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Home My WebLink About47374_COATS, GLENDA_20060802-DCAMA / ❑ 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 15A NCAC Previous permit # Date previous permit issued ❑ Rules attached. Applicant Name_ Proj1ect Location: Coun Address City Phone # ( ) _ Authorized Agent Affected ❑ CW AEC(s): ElOEA ElPWS: ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA 0ES ❑ PTS [IHHF ❑ IH ❑ UBA ❑ N/A ElFC: PNA yes / no Crit. Hab. yes / no 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 Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body jnat /man /unknj Closest Maj. Wtr. Body Shoreline Length 1 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 —77! i I ❑ See note on back regarding River Basin rules. le Agent or Applicant Printed Name tAUU U Permit Offiicer'sSignature Signature Olease read compliance statern j Y DC Wing Da Expiration Date Application Fee(s) Check # Local PlanningjGisdiction 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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules F 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/ 1-888-4RCOAST 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) Wilmingtton 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/OS Eric Ellis Marine Construction DOCKS *SEAWALLS *BOAT LIFTS DECKS & REPAIRS Telephone : 252.726.6775 205 Nottingham Lane Morehead City, NC 28557 Morehead 0,3 Capps Printing, Morehead City Eric Ellis Marine Construction DOCKS OSEAWALLS *BOAT UFTS DECKS & REPAIRS Telephone : 252.726.6775 A'4121 205 Nottingham Lane Morehead City, NC 28557 ADJACENT RIPARIAN PRCiP rY OWNER srAT NMNT (FOR A PISR/f MOMM AMT. LIFD I bweby cwdfy Vw I own pnVaty 84jsaeat to 6ZgE4� C-74-7L-1- 's 06ow of Pk "aty Owoa•) property loomed at ��`? �% �S-1i o ram-/; y F an � F �d </ G , 1D f 17"l f� K/ sterbody) (OM SN&er CCwe ty) . N.C. He has desatibed to tne, as dmu below, dw do, per he is peopo ft at dot loc;adoa, and, I hsv�e no objectiota to his propo�l. Tp- I dn na wish to waive do xft4 iequitema►t RIJUL I AR wish to waive that mdou c requireotent. 2 5 2006 D TION ANDfOR DRAWING OF PROPOSED DE CityDCM R'n bsJll�dr � i7► t��.t� j��+� . F Print of Type Name 2 "2- 72 & Tdq6oae NwoW a_ ERIC B. ELLIS 3376 JASA M. ELLIS PH (252) 726-6n5 205 NOMNGHAM LN. 66-30/531 MOREHEAD CffY, NC 28557 Date Flea 1�'6-133 Pay to the Orderof �\ I $ �2e:P6, c,6' Dollars FIRST CITIZENS 133 Fi liixens Bank & Trust Comparry Nlydrrti. Iry ,l- 8oach, N.C. 28512 www.firstcitizens.com For i:053100300i:00 L3174413?130' 03376 O CturMe Nme.�can GUARDIAW SAFETY BLUE ESBL