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Home My WebLink About46086_FISHER, W T_20060712l CCAMA / ❑ DREDGE & FILL 'b GENERAL PERMIT Previous permit"/# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natur Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC J f t -` ❑ Rules attached. Applicant Name Project Location: County t Address IJ `� P �' ..fir Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( Fax # O Subdivision Authorized Agent City I" ZIP } Affected ❑ Cw ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin r. I` .A ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ( ` AEC(s): ❑ PWS: El FC: Adj. Wtr. Body (nat /man /unkn) ORW: yes / no PNA yes / no Crit. Hab. yes / 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 ` SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes ho, Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions (Scale: ) — 4--. ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Permit Officer's Signature Signature "Please read compliance statement on ba � CL b 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, 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 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 Washington District Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall 1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889 Raleigh, NC 27699-1638 252-264-3901 252-946-6481 Location: Fax: 252-264-3723 Fax: 252-948-0478 Parker -Lincoln Building (Serves: Camden, Chowan, Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde, 2728 Capital Blvd. Dare, Gates, Pasquotank and Perquimans Tyrrell and Washington Counties) Counties) Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City District Wilmington District 400 Commerce Ave 127 Cardinal Drive Ext. Morehead City, NC 28557 Wilmington, NC 28405-3845 202-808-2808/ 1-888ARCOAST 910-796-7215 Fax: 252-247-3330 Fax: 910-395-3964 (Serves: Carteret, Craven, Onslow -above (Serves: Brunswick, New Hanover, New River Inlet- and Pamlico Counties) Onslow -below New River Inlet- and Pender Counties) Revised 06/29/OS C:ER11k'IED MAIL — RETURN REC:EIP'I' REQUESTED DIN ISION OF COASTAL tiL-�—NAGEN ENT ADJACENT RIP ARI A_r PROPERTY OPY-NER N OTIFICATIONAtiV AIVER FORM Name of individual applying for permit: �,cj �% �r /� a — Address of property: 11L 5-o 0 r✓4- OR 4 vt✓ (lot or street N, street or road) (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. If you have objections to what is being proposed, please write the Division 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 v 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. 3 P Signature Date Print �Name o-� Telephone Number With Area Code %'�i t'. _'i •.; C�: tr i3 ,.i, v�;4d. f�`-"`�i.... '.i:� •u': ..�. f; r;[f•;, v. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT f I hereby certify that 1 own property adjacent to = l,J 1 is (Name of Property Owner) property located at (Lot, Block, Road, etc.) onA-fir L , in/ i_ALN ,� � �+ G/�� 7— , N.C. � (Waterbody) (Town and/or County) s. i cg'�$'3'a 5704 �7 e►as descnt� t�+rye as shownbelow, the development he is proposing at iha(,iocatlon,, and, I have no objections to his proposal. . -------------------------------------------------------------------------------7---------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) �0 L --------------------------------------- -------------------------------------- signature. L'• Glutei Print or Type Name C-r b--73 Telephone Number Date: V CER14FIED MAIL — RETURN RECEIPTRE(1 1ESTED DIVISION OF COASTAL MA AGE-MENT ADJACEtiT RIPARIAN PROPERTY OW-N-ER \OTIFICATIONA VAItiER FORM Mine of individual applying for permit: () 7— 1—►_S'�� Address of property: % r ;L Sv u r✓,4- OR 4 vim. (lot or street 4, street or road) -T" L AIAJ Tt c:_- ,BeAc- h C -A-2 rr (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. V I have no objections to this proposal. If you have objections to what is being proposed, please write the Division 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. ignature Date Print Name Telephone Number With Area Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to-" kJ i r)5 yr is (Name of Property Owner) property located at (Lot, Block, Road, etc.) on (JA l 14� IVAL , in L A G .�✓� G AAf� 7-C T�7— , N.C. (Waterbody) (Town and/or County) 14, ie has descnbedY )}e as shown below, the development he is proposing at thk iocation,`�� and, I have no objections to his proposal. . DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) s �gnat/ure i Print or Type Name / S"/ 9 �� - 90 x-/ Telephone Number Date: 7 ERIC B. ELLIS JASA M. ELLIS PH (252) 726-6775 3358 205 NOTTINGHAM LN. MOREHEAD CITY, NC 28557 Date 7//7 66-30/531 Pay to the Order ofiALL�-e 133 $ C,- Dollal's fiR.S-F CITIZENS First-citinns 8 & Trust Company 000p� JEMK Atl.mi.B.,,h.ln4 tN.C. 28512 L 0 Q Ir tcitizeps.com For ':OS 3 LOD 3001:00 L3 1744B ?Bolin 033s8 c F