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Home My WebLink About40384_HART, TERESA_20041201acAM�► / El1V FPrevious permit # DREDGE & FILL ? 40384 IVERAL PERMIT N� ew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /✓/ As authorized by the State of North Carolina, Department of Environment and Natural Resources j and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0 I-7 ' f - ,17 0 0 f� es attached. Applicant Name ��-eJ,ti / Project Location: County Address_ o y Van (A- Street Address/ State Road/ Lot #(s) Ci V, 1 C'4-')k State G ZIP 31 V "f ' tf � Phone # () O4� -OW Fax # ( ) Subdivision PiAll- � 'r' `I' JAI ``� Authorized Agent 6 a'64U/ City--- �/A k�`' "r �� ZIP Affected ❑ CW SEW A ❑ ES ❑ PTS Phone # (i) River Basin ElOEA 1-1HHF ❑ IH ElUBA ❑ N/Ap) lv N AEC(s): Adj. Wtr. Body_ - - at man unkn ❑ PWS: ❑ FC: ORW: yes /(go PNA yes / n5 Crit. Hab, yes / no Closest Maj. Wtr. Body -- Type of Project/ Activity Pier (dock) length Platforms) � � � Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards —" Boat ramp — � Boathouse 13 Boatlift.Y/3 a Beach Bulldozing Other Shoreline Length SAV: not sure Sandbags: not sure Moratorium: n/a Photos: Waiver Attached: yes / - yes yes' yes 1 y no -- -- (Scale: Alo AA- - ) //�0J - --T - — A building permit may 6e�ecluired by: " / C/�/t • �, ^f ee note on back regarding River Basin rules. Notes/ Special Conditions ^/ � � 'XI (/ ��''`'' G`' ^ ✓�1-N ` °'� w 6 L-VA44,r ll��r u/Gw .� O, Printed Name 3 Sig "Please read compliance statement on back of permit" oo. AnnH��•+�� Fno/cl ---- -- rti�� dF Issuing Date Local Planning Jurisdiction Expiration Date M11C)I1 A Rover File Name CAMA / DREDGE & FILL GENERAL PERMIT Previous permit # 'New DModification L-'Complete Reissue L-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 _J Rules attached. Applicant Name Project Location: County -_-- Address ± �� _ / Street Address/ State Road/ Lot #(s) - - - City f-rt -- State_ ( ZIP --- -- - r - Phone # O r " ®� Fax # (-- )_- Subdivision Authorized Agent t ` `'' City .' `'--- ZIP-_- ---- -__-_-- Affected CW F- i EW It PTA ES ❑ PTS Phone # ( ) River Basin i-!OEA i�HHF i-'IH ❑UBA El N/A AEC(s): Adj. Wtr. Body___- "/man /unkn) 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 number Bulkhead/ Riprap length avg distance offshore____ max distance offshore Basin, channel cubic yards _ _ —__ Boat ramp Boathouse/ Boatlift l 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 Agent or Applicant Printed Name '4 (Scale: A,, e ) I __ See note on back regarding River Basin rules. Permit Officer's Signature 40 Signature ** Please read compliance statement on back of permit Issuing Date Expiration Date A;' / � 0 ) I 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 II 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 / 1-888-4RCOAST Fax: 919-733-1495 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 N 04 4441 TERESA C. HART I (' 909 VANCE ST. PH. 919-828-0089 RALEIGH, NC 27608-2331 mace, I 66-it1320 13206 �a�� BB&T IIIIIC� BRANCH BANKING AND TRUST COMPANY ..... o u CARY, NORTH CAROLINA M, Afraw i:OS310 L 12 Ill:S L 18 10706S"'0444 L ADJACENT RIPARIAN PROPERTY ONVNER STATEMENT .(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATttOUSF) I hereby certify that I own property adjacent to J�L� .(Name of Property Owner) Cb property located at l (Lot, Block, Roa , etc.) _-> (-U _6 L�_:)•+��- . in��aa �QS�`°�/ �i�.t��.�� , N.C. . on . ( terbody) (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 unders;and that a pier/mooring pilings/boatliftlboathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I <10JIQI wis11 to waive the setback requirement. I Li_Q wish to waive that setback requirement. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by i)Irli�-idcccal proposing dei•elopmenr) - ----=- --- ------------ ems-1------------------------------ --- --1A-------------------- Signawrz " Print or Type Name Z�^ z - 2- , Y' 7 - 6' / 'y 'rclepl,one Number mate: 7 �� 11/01/2004 1G:24 2527275027 PINE KNOLL St. RE PAGE 02 Z M'd -Ut01 ADJACENT WARZAN PROPERTY OWNER STATEMENT (FO)? A PIERIMOORING PILfNGSIBOATLIMUOA,THOUSE) I hereby certify that I own property adjacent to _..�1_ � �,� - n t S s (Name of Properly Owner) property located at Oa D!; (Lot, Block, Road, etc.) . l'Qrf�ret,N.C. ( Vaterbody) ('roNyn and/or County} He has described to me, as shown Mow, the development ht is proposing at that location, and I have no objections to his proposal. I understand that a piertmooring pilingslUoatlift/boathousc mt:st be set back- a minimum distance of fifteen feet (15') Frog my area of riparian access unless %vaived by me. I il��t wish to waive the setback requirement. C- 1 a %Fish to waive that setback requiremcnt. _,.`.'!--------------------------------------------------------------------- --- - ----------------- ---- - m-scmYrION AND/OR DRAWING OF PROPOSED DCUL,ORMENT: (To he fiitec1 In by inrliridual Proposing derclopmellf) ------ ---- SS' ---- ------ - --- ------------ - Signalue Print or Type Nang 2� 7 o 72 -C�lcphonc Num/b�er� �-,,� Date: T' ED'd 02:17t 7o0Z--IB--0ON NOV-01-2004 16:21 2527275027 99% P.02