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Home My WebLink About42481_HARTLEY, PHILLIP_20050802iJ CAMA / -_l DREDGE & FILL GENERAL PERMIT EINew jModification JComplete Reissue ❑Partial Reissue 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 Previous permit # Date previous permit issue ❑ Rules attached. Applicant Name r f� %ilk'/1 c- !/ Project Location: County Address —'C, ' ' 11�/, A,1 Street Address/ State Road/ Lot #(s) 11,114 4 fU State : ZIP ty - Phone # ( ) , '�' y�/ 7 Fax # (,) Subdivision_ Authorized Agent City CW DEW LI PTA ❑ ES ❑ PTS Phone # (`) ' ' - % " > > River Basin Affected J OEA ❑ HHF ❑ IH ❑ USA ❑ N/A AEC(s): Adj. Wtr. Body_ /7 < "' `-1�.1 • (nat /man /unkn) D PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body - le" r%e-1 / ZIP Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) _ Finger pier(s) Groin length number Bulkhead/ Ripraplength avg distance offshore�- max distance offshore_ Basin, channel cubic yards J• I � + _ Boat rampI Boathouse/ Boatlift Beach Bulldozing _ Other i Shoreline Length _� a SAV: not sure yes no Sandbags: not sure yes no1`d I Moratorium: n/a yes no Photos: yes no ` Waiver Attached: yes - no -- — A building permit may be required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Permit Officer's Signature y Issuing Date Expiration Date 77�� Local Planningjurisdiction 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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules I_ _J Other: LL 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: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 PHILLIP F HARTLEY NCDL 2151420 4009 WANDA HARTLEY NCDL 997422 2015 Flint Hill Rd N Wilkesboro, NC 28659 /Z 66-1621531 BRANCH 84002 336-667-3343 Cell - V7N.- 0 DAI F ORDER OHE IVCPER $ /onocl O'S4'p- POLLARS WACHOVIA Resource Banking® Wachovia Bank, N.A. FOR 1:053 10 IF. 2131:106844032901011' 4009 .................. ............... ....... WHILE YOU WERE AWAY / FOR DA TIM P. M. M PHONED J� OF RETURNED °FO ®'MoelLe -n YOUR CALL PHONE AREA CODE / HIV✓ ER �EXT N. ION LEASE CALL MESSAGE WALL CALL AGAIN �C CAME TD SEE YOU WANTS TO SEE YOU TOPS. FORM 4002 SIGNED ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER11MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to /` . ty -a /' is (Name of Property Owner) property located at �V 7 AI e? /56-7,) AICJ C h ITL Sel level N,c, , (Lot, Block, Road, etc.) on Cope 5o6171d ,in� 5e2 l-eVeO C�rzre'r 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. I understand that a pier/mooring pilings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. Q wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) --------------------------------------------------------------------------j---------------------------------------- ff -, //x4 e , ff-, ��' -�- � Signature 9///Z�z W—a��A---, Print or Type Name Telephone Number Date: ! ' // - O`j ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER13,100RING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to &VII. l7 l" 61 Q % 's (Name of Property Owner) property located at �4 .' /Ue-%Sa -;�i g Loch p�, S eal e e j Nc,, , (Lot, Block, Road, etc.) on Core So6)7jol , in C-6 tere- t ' sea L eye , 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. I understand that , a pier/mooring pilings/boatlift/boathouse must be set back a minimum 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 d_4 ish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------ --- ----------------------- ign ure P/,)/ L Print or Type Name Telephone Number Date: �71P