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Home My WebLink About42487_LANE, BILLY_20050809I] CAMA / IJ DREDGE & FILL GENERAL PERMIT 2New I (Modification ]Complete Reissue El 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 15A NCAC �I Previous permit # Date previous permit issued_ / ❑ Rules attache Applicant Name �iIty (, ggA`lr j Project Location: County � c_ Address. 36O j /VPty ��1�' �� (_ P� G'rC n Street Address/ State Road/ Lot #(s) City. 4, State ZIP Phone # 73 l "4611y Fax # (�) Subdivision , Authorized Agent �U �rf' j L)f' �6 City_ '� ti ��' !�� ZIP �`�r 2- CW E�EW �TA El ES El� R� /-/4/PTS Phone # (�� ) 2 ' River Basin Affected _ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A � r AEC(s): Adj. Wtr. Body i` JOI.�/''% �� "`� j✓ (nat /man /unknn 1-7PWS: ❑FC: ORW: yes / no PNA yes /� Crit. Hab. yes / no Closest Maj. Wtr. Body— 17J'j✓t.f' fType of Project/ Activity -T— ,V4 T-'// Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Ripraplength avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathousef Boatlift. Beach Bulldozing Other ShorelineOnoyes SAV: no - Sandbags: 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 Painted Name , Signature ** Please read compliance statement on back of permit c 1?x- I (Scale: ) f See note on back regarding River Basin rules. Permit Officer's Signature f L Issuing Date Expiration Date ApplicationFee(s) Check# Local Planning Jurisdiction Rover File Name v 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: L_] 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 (252-946-648 [)or the Wilmington Regional Office (910-39S-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, Ons(ow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 PAY TO THE ORDER OF _!�w -D-0 0 �: RAWFFI IRAVF I FRI FXPRESS COMPANY. INC ( , RI 0, '�T, G MINNFAI101-IS , MN %480 ,!,IeAVIlf 11W,l INIERSIA117 BANK, HELENA. IVIT C 19 K'fi 0,<P rq f C) p f f f PEP, 1J, Moi NOT VALID OVER $1,000.00 ISSUING BRANCH DATE Eno � 63229180 q3-5,11 1/920 did . - IDI-) . 0 1-:1 $ TS, 11 YOU AGREE TO THE SERVICE CHARGE '�11111111111111111111"EREVIIIISIDE _D AT-2-0-0 Fin DOLLARS AP III [T 3 2 29 180110 1:0 9 200 S L, 1 11:0 170 7 10 t, S 109 211' 0 THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINI H W\ 1111:11M K. HIT IIZON1 Of 111EI)O(I Ml \ r 1 f\;A\II(RO-I'TZ1NI RI IINF ANP BORDFR. ABSIN( T 01 TIII�l 11 \FLIRESWIll INDICATE COPY. ■ Ar s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT , (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) L 2005 I hereby certify that I own property adjacent to 3 (Nam4of operty Owner) property located at WA 0 (Lot, Block, Road, etc.) on , in , N.C. (Water ody) (Tom and/or Co nty) 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/boatliftlboathouse 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-u Nvish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by indii,idual proposing dei-elopinent) GL,X 13 r 1<--J - � b—� Signature Stqrn Wi LS6r, Print or Type Name ' — a �� -3— V B U "telephone Number Date: ACENT RIPARIAN PROPERTY OWNER STATEMENT -(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) S.;L)CM I herebycertify that I own property adjacent to (Name of roperty Owner) property located at (Lot, Block, Rloa.., etc.) 1 C� �M_� ,in ,N.Conrbody) (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. I understand that a pier/mooring pilings/boatli'ft/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I (Io not wish to waive the setback requirement. I I& wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) C ) 3, Signature _ l L Iv Print or Type Name 334 - 5) 7k Telephone Number Date: 7 - I- _s �� a ��-