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Home My WebLink About35247_SIMONS, LYLE S_20031110❑C AMA / 1J DREDGE & FILL GENERAL PERMIT Previous ermit# ❑New ❑Modification LComplete 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 I SA NCAC Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) CityState ZIP _ Phone # ( ) Fax # () Subdivision Authorized Agent City ZIP_______ Affected C CW ❑ EW D PTA ❑ ES ❑ PTS Phone # (_ ) _ — River Basin AEC(s): r OEA C HHF ❑ I L-1 UBA ❑ N/A Adj. Wtr. Body_ _ _(nat man /unkn PWS: ❑ FC: Body y- ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. -- ------- Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap-length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp _ Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: 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 (Scale: ) _ See note on back regarding River Basin rules. Agent or Applicant Printed Name CpermiitOfficer'sSigna re Signature Please read compliance statement o-n-back of permit 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 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 / 1-888ARCOAST 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.nccoastaimanagement.net Revised 10/05/01 FRONT OF THE DO CUMF.NT HAS A NIiC'R(l-PRINT AMOUNT BOX A\U TIIERMOCIIWMIC. ABSIT( C OF TI 1 FSF FEATURES WIt-L INDICATE A ('UF1'. 75-53 Travelers&pressMoneyGram s,—e INTERNATIONAL MONEY ORDER «_ CIRCLE K STORES INC. Issuing Agent IMPORTANT - SEE BACK BEFORE CASHING PAY R THE j) �t n /{ J Q7 ORDER OF NJ ✓!1" ACV LV V PURCHASER, SIGNER FOR DRAWER PURC4ASER. BY SIGNING YOU AGREE TO THE SERVICE CHAR ANO OTHER TERMS ON THE REVERSE SIDE co E�i1UTF9G ADDRESS 1� 00 Payable Ti ru ISSUER/DRAWER o` WF National Bonk TRAVELERS EXPRESS COMPANY, INC. South Central Faribault, MN - - - 1:0919005331:889 71, 2 79 7 2L,114 90 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �-�� Z%'s (Name of Property Owner) property located at (Lot, Block, Ro d, etc.) on �cJ� f`� ��f'r , in / �� r�i� , N.C. (Waterbody) (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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) Signature Print or Type Name S Telephone Number Date: �� C? C! Lb:OV:CL WU 40 '.'eW UBP--Wq�6t l! 1+/ i ` M 4: NY 31, cr sa MARSH /-/ / / ✓ Iro _ fl MARSH > klo o ` 8 � ` f / EIP EIP JP r 1.9912 Xv R Kflits NOTES. pp FOR REFERENCE SEE D9 227. PC 221 PC A. SLIDE 9-6 THE RATIO OF PRECISION WAS CALCU-ATED AT 1110.000• EIP - EXISTING PON PIN SIP SET IRON PIN THIS SURVEY IS OF AN EXISTING PARCEL AND DOES NOT CREATE A NEW STREET 80' 0' 80, OR CHAiiGE MI EXISTING ONE. LHIS SURVEY IS SUBJECT TO ANY FACTS ]-- I.J s —^ rlCcrs QV 4 CIN 1 1An ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to zvle' 5 i''l o n s is (Name of Property Owner) property located at G-G (Lot, Block, Road, etc.) on 've w , in el r-f'r f , L/C, , N.C. Waterbody) (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. ----'P --- #Gc 0-/ --------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------ �� r C� WSi nature_/ T tq L /T M `--- Jr - M ca- rr t` o r-i - (Yl'- Ki n ►.� o ,� Print or Type Name 33&)-7(.n5-yyg2 elephone Number Date: { OZ Q 0 A(f � its� � i`1a�-J, 76� Pa I PCHWY FM ST gW TUPF Fr -sta sir- ro DWIVQ ore Day= ow- 0 ;9 8 s:•: rr. .� ■ �::, t� s ■ ■ -tM�l ITHM SLWyeY tM G? TO AI:Y_IflqS*