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Home My WebLink About45169_LAKER, RAYMOND_20060419Qi CAM,A / ❑ DREDGE & FILL W ,j h {. . 9 GENERAL PERMIT Previous permit # EINew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issu Y--L-- 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 n Rules attached. Applicant Name` ` ' ' ' '' i, Project Location: County Address - `� ' Street Address/ State Road/ Lot #(s) t CI �i�f ty State ZIP Phone # (° �``) Fax # (^) Subdivision ' Authorized Agent "" City ZIP D CW ❑ EW Q PTA ❑ ES ❑ PTS Phone # ( ) River Basin Affected AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ NIA _ _ Adj. Wtr, Body (nat /man /unkn) ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes J no Closest Maj. Wtr. Body 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 4. SAM not sure yes Sandbags: not sure yes (o Moratorium: nla �.. yes Photos: yes �hq J _ Waiver Attached: {y� no — A building permit may be required by: Notes/ Special Conditions (Scale: ) ❑ See note on back regarding River Basin rules. i Agent or Applicant Printed Name Permit Officers Signature � pp' APR � 4 2006 g Signature Please read compliance statef ge i#y A Issuing Date C V' c MWD Application Fee(s) Check # Local Planning)urisdiction Expiration Date Rover File Name R 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: I Tar - Pamlico River Basin Buffer Rules ❑ Other: E ,I 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: 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 �.,�djacpRt Riparian✓Pr�4ffty Owner Statement Page 1 of I Adjacent Riparian Property Owner Statement (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to A-4!/Md�� ty�J4 S%,oKi.,y /, VkER �s Name of Property Owner property located at /.&lr -ZT3 J-::, 8 aAA. PAjoA A I wcie-eoxr .vG "z0 - Lot, block, road, etc. on WIAkAywt: cA04 OK 44wh-.4 , in ��Q7f'� i e'yaa1Ty ,NC 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 do not wish to waive the setback requirement. I do wish to waive the setback requirement. 1pescription and/or Drawing of Proposed Development (To be filled in by the individual proposing development) AAA r, A� � r,4,-A, G i X 3 0 j -:: p p ,Jt A �E' ,(s R n► P. (51IE ATr-4c14F40 i Si afore Print or type name (zs-Z) L44-(-;� -s-C J i Telephone number Z (,- ;)- O -' & Date r '• ti Q -- �Odpt, e.t• ci.s/ ?, v �s• �•r c. C C�r►r9) sr— awes La All �f 04 1�' i1J�o1f1S' rNot✓�riuwa wri.L.5 Sao r.*was . ' �. '�1 � �� .�P� • .. AREA': BY. Gb�DR D�.dAT ffC PRY¢iiroPJ ^ . I:: /I pee . Tu .r., � N..h, � hj � _ Lir,�%► _ � I.1 � •.. `�1Y1/C• NE'w' �R�w/,.+2e� J J ♦ NX- .10! y f ~ :.. SO i?S JA • " - - �' , 'S 7r,EP, .H�itl - �/ .. f•{�13T /i�6s ,: � PR �` . : " .. .. } • 1 _� � �N�drt.; •.oil -Fo�•r+E1eLY �' ��W (•~v Seas' ErP ie6.ds l�t�/V �.3•M CAV S. '28- 24r' IS!d'• W) .i3t:.sa' s. SS 249t" 7-7' 34" 7 _ � '�Ir•i7/��^�" •F�� •��a' � {..5.it. ��Y3'1►►'��• � �oiP/s�s,C•�.iw Adjacent Riparian Property Owner Statement Page 1 of 1 Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to l@ 4YMOA 00 Sncc'�Y x ov E:Ris Name of Property Owner property located at 1,or -? 7 3 8 �.�•� FA�� Ra , NS Lot, block, road, etc. c-�BFOVT' CA�4� , in dAe7-fRF7- cvu�v T�' , NC on )V o kAU/u Town and/or county Waterbody 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 do not wish to waive the setback requirement. I do wish to waive the setback requirement. _x I)escription and/or Drawing of Proposed Development (To be filled in by the indiy1dual proposing development) 2£PR Gael Ex rfnio V .1.)b- Ar Li x f1l} !�V Chi Afi �41P l� 1r! P . Cs1c AT"T'l1CN�1) Signature Print or type name z -iq-71 - Telephone number 11�ri -41, Date 12 / 1 12 /1 M)A 1 �- �� '`•�' N 2a.' . ti/E• yo" W 'Pa3.33• QN. - - .�. � ' •A..l _ C A rTN) SE • Swc>r [,irlF_ lu so 1g � 11 •� s 1 INOIKIDfJAG wEl.a.s ty' sat AC r� r rAs+st s I � '^ M. lay �• •�O. AREA'. 6Y. Gt�e�l�IN.fTa$ CREci�ro�- . N� IS z ' \ i � � ,.S,,.L, ....,,E • 44.1 .: ... .T'.:X ��+,- �' y--. ��a�:�`.J_1 �tt,� :�;.m .,ti'. �i '. �•7.:. •: s ff -r. _ !• � �',EY, !{�iV - jam. � . J�%!S'i'/i�l�� ...PR fib i z-►- ate• F V � i I I 1 � � k { 8685 I M. CUKER cs ��aizsz� SAYMOND �UKF-R / g G 50 + STACEY S. HOME 252-229 g321 pate WORK- FARM 444-2 ROADOr CLi�® 375 BALL 28570 NEWPORT, NC pay to the / Dollars order of Flight4 FEDERAL NC 28532 Havelock -" „ s�tfliyhtfc �-Q� 700O8n' 868 5� For f� bUL" f:�r,3L7538�'