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Home My WebLink About43190_KITCHEN, HODGE_20051207-i C?aMA / -1 DREDGE & FILL iDNewGENERAL PERMIT ❑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 NCAC AtJ Previous permit # Date previous permit issued i] Rules attached. Applicant Name �� y' Project Location: County Address ? s Street Address/ State Road/ Lot #(s) !-4 c� City State ZIP Phone # (_ ) Fax # (_) Subdivision J Authorized Agenti�. •��- %,� ^� �t�r�, i City ',.;,;� - lir ZIP FJ I1� CW ❑ EW ❑ PTA ro?Es ❑ PTS Phone # ( ) River Basin Affected OEA AEC(s): ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body` - 4 • '�s� gnat J�t__T an /unkn) " °`1"N a" ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platforms) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel Boat ramp Boathouse/ Boatlift Beach Bulldozing____ Other_ I Shoreline Length SAM not sure yes no --- Sandbags: not sure yes no Moratorium: n/a yes n Photos: yes Waiver Attached: yes V A building permit may be required by: Notes/ Special Conditions C tL �y t w Agent or Applicant Printed Name Signature Please read compliance statement on back of permit �/1� d � Application Fee(s) Check # (Scale: � f�.. e. ------- T- ❑ See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date {Expiration Date , 4aU 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 [)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, certifythatthis 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 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 Fax:919-733-1495 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/ 1-888-4RCOAST 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, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 1�JACENT 1UPARIAN' PROPERTY OWNMR STATEA ENT If I hereby certify that I own property adjacent Y-'-i7A� 's (Name cif Property Owner) property located at fro i Z 3 'P -ram,-� i �, s ► 0" N duiyl (Lot, Block, Road, etc.) on 13oC�v6 Sou•-�� , in j ►�c�,c� �S6tac.�� , 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. --------------------------------------LVING --------------------------------------------------------------- DESCRIPTION AND/OR OF PROPOSED DEVELOPMENT (To be filled in by individua,1proposing development) Signature Print or Type Name -33� 2- -3 - Z. '7 z Telephone Number Date: A) Z� 0� y - 1' ADJACENff RIPARIAN PROPERTY 01WER STATEMENT I hereby certify that I own property adjacent toj�ro0 �Q��--' "s (Name of Property Owner) property located at �— i (Lot, Block, Road, etc.) on 3 >Uv6 in L e%n.-J T l�.ct� N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development lie is proposing at that location, and, I have no objections to his proposal. -------------------------------------------- --- ------------------------------------------------------------ z� DESCRIPTION AND/OR SING OF PROPOSED DEVELOPMENT (To be filled in by indlvldUQjproposing development) \ ----- -------------------------------------------------------------------------- -------- g. \ x - Signature Print or Type Name Telephone Number Date: \ \ \ O ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent tottoo.�s�Jr%tom \r-';�. is (Name of Property Owner) property located at t_ i Z8 S6A �S� . (� Lfa,.� i Ai �o-.� ►v b> t� t (Lot, Block, Road, ef.c.) on 1-"dC'06 Sou.�� , in Lr-� T—' e414 , 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 proposal, 4,01- A►'ta U" --------------------------------------------------------------- `vV ni�.0 ZVINGDESCRIPTION AND/OR OF PROPOSED DEVELOPMENT (To he filled in by individ, Signature Print or Type Name Telephone Number i"l� 9`g6-- 3.791 ti CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL IIA-i AGEbLENT ADJACENT RIPARIA-N PROPERTY O''VNER NOTIFICATIONA VAINTR FORM Name of individual appl-dng for permit: 1 Address of property: L(-? 'Q S _ (lot or street #, street or road) Z�^C. 0-k lee ' t i0c'_ (City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal^- 0� G ' /� , 1 (1 n you have objections to what is being proposed, please write the Divis`fon of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me.. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature Date -/)p C) Print Name 4IQA3,7 Telephone Number With Area Code q t q - 8gb -- 378-1 CRAVEN GARDNER DESIGNS 66-679/531 1043 301 E. FORT MACON RD. PH. 252-247-0111 42374112 ATLANTIC BEACH, NC 28512 DATE lZ—^7 — O S PAY TO THE ORDER OF i OonhCmli=2855 M—h.7 °cetll^=an $ In, oo DOLLARS 8^F� MEVf0 l� �--I S ,/L1zy'- e:0S3 10e?991: 4 23?4 1 2118 1043