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Home My WebLink About42463_MUODEN, J. MARK_20050719:1CAMA / I DREDGE & FILL '! GENERAL PERMIT Previous permit # DNov I Vodification i'IComplete 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 / i1 v / t ❑ Rules attached. Applicant Name_' Address �Cr;f• fi City1 State ZIP Phone # ('�I�) i� 3 /' ` Fax # (`) Authorized Agent CW E}EW N."A DES `1 PTS Affected AEC(s): -I OEA ❑ HHF ❑ IH ElUBA F I N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes �o) Crit. Hab. yes / no 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 Beach Bulldozing Other Shoreline Length 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 Agent or Applicant Printed Name 7 Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City /� _ ZIP Phone # ( ) River Basin Adj. Wtr. Body(nat /man yunkn) Closest Maj. Wtr. Bodys (Scale: f v , " ) r.. _ See note on back regarding River Basin rules. Permit Offigef s Signature Issuing Date Expiration Date 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, 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 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: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza 11 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 r ADJACENt R �4 fy �j (FOR A PIE 'AIUNCOVI�XED BOA!111 I hereb v c_-'iffy.that I own property adjac tit to 41.1 of Pr p-e r property located At C3, Ieof-,n, to/v 6�_± (Lot, Black, .Road;. etc) . on N'. C. (i aterbody) (Towt 4hdJorlCounty) He has described to me, as shown below, the.devc!w i�i tit p? e. he,'s prdpycmirig at that location, and, f have no Objections to hisproposal. I undetsuiiid (IhAC4 pier/uncoverdd bcatfii� must be set, back a tinimum distanc,6'Offifte-en felt (A5') from My;arca orriparianacc,_-;,s u. s5, waived by Me. I do riot wish to waive -the stEback requirement: I do wi h 5 to waive that setback requirement. - -------------------------- ------------------------------- -------------- ---------------- DESCRIPTION A,-'N-D / 0 R DRAWING OF PRO P0SW::DEVEL0P_NMNFTf (Fo be oiled in by iltdividualprr;,posing deielppmerzt) YX30 JUL 0 5 Z005 Motehead City DCM ----------------------------------- ------ ------------------------------ -x --------- -------- rint or Type N;-ivie Telephone Nunn" r Date: ..... (FOR A PIER/UNCOVERED .BOAT LI I hefeby ce:rafy that I own property adjacent to ....I C', (ti: e of Property Owner) property located at8— (Lot, Stock, Road., etc.) on —�1 'g in (Waterbody) (Town and/or County) He has described to me, as shown below, the developr;nent he. is proposing at tl;at location, and, I have no objections to his proposal. I understand �Ihat a pier/uncovered boat l must be set ack a minimum distance of riftetin fevt (15') from my area or riparian access Wiles waived b me. I do. not wish to waive the setback requirement. I do wish to waive that setback requirement. ------------------------------------------------------------------ ------------- --------- --_— _ DESCR.LIrTION kND/OR DRAIN-ENG OF PROPOSED DEVELOPMENT - . (To be )Ved in by indiv&ual proposing devel p;riment) --------------- O '1X3o Doe k i i JUL 0 5 2005 ' Motehead City ®CAI - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------ - -- ---- =----------------- ig a re e'rlk k) Print or Type Nafrne 7/?-oP 7 0 Olcl� VJ,), Telephone Nu b r Gi Date: ,( n 'WEJOHANN M. MUNDEN NCDL 2429327 CONNIE MUNDEN NCDL 8436286 GU Circle PO BOX 32082 2469 RALEIGH, NC 27622-2082 \"\�+ �-ems- 66-7704/2531 � - P.AYTOTHE DATE ORDER OF 'A (2- sDC—lilk-1 State Employees' Credit Union 38 Smithfield, North Qj Wj.,Wa 1s 253 L770491:08605585I.ELI Aw