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Home My WebLink About34778_FLOWERS, RICHARD C_20030917F] CAMA / 7 DREDGE & FILL 3 A778--C GENERAL PERMIT �evious permit # i—New Modification ElComplete Reissue ElPartial 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 F-1 Rules attached. Applicant Name Address 'State City zip Phone # ( Fax # Authorized Agent Affected Cw 0 EW 0 PTA El ES LJ PTS AEC(s): OEA D HHF El lH F-1 UBA El N/A -1 Pws: El FC: ORW: yes / no PNA yes / no Crit. Hab. yes no Project Location: County QA Street Address/ State Road/ Lot #(s) Subdivision —0 City ZIP Phone# River Basin Adj. Wtr. Body (nat /man /unkn Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length Platform(s) Finger pier(s) Groin length number ---- 4— Bulkhead/ Riprap length I avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing_ a 2 1 Other LI Shoreline Length IL SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit lssuingD4e I '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, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: LI 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 comply with 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 / 1-888-4RCOAST 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 151-13 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) 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 NGUL l00UVr+o 212 BAYVIEW BLVD ATLANTIC BEACH, NC 28512 - G ' � } Dutc w .---- D,J Order off' WACHONU WachoviisN.A. Njomhlass= 1V.cr.N is eM u� SO I1'. S464 276662110 3899 .053LOL529 IF ITNU . W4NUMMME DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORNI Name of Individual applying for Permit: Address of Property: (Lot or Street #i, Street or Road, City & County) S EP Y 2 2003 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 �p I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza H, 151-B, Hwy. 24, 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, boat house, 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. l I do not wish to waive the 15' setback requirement. �1Z�)3 nature Date lC41-'WD ASS p wwz!':�as 'rin Name 2-Gz 241-231 2�z -2 ?- 7So� Telephone Number With Area Code L'b-T -,P-- 16 4. 2003 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORINI Name of Individual applying for Permit: ,'>(d jp Address of Property: w• (Lot or Street ##, 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, Hestrvn Plaza II, 151-B, Hwy. 24, 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, boat house, 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. / /� / .,/�-z Z o3 Signature Date lop Print Name l-- b ra- -.� 9 3 Telephone Number With Area Code ADJACENT RIPARIAN PROPERTY OW'NER STATEME'T (FOR A PIERIAIOORIIVG PILINGSIB OA TLIFTIB OA THO USE) I hereby certify that I own property adjacent to �� U property located at (Lot, Block, Road, etc.) �_ ; on thtYIA K 5 CKE..emu:;`; in (Waterbody) (Name of Property Owner) (Town and/or County) '8EP 2 4 2003 , N.C. 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/moor-ingpilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individualproposing development) I. r t t I t I i ( i I I dMAW Signature Print or Type Name Telephone Number Date: q- 2 2 - ::> 3