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Home My WebLink About46028_BRANCH, JAY_20060629b 7CAMA / ❑ DREDGE & FILL GENERAL PERMIT PreJiou# ❑New ❑Modification ❑ Reissue Date Complete Reissue ❑Partial Reipermit P previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission i an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # O i Fax # (i) Authorized Agent j -` '. s , '< 1 ► Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s)_ Groin length number Bulkhead/ Riprap avg distance max distan< Basin, channel . cubic yards Boat ramp Boathouse/ Boati 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 Subdivision City ZIP Phone # (,) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Win Body (Scale: ) ❑ See note on back regarding River Basin rules. AgenEor Applicant Printed Name,: ` J U L 5 2006 Perm i • icer's Signature Signature Please read compliance statement on 15110 Issuing Date Expiration Date �Qvv�� qd City C)CM j . ApplicationFee(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 landowners). 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 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: 1636 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 9 19-733-1495 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/ 1-888-4RCOAST 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 05/31/2006 20; 02 2527266079 DEANBARNES PAGE 01 60 on �'ACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE) certify that I own property adjacent to I (Name of Property Owner) Gated at (O N' �!` 1 1J a (Street Address, Lot, Block, Road, etc.) _�� h ►-•r , in �...-r�-►c /�?�-is t !�► , N.C. aterbody) (Town and/or County) /she has described to me, as shown below, the development he/she is proposing at that locatio , 4nd I have no objections to this proposal. I understand that a pier/mooring pilings, �atlif vboathouse must beset back a minimum distance of fifteen feet 0 511 from my a ea L f ripan access unless waived by me. I have indicated my intentions by initialing lie ir' 7 I do not agree to waive the 15' setback requirement. �' " (initials) q ! I do agree to waive the 15' setback requirement, ) U N 1 5 ? 0 0 6 (initials) --------7----------------- -.----------------------------------------------- ------------------ me d- C i ty D C M DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELO RENT: (To be filled in by individual proposing devel�nrne?��l ! �, -� t7- -4- cjq Z o I'r;'3 � v h I C Yarz o S ----- J-�� ---------------------------------------- 5-- -- -. -- - Signature Z- Print or Type Name Telephone Number I I Date: 4 6 ,05/31/2006 20:02 2527265079 DEANBARNES RAGE 01 i JACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR APIER/MOORING PILINGS/BoATLIFTBOATHOUSE) reby certify that I own property adjacent to �alo R 's (Name of Property Owner) prope Gated at �'j (O ►� n �- 1 �- i (Street Address, Lot, Block, Road, etc.) on h ►—.r , in .�7 , N.C. aterbody) (Town and/or County) 4/she has described to me, as shown below, the development he/she is proposing at that locatio Ond I have no objections to this proposal. I understand that a pier/mooring pilings tlifUboathouse must be set back a minimum distance of fifteen fe l 5) from my area of ripari cess unless waived by me. I have indicated my intentions by in 7 I do not agree to waive the 15' setback requirement. W ' 1(initials) I do agree to waive the 15' setback requirement. UI�N f ,S 2006 4 n,� --------------------------------------------------------------------------M-A-`�!-'�-� ESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:. Y 4CA4 (To be filled in by individual proposing deveL pment) ,7 * �+ 2. 2 2 rr ------------------------------------------- --------------- ------------ ----------- ----- ----- —----- -----------__ Signature vy AAU' P V oLcs� Print or Type Name Telephone Number IDate: /j p I I y I MUD BUCKET DREDGING, INC. 507 HEDRICK BLVD- MOREHEAD CITY, NC 28557 PAY TOTHE] (per 1V !Z. ORDER OF C7� 1623 66-112/531 BRANCH 02201 BRANCHwLm TRUsT I"K MIT COMPANY ,g %- " Il S FORr C+:053LOL84 11s u■00L62311■ r00052ci32L _