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Home My WebLink About54335_HILL, ANN_20090724❑CAMA / L] DREDGE & FILL GeNERAL PERMIT /// Previous permit# ❑New ❑Modification ❑Complete Reissue []Partial Reissue Date previous permit issued i 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 F1 Rules attached. Applicant Name o Address ' j j Cityf 101e t,,,r,- State,Ql. ZIP "';_S 7 Phone # (z,?) '"c- `i f tt' Fax # ( ) Authorized Agent Affected ❑ CW Q 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 ( Platfo Finge Groin Bulkf Basin Boat Boatl Beacl Othe Shore SAV: Sandl Mora Phot, Waiv Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # River Basin Adj. Wtr. Body v, t t (nat /man /unkn) Closest Maj. Wtr. Body (Scale: �{ ) J WEI N rm(s) 1=111MM pie M EMEN SO No :.. ■■■■■■■■■■■� _■■■■■■■■■■■ g■■■:■■:.:■. ■.:■ ....channel .................... yards ■■:■■■N■■■■■■■■■■■■■■■■■■■riil:.i"ill■■■■ -amp ::■■::■ ■■:::■:■::■■:®:::■�■:■::::::� Gi ��r��rn`� i��w� NoJ iilr� ■ ■■ ��■!� ■■■�■■■■■■■■ ■■■NONE :line Length 1W. I�iA■■■r■■■■■■■■■■■■■ ■■ ■■■■■■■■ not sure . ■■■■■■M■■■■■■■■■■■■ ■ ■■ ■■■■■■■■ yes ■�■■■ ■ ■■ :■■■■■■■■■■■■■ ..INIKIL. � :■::■■: ■■■.■■ ■■■■■ 4s: yes;. ��■�■■■■■EwN ■■M■■■■■■■■■ ■�■■■■■��UI'■■■ ■■■m■■■■■■■■ A building permit may be required by: Notes/ Special Conditions A d Y�YN , Agent or Applicani Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # ❑ See note on back regarding River Basin rules. Permit Officer's Signature 1 Issuing Date Expiration Date Local Planning Jurisdiction 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 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/ 1-888-4RCOAST 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 JUL-22-i�009 07;31 From;ETHERIDGE ACE 9192843106 To;12522473330 P.4 RUS-26-\P;P0! 1.6:31 Frum:DCM MlDCTY To;Pner-c'9 r r ADJACENT.RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that l nwn property ndjacent to Ya V1 tt pp /� (Name of .Property Owner) property located at { -O+ [ l i....�.. . {L+vt,1ock, Road, etc.) onoG1ttS2_ in4tot-'�',Ped�c N.C. ( aterbody) T (Town and/or County) Applicant's phone #: 25 %26 ' %/ Mailing Addregs, GtJtJ 2-dl He has described to me, as shown below, the development he is proposing at that laaation, and, l have no objeetiows to his proposal, DESCRIPTU N AND/OR DRAWING Or PROPOSED DEVELOPMENT: (TO be filled in bit property OmIner proposing development) R a q ue TA! --- ------------ ------ ------------- ------ --.---------- ---- (.Informativa for Property Owner Applying (Riparian Property Owner Informatioa for Permit) A /7 ISM city/state/Zip Print or Tvpc N e 5-2 1/ 4 Telaphonc Number 'Vcicphone Numh.r Adt4 Signature late Date V, JUL-22- 2009 07:32 From;ETHERIDGE ACE 9192843106 To:12522473330 P.5 07/26./.009 20:47 716--$35-4609 FEDEX OFFICE 3699 PAGE 02 A�lfa�26-�71itJEl 16!11 Fr-0m:0CM MHDC7Y 7o:919192-847106 rage:2'9 ADJACENT :RIPAR AN PROPERTY OWNER STATEMENT I hnreby certify that I own property adjeoent to ,A h h YV C-D � 1 ("5 f� (Name �o_f�Property Owner) PropeM locamd act � O � � (7 _!�&' IrL!"t!t� W, (T�—Flack, Road, 0L) on �ldt�bcxiy) In �.C.�vj �� A.pplk>rat'o SHe has dc%tibed to roc. "shown below, the davebpm ho is pmp05104 A thst location, and, f have no objeetiorm to his Proposal. DUSCRIP170N AND/OR DRAWXNG OF PROPOSED DRVXWPMNNT: (To beRiled in by proper& owner propos T developr"cno f3oque s-0-616( net 1 rSS � ► Qa ' 1 Do' a fit A2 %� 3 (info mtation for Property Owner Applying ibr Permit) 1&Uing Addre%3 C 1ty/State/Zip (Ripxri%U Property 0%,vier laf6nwt66n) Si�aLuro Print or Type Name Telophnnc Numb f tl�phone Number (231� 1- !a- 64- Signataro Date Date r� _. � _ a _ r.:�:.. F. -�„