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Home My WebLink About47351_MANGARD, RALPH_20060811i ❑C,;AMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New [-]Modification El 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 15A NCAC Applicant Name ' f Project Location: County Address ` City State ZIP Phone # O Fax # (� ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWs: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger piers) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel j r Previous permi Date previous p r it issued Street Address/ State Road/ Lot Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body :r'� (nat /man /unkn) Closest Maj. Wtr. Body cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing 1 Other Shoreline Length SAV: 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 (Scale: _1 See note on back regarding River Basin rules. r'r4yy (�vPy? "'u� HUU 1 4 LU06 Agent or Applicant Prin ' d p Permit Officer's Signature l 1btorehead City Dl�. Signature ** Please read compliant statement on back of permit ** Issuing Date Expiration Date Application Fee(s) Check # 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, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules J 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, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILINGS/BOATLIFT/SOATHOUSE) I hereby certify that I own property adjacent to C�aWL V ail( 0A; P;' J is Name of Property Owner property located at Lot; block, road, etc. C emu& Foy- Ckrz r K on - , in _ l -� we s t-Icc , 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. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development) i i z - Q",Q- -- -10� Signature 4:>A,thi1 WiRPLiY Print or type name 010 06�'J-145 0 Telephone number Lq � tl o Date http://www.innerbanks.biz/arpos.htm 1 /29/2006 Adjacent Riparian Property Owner Statement (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own properly adjacent to J?_Vq� ph ��,q;�(„ is Name of Property Owner property located at Lot, block, road, etc. on notary -us Lir' eeA - , in 4we 5 lc c , 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. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development) � t i f � F ign Print or type name Telephone number Da http://www.innerbanks.biz/arpos.htm 1/29/2006 Aug 11 06 01:15p Innerbanks Marine 252-249-1429 p.2 08/11/2006 09:28 19108676356 ARTS CRAFTS DIST PAGE 01/01 1 • Adjacent Riparian Property Owner �� () G P GSBOA=/B (FOR A PiER/MOORIN II.�N UtS�j AUG I I Z006 I hereby certify that I own property adjacent to 04WO`s Nature of '00wofthead pzoperW located at i J 9 5Q�Awz L.r, r Let, blod,x, xoae, etc. on Apam-5 Cv-ec-,ti. , in NC Wat,asr Jody Town aad/ot 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 n t ravish to waive the setback requirement. I do- wish to waive the setback requiremen4 Description And/or Drawing of Freposed Deveiolrmmient + (To be filled in by the individual proposing development)ko I t �- � "�; P+�-�5d� '�T � r�� ram► �i . � f f i 1 1 f _ Signature 1>4V I,p E Print or type name q/o7-t05 Telephone number R'�Io �010 Date—r— http://www.innerbanks.biziarpos.htm 129/2006