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Home My WebLink About33989_DOHERTY, ROVERT & RANAYNE_20030502' ";AMA / 17 DREDGE & FILL v., / [ GENERAL PERMIT 4,3t permit# ❑New EModification ElComplete Reissue ]Partlal Reissue Date previous permit issued 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 I SA NCAC ❑ Rules attached. Applicant NameProject Location: County f "-k .)F—n Address City_ _ Phone # Authorized Agent Affected ❑ Cw AEC(s): `� OEA PWS: ORW: yes / :rio State ZIP Via- - Fax # (`) CI EW ❑ PTA ❑ ES ❑ PTS J HHF ❑ IH ❑ USA ❑ N/A ❑ FC: PNA yes / 46 Crit. Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision /r, , f City _ ZIP Phone # ( ) River Basin'%� Adj. Wtr. Body_ (nat /man /unkn) Ir Closest Maj. Wtr. Body r irl ■■■■ ■ I■■■ ■■■■■�Jin/.'�_!i EE "ill Vt a ME -': J■■■■ ■■ ■■■■■■■INEME ■■■■ _■■®■_ .. ■ ■ ■■■■■■■■■■■■■■�■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ ■■■ ■N■ M. ■■■N �■■■■�■■■■■i►n■■■■■■■■■■■■■■■■ ■■■'■■i■■■■I■t�1�lIRi�I■■■■■■■■■■■■■ ■■■■�11►J■C�!'!■■�■■�■■■■■■■■■■■■ ■■ MOMENNW1=2 WOMEN 0 No ■■■■■ ■■■■■■■■■■■ ■ ■ ■■■■�■M■■■N■■■■■ /■ ■■ ■w1irw Rom■■■■■■■ Emu: ■■■■.■■■�-��.■ �■:: . .. .. ■ .. AgeporAplpficak Printed Name ; Signature ** Please read compliance statementon back of permit 1 Application Fee(s) Check# 41 7 LC,_C-�LL Permit Officer's Signature t!0 Issuing Date . • X Expiration Date ( y ( i t"('i;wf 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, certifythatthis project is consistentwith 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 (910-395-3900) for more information on how to complywith thesebuffer 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 / 1-888ARCOAST 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 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Washineton 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 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastaimanagement.net Revised 10/05/01 m FOLEY & FOLEY CONTRACTORS, INC. MATERIAL ACCOUNT 1810 OLD AIRPORT RD. PH. 252-636-2515 P.O. BOX 3482 NEW BERN. NC 28564 PAY TO THE ORDEROF_�1_,_ 0 2358 DATE y d / —a,j _ _ _ 66-15/531 �$o� DOLLARS a,w. RBC Centura 6P RBC CenBank ..,# Ok9 � Ne F3ern, N NC 28560 / .�'f FORLAp(2Y �JtLr� iCc /IZGPI�' 1�rNErLr�l 3y6qi II'0000 I' 1:0 5 3 1008 501:0 3 900 16 3 6 5i1' L�.-n�mmTi--�_:n�zmmn_��_ri:�•xearn_..... =-mmr.^�nr--'':t:�s=mrr-:-••�_m�z,.;an,'_��'-citacszacrn'��a«azavia ,^_*^oiz.rr..r _.mc¢,vz�iro _ _ 04/24/03 07:07 FAX A A" 1810 Old Airport Rd. PO Box 3482 New Bern, NC 28562 Phone 252-636-2515 Fax 2.52-636-:1127 Send to., (� n Q rn from., � � FC Attention, -rrn Dciie: (f _ j q Office Locallon: Office Locllatioo'm Fax Number: Phone Number: U Urgenl U Reply nsnr U Fleas,- comm,-iif U PIPasA RAvlpw U for your Infnrmc ilinn Tolol pages, includinq cover: no+ ire 1 �0'X gga�n_ --41M3v ) ocerect so � Z01 04/24/03 07:07 FAX 02 C r�CCr x i5T/"A/ DO C LSR l ` ti bpi/ 1 S 1I'm ��cR AS 0 p�A1 i NG j C �R�sCR��-r ►�; r �; 11 ��h� 0 04/24/03 07:07 FAX [a 03 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify that I own property adjacent to Q /FoAdYWC PadW-k Is property located at l_ r on (L t, Block, Road, etc.) A/RF�G�� J ��✓E G'/('in ULA" CQ U N N_ C_ (Water Body) (Town and/or County) 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 must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me_ I do not wish to Waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT) Signature Name Phone Number B38-18 04/24/03 07:07 FAX 04 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify that I own property adjacent to Fol 's property Grlocated at % J�/Q on (Lod, Block, Road, etc.) 6;c1i4p, Obl fi 1XIAfie6 in C RA y�E 4water Body (Town and/or County 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 must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive that setback requirement_ I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT) signature Name Phone Number B38-18