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Home My WebLink About54306_HILL, GEORGE_20090731❑CAMA / ❑ DREDGE & FILL -. GENERAL PERMIT Previous permit # ❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Re rces and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC El Rules attached. Applicant Name Address Jf City State ,sue zip / Phone # O Fax # Authorized Agent Affected ❑ CW ❑ 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 Platf, Fing( Groi Bulkl Basir Boat Boat Beac Othf Shor SAV: Sand Mor Phot Wai, Project Location: County Street Address/ State Road/ Lot #(s) t , JI, Subdivision City Phone # ( ZIP ,2d 5 7/ River Basin Adj. Wtr. Body (nat /man /unknj Closest Maj. Wtr. Body (Scale:iL ) L - ■■■■■E■�Ei ■■■ ■ ■■■ ■�■■■■■o ■■■■■ r pier(s) ■■■-■■■: ■■N■ '■■:M■ i length d ■ �:�� ME NO IN MEN IN M ]MINE number ead/Riprap length_!■■■=■■■■■ ■■O■■■■■� Is ■■■■ME ir�■■■ offshore avg 'max ■■■ ■■■■■■■■■■■■■■■■ �lll�I�w�■� �N�1�■■■ distance offshore- ■E■■■■E■■EE■■■■NI■■■■ r�■■ Eft ■=isu�■■■ ■■■■■■■■■■■■■■■■■■■ r■:n. ."� WIPIPi■■■■ mom NEESE r ' a ■■■■■ cubic yards ■■E ■■■■i■■■■■mlimmomom®NI■■IMMEEMEMENN, ' ■v■' N■ ramp NO ME ME ■EEWi�r■■■■■ENS! 0�� iru■�ili■■■ MEN ■■■ ■■■■■NI■NEE■EE■■■EMEMEEE■■■ MEN ■■■■■NINE ■■■■■E.■■■■■■■■■■■■■'■■■■■■■■■■W■■■■■ ■NINE■■ E■■NI■■■E■■■NI■o■■■■■■■/ 11100M NINE ■■■■■ ■■■■■■■■■■■��;1 ■■■■EIGNUMME■■■■ ■E■NI■■■■EE■NINININI ■■=■■■E■EE■E■■■■■■■��■■■■■■E■E■■E■■1■■ ■■■■NI■■■■■fEQGI�■■I/f�■■■ .■■1lEE11mmimms ��- ONI■■■■■ ■■1 ■ lip ■■%■■■Rim ■■■NI■■■■■®�i:.®®■.�.■E■■�.■■ONE ■E■■OMOM � ` �'aowno■��ru��N■ in ■■=L�li■■��►ii■v■a■■E®■■NEEN'�■■IMMUKENU■ E■�■rj ■■■fi■■■■■■■ ■■■■■■■■NEE■■®■NI■i®ENI■:�■■■■■■■■■ A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name ` Signature ** Please read compliant statement on back of permit Application Fee(s) Check # See note on back regarding River Basin rules. Permit icer's Signature j Issuing Date i ( Expiration Date _i 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 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. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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 07/21/2009 19:32 252747356E GEORGE HILL PAGE 02/04 Dui I,Vvn oroao \;reeK t;onstruction 1-252-745-4253 p.1 �1`i'.i,:l ��w;1;!ll� �.r.', 7rl^,lllc?n•. �' I1V�t^.i_�,�l�t c�nd Nail-i'C.i ., _-<�:; - ...., �; ..:. ,-, cal-.. �� , . ,:>�,10-• � �:•:�: •;� - . - - - n62-�, lez. ar10K- - ^ crr��. cutify that I hn:,,'c ut.ho-,j4p,l (a�cnt) ee �'t to atct an m-" behalf, far rb.c purpnse of apnl}'ing for and obtoirmg all i'crmits ncce5san• to install ar construct (actfiih,) at (lucation) TWs certificatic- is valid thru (d e) ' c�rna'tzarc 44�i Carr: ner_s..,sna� (,lore)' Gi_`, !!: X.. i to �5�5- E2-2=7.533J i f�nte lE.� 4.;�wJuS ffP3 �� nagemen,,net An EqualC-p..urxif EmJone-50;)p---4clec,FVs;Cans.,:.(rF,-Fer 07/21/2009 19:32 2527473568 GEORGE HILL PAGE 04/04 Jul I 09 11:08a Broad Creek Construction 1-252-745-4253 p.2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIE.B/ 00A NG P[UNGS✓BoA77iFTBOA?NOU((SE) I hereby certify that I own property adjacent to C: r Q YET`f 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) oa &-OCLA + G k In `�- 4./ N.C. (Water -body) Panl�own and/o Coung He has described tc nie, as shown below, the development he is proposing at that location, and,1 have rxo of j ectiom to his propoAW. I understand that a pier/mooring piUngs/boathfuboathouse must be set back a u�nimum distance of fifteen feet (15') frorn my area of riparian access unless waived by me. I do no wish to Waive the setback requirement. t/ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAVVU' G OF PROPOSED DEVELOYM"T: (To be filled in by individual, proposing development) Signature Print or Type Na6c ZL- 49:V - E ;5 1 d Telep enh Number Date: 2 1-7— C] !!� 07/21/2009 19:32 2527473568 GEORGE HILL PAGE 03/04 oil , i:Uoa broad Creek Construction 1-252-7454253 p.2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLInYBDATtIOUSE) I hereby certify that I own property adjacent to 's (Name of Property Owper) property located at (Lot, Block, Road, etc.) on �� in-llU�l ( aterbody) (Town and/or ountp) 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 pierhnooring pilings/boatlit/boathouse must be set back a minim -urn distance of fifteen feet (IS) from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. &I"_ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELO)PME.NT: (To be, filled in by individual proposing development) E J ra e-M C Iql �a- Print or I)�pe Name Telephone Num 1ber Date: '"- ! �� BROAD CREEK CONSTRUCTION 6823 PH.252-745-4252 11 CREEKVIEW CT 66-112/531 MERRITT, NC 28556-9572 O . i--)7n \ R ':053 LID L L 2 0:000529 27846 10II'068 ariaaciw3, <S &sr ltuk Sin/r �s��a O 13