hSsd AIr AA I -------------- --------------------- Signature W1 11'e— �. POO(C I Print or Type Name I� Telephone Number I Date-. / 0XO -- STATEMM AUJACOU RVAMAN PROPER'I,y O,,'VNF%B AT OUS NT (FUR A PIER/M00RlNG PILINGS/ROA� 1`THOU I hereby certify that I awn property adjacent to ��- —"_�-- (Name of P perzy Owner) L property located at c Roa�e�tc-) in on - (Yawn and/or County) (Wat bod He has described to me, as shown WO'Iv, the development he is proposing at that location , and, I have no objections to his proposal. I understand that a p pilings/lx0atliftlboachouse muse be set back a minimum distance of fifteen feet (15) tTOT my area of riparian access unless waived by me. { dgl wish to waive the setback requirement. I do wish to waive that setback requirement. ----------------------- --------------- ------------------------------------------------- DEVL DFSCRIPTION AND/OR DRAWING O PROing � ED pme E) OPINiEN'T: (To be filled in b, r 3' I c rdsA-r f Eof'e�rQ ---- --------------------------- ------------- / i s'inatur PrIiiror/Type ame � of ti 9� b n, i Telephone Number Date,---�---=- F-�