41770_FOUNTAIN, SANDRA_20050609

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_ GENERAL PERMIT ��
Previous permit #
New V "odification -]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
Applicant Name_ Project Location: County
Address _ Street Address/ State Road/ Lot #(s)
City - + State ZIP
❑ Rules attached.
Phone # ( ) Fax # () Subdivision
Authorized Agent city---------— _ _ _— _ — ZIP _--------__
Affected El CW ':1EW ❑ PTA r_, ES -1 PTS Phone # ( _) River Basin _
AEC(s): -1 OEA ii HHF C'.IH F-1 UBA C 1 N/A Adj. Wtr. Body---- nat .man /unkn)
1-1 PWS: iFC:
CIRW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body ---
I
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_ I
Boat ramp __ ✓!
Bonthous // R
Beach Bulldozing
Other
Shoreline Length
C _
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
t� �. r .� i ►�. j �l !T 1 f 1 i.f � �,.. i
Agent or Applicant Printed Name
0
Signature Please read compliance statement on back of permit
";uo.. �1/ -2,
Application Fee(s) Check #
A-
(Scale: ) I
I
See note on back regarding River Basin rules.
Permii fficer's Signature!
✓` /
Issuing Date �� ' Expiration Date
117
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:
_I 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: [phone]
Fax: [phone]
(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: [phone]
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-395-3900
Fax: [phone]
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastaimanagement.net
Revised 10/05/01

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FROM :BLS CUSTOM*HOMES!910*346 9219/ FAX NO. :3469219 Jun. 08 2005 09:48AM P2
FROM :EL5 CUSTOM*HOMES!910*346 9219i FAX NO, :3469219
Mar. 18 2005 04:54PM P4
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LAV1SADJACENTRIPARIAN 1 r CQASTAL iv AN6 • N TiT
ARTY OWN>~R NOTrF CA'T lqN/wAIy1=R FORM
Name of Individual �plY}o8 For Ycrtxtlt: (" a
Address of property; k L4 C)
(Lot or Street *, Street or load) --
'Cit
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I hereby cerdit that I own property adjacent to tho above -referenced property. 'I'he individual
applying for this perWt has described to me as shown on the attached drawing ttio development thcY
ere proposing. A descrtpti or drew'109, with dimcwiom, should bo provided with this letter.
I have no objectlons to this proposal,
If you have objections to whet is being proposed, please write the Division of Coastal
Mswagen►►evty + V*6(410=4 hiCrIM or call 4
Within 10 days of raMpt of this notice. No response is considered the same as no objection if
YOU have been notliied by Certiiled Mail, UQO (jDMM4VCe a
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WAIVER SECTION
I understand that a pier, dock, rnoorin¢ oillApp breakwater, boat house or boat lift must be set
bek it minimum distance of 1$i ftm mY area of riparian access - unhsa waived by me. (Ifyou
wish too waive the setback, you roust initial the apprvpriate blank below.)
I do wish to waive the I $' Setback to uiramen
Q t.
— I AQ-W W sh to waive the 1 S' setback requirement.
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D VISION OF MANAC1f MENT
ADJACENT RIPARIAN PROPERTY 03YEER NOTIFICA'I'10N/WAIVI K FOR.M
Name of individual Applying For Permit: � �i r�� r~ � � (� L L YA A — PT- i R)
Address of Property:
(Lot or Street #, Street or Road)
(City and County)
I hereby certify that I own property adjacent to the above-refercnced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
arc proposing. A description or drawing, with dimensions, should be provided with this Ietter.
= I have no objections to this proposai.
If you have objections to what is being proposed, please write the Division of Coastal
Management, , VAV"(U19t <f, 1 331ift or call M
within 20 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail. 400 (o Mrl vvice (vt a,4Ssj
MoRP-hCL"i G41 NC
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must be set
bek 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.)
M I do wish to waive the 15' setback -requirement.
I do trot wish to waive the 15' setback requirement
Sign Name / / Date
Print Name
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Telephone Number with Area Code
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PATRICK ANTINORI NCDL 3642962
JACKY ANTINORI NCDL 148W
274 HARRIS CREEK RD PH 346-9219
JACKSONVILLE, NC 28540=
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