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Home My WebLink About55092_FULCHER, EDDIE_20100105❑CAMA / ❑ DREDGE & FILL '� k.,� 14 1 C-1 GENERAL PERMIT /`/ Previous permit #9 DNew ❑Modification DComplete Reissue []Partial Reissue / Date previous permit issued As authorized by the St.;*1 of North Carolina, Department of Environment and NaturalResources/ and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ' ❑ Rules attached. Applicant Name City State ZIP Phone # O Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW []PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ lH ❑ UBA ❑ N/A ❑ PWs: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn Closest Maj. Wtr. Body Type of Project/ Activity 4Scale• i I ) i.- Pier (dock) length Platform(s) Finger pier(s) umber ad/ Ri channel amp ouse/ Boatlift_ Bulldozing ne Length not sure yes now ags: not sure yes orium: n/a yes s: yes no I ! � ' i — -- � --� -- ---- � — Pra P length � — ---- -- --I- t vg distance offshore max distance offshore j I i I i I � f I I � I i i I ! � I � ' rt►r.- or Applicant, Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # development is suspended until 12-31- 2010, pursuant to Senate Bill 831. The Permit Officer's Signature effective date of expir t'on for this permit is Issuing Date Expiration Date Local Planningf urisdiction Rover File Name or Applicant, Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # development is suspended until 12-31- 2010, pursuant to Senate Bill 831. The Permit Officer's Signature effective date of expir t'on for this permit is Issuing Date Expiration Date Local Planningf urisdiction 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 ❑ 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 Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 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) 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 08/09/06 JUN-10-2009 10;58 From;DCM MHDCTY To;93s39002 page;'%:- ie • ...__t v NCDE7RR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor .lames H. Gregson, Director Doe Freeman, Secretary Date o7 Applicant Njime Mailing Address ' I certify that I have authorized (agent) / mot,Ay to act on my behalf, for the purpose Of apFlytu9 for and obtaining All CAMA Permits ticcossaxy to install or construct (activity) d J.'" at (location) .Y 6 This certificatiun is valid thru (date) Signatur�'�_ 400 Commerce Avenue, Morehead City, North Carolina 28557 •Phone., 252-608-2808 i FAX; 252-247-33301 Internet; www,nccoastalmanagement,net M Equal Opportunity 1 Affirmaflvo Artlan Employer - 50% Recycled 110% Post Congumor Papor d Z9ti0 '°N NN31Nib1 SSVH AW01 OI(�Z (h'(Jx A.1 IERIMUURING PILINGSIB0ATLJFT/B0ATH0USE) I hereby terrify that I own property adjacent to N (Name of Property Owner or Applicant) M311i,ig addre:is if different from location address+? 111 . n /--. - R (town, state and zip) Phone numbers you can be reached property located at on (Town andlor Countrj N.C, He has described to me, as shown below, the and, I have no Objections to his proposal, I understand that a pier/mooring . gn s /b at tjtat location, must be s-et back a minimum distance of fifffen foot I P tngs/boatlift/boathoust; waived b y mt. (from m area of riparian access unless I o n-ot wish to waive the setback requirement. . T do wish to waive that setback requirement, ----------------------------- 17sc,RZPxION AND14R DRAWING OF PRQ--- ------ --- ------- -- •----- ---- 0� (To be in by individual,pro p,� �� 8�b DEVI�LOPM�NT: P � velopment) ---------- ------ ---- --- - ----.- - .. ._.._. { �-S,�natui� AAA �10 : � print or �p� Nma ? Teleph ne Number 4 'd L9tiO 'IN Nf30NVI SS H AV0:6 M6 A s - „ (P'UV A k'&.KltiIVORINU PILINGSIBOA TUFTIBOATHO USE) c I hereby certify that I own property adjacent to � ��6'zv _ -p_2e f ,�FR N (Norue of property Owner or Applicant) Mailing address if different from location address . b (town, state and zip) (_APS & �' srf % , ,, FT& phone numbers you can be reached at property located at'� (Lot, Block, ]toad; etc,) on dU4F , in (Wat rbo l S Y) (Town and/or Cogntr) 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 understand that a pier/mooring pilings/boatlift/boathouse must be set back a mihiinum distance of ffft feet (IS'ItTorn my area of riparian access unless waived by me. I do not wish to waive the setback ro uirement. ' initials I do wish to waive that setback requirement, torahs .-------•-------------- -----------------= DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPWNT: •----- (To be filled in by individual proposing development) F7I/� C A. rr� a�P N� _ f --..------- - - - - - - - - - - - - - - - - - - - - ----........ e--------------.----------- - �-- ..-----1 signaturo :/ Print or Type Name Telephone Number