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Home My WebLink About47079_GOOSE CK RESORT_20061205& ❑'CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New [-]Modification ❑Complete 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 NC/ Applicant Name_ Address City Phone # O_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no ES ❑ PTS El UBA ❑ N/A Crit. Hab. yes / no permit # vious permit issued Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Agent: or Applicant Printed Name Permit Officer's Signature Morehead City DCRA Si nature "Please read compliance statement on back of permit" ssY w�'njO to Expiration Date plication 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 ❑ 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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888ARCOAST 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/OS . a As* .�...�� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date ij /0 • Applicant Name M®r(ftild city DCM '�_ ��" ��(--�y Mailing Address MC- I certify that I have authorized (agent) VQ✓, to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) c�) 60LK 40- 1 at (location) 3SO i ED 8g R "_f tij k)ELJilw i aC D F570 This certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28551 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net _ h ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to (SCOSE c:t ECEX I�E602r- Is (Name of Property Owner or Applicant) Mailing address if different from location address /01 (town, state and zip) � �� r� C-- Z (&5 t-� phone numbers you can be reached at a rj a — 39 property located at (Lot, Block, Road, etc.) on AGUEyt7c�r�.J� , in Al tZJ,=Oiz T , 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 waived by me. I do not wish to waive the setback requirement. NOV 1 $ 200� initials I do wish to waive that setback requirement. initials Merehaa- Q- 1V DOM ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 4e�' --------------------------------------------------------------------- --------------------------------------------- C_ Sig cure t- TA Ail F [3ci c�fK�2 Print or Type Name _o2S& 373- oo� Telephone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to r-) �� (� 's (Name of Property Owner or Applicant) y� Mailing address if different from location address (town, state and zip) phone numbers you can be reached at O/ ac) property located at (Lot, Block, Road, etc.) onhC�"Ke , in �i2a ��d , N.C. (Wate dy) (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. TR9 WED I do not wish to waive the setback requirement. initials N O V l 3 l 0 Q 6 _ I do wish to waive that setback requirement. initials Mer@hpskd city PPM ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) v� 1 --------------------- ---------------------------------------------------- - -------------- ----------------- Signature Print or Type Name — 250--- Telephone Number BOGUE BANKS MARINE CONSTRUCTION 111 D TURNERS DAIRY RD PH 252-247-4428 MOREHEAD CITY; NC 28557 . PAY TO THE (�( /O 6 &- / , /� V J�f /C� ORDER OF (LQ) WA HOV.IA Wachovia Bank, N.A. wachovia.com FOR II.0035510 ':0530002L91:20SLC3LIP 006669 3551 66-21/530 BRANCH M15 DATE DOL RS I M' I