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Home My WebLink About42745_HIBBLE, MIKE_20050923❑CAMA / ❑DREDGE &FILL GENERAL PERMIT P vlous iorms it # Cc�lew ❑Modification ❑Complete Reissue ❑Partial Reissue Date prepermit 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 - Ts r ` ` Street Address/ State Road/ Lot #(s) City J,:! ' w Statel , C: ZIP .' Phone # ( ) Fax # O Subdivision Authorized Agent ' 0; P City ZIP Affected n CW [THEW Q'PTA [IES ElPTS Phone # ( ) River Basin OEA E1 HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body_ (nat /man /unkn) ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length t ' - Platform(s) Finger pler(s) Groin length number Bulkhead/ Riprap length avg distance offshore _ max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other �f 7 ) J Shoreline Length SAV: not sure yes no Sandbags: not sure 1 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 Signature Please read compliance statebfient on back of permit Application Fee(s) Check# (Scale: U See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date �C Y�� Local Planning Jurisdiction Rover File Name e 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 E Other: Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmemal 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 (910-796-7215) for more information on how to comply with these buffer 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 Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Orslow -below New River Inlet- and Pender Counties) Revised 06/29/05 02/05/00 02:29 FAX Z01 ADJACENT RIPARIAN PROPERTY OWNER STATEMTNT \�a I hereby certify that I own property adjacent toQ�Y�� (Name of Property Owner) i .�� property located at L.G}r ��q ,3rgnd [ r 5lztit✓7 I rig wIr Lc1r� (Lot, Block, Road, etc.) on S'im�sDn QrU-k in Pan-L6t-tt N.C. (Waterbody) (Town and/or Count 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 AN-D/OR DRA"'L\'G OF PROPOSED DE`'ELOEMEhT (To be filled in by indindual proposing development) 0 0 a 3or .TAAAc5 M h} ea LE p'4'gi ZCI TA491k&��Lic=-'Fq ILR E MelzRlir.) N� 2555�0 B�aN oy 6r1y �57}'�7�5 i /pt 237'-----------------------------------`sti ---- tY y_a4Jr-- D.- ----+��------------------------------- - Ga vs11� 0 191 Signature Potric-lo )V7 Print or Type Name Telephone Number �Sa-- L-'6:AIVIA / ❑ [3M OGE & FILL 7 45 GENERAL PERMIT , Previous permit# � /f�' Clew ❑Modification OComplete Reissue ❑Partial Reissue Date previous permi ued_ W, . ps.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 f-✓ �,R-UleS attached. Applicant Name 4;1- 4 � m f Y Project Location:` County___- Address_% %! =a✓ice `� _ Street Address/ State Road/ Lot City—/ �� N _ State C_ ZIP Phone # (�y°) `j r� Fax # () Subdivision`"'�`y°� _ f City_ �° / ZIP Tf Authorized Agent — Affected G W C V E�-PTA ❑ ES ❑ PTS Phone # ( ) / River Basin A Affecte ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body ( /man /unkn) ORW: / no PNA ye //°no Crit. Hab. yes / no Closest Maj. Wtr. Body-,� V" Type of Project/ Activity rr � � .� ii � �t!�fi ir- a � 'h'✓° -�/e ?-ILy. (Scale:bru� ) Pier (dock) length - — - ----- Platforms) .--.'"?_"�' �I Finger pier(s)i- Groin length i I �L.i number - __ - L Bulkhead/ Riprap length- avg distance offshore -- % I -t- max distance offshore Basin, channel cubic yards E Boat ramp _ - — i - --- --- - -- _Vi Boathouse/Boatlift rr�y.'rG� I _ �_�_ _-.- -- - - Beach Bulldozing Other v -r- r- I Shoreline Length SAY: not sur yes no Sandbags: not sure yes n (( f (. Moratorium: n/a yes o Photos: yes no Waiver Attached: yes no A building permit may be required by: t `�� E�ee note on back regarding River Basin rules. Notes/ Special Conditions V 'All rQ'v Ce✓' u`'" �'� '� rt^, t `"e� �N u�- a {L ✓-4 Ljy_ 14 .4 Agent or Ap cant Printed N `'W rt offic s Signature Signature Please read c mpliance, stat ton back of permit * Issuing Date Expiration Date ..O�'`�� More r1tv ® P49� fig �. ��lq� A—N—tinn Fprk) Check + �ii PlanningJurisdiction Rover File Name