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Home My WebLink About32958_FRESHWATER, DAVID_20030106Prev' us permit # '�ICAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New G'Modification ❑Complete Reissue ❑Partial 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 Name Za E . Address ! 1 "'r 'F r City # fi- (' 7 C.L t ,,. Stated. ZIP h ,r Phone # ( ).(�.3f%' Fax # (_) Authorized Agenti_ Affected ❑ CW 4'EW �PdPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) / J ri( f t� tiL ti Subdivision City i .F c-1 �4� {.- ZIP rY Phone # ( ) �l��{(-',' "?_� River Basin Adj. Wtr. Body f''t ( k (nat /man /unkn) Closest Maj. Wtr. Body- I L--�- ■■ ■■■■S ■■;u; ■■■■■■■�� ■■■■■■■■■■■■■■■■■■■■■■■■ i of I a :•. ■ ■M■■■MEIN"ENN _ ■■■� ■■■■■■■!A.■■■■■M1N■■IN VA.■i[�� ME L`i■■■■■■ 1ra ■mpr9d r■ ■� M. . ■■■ ■■■■ ■■ ■■ i1 ■■■■1SiL:t■■ ■■■■ ■■■■ ■�/�■■■W■�■■�IM�i■■■■ i� ■■■■■■■■■■■ /� ■■■■■� ■■■■■■■■►ill■■■■ ■■■■■■■■■■■ I I! ■■■ MEN ■11■■■■=i■■ ■■■ ■■■ � i ■■i! �■_I ■lily 1■ NOWIA j�jjj�j�i�`l��Illllllliil� f1■■�! i /■■ ■1 ■rlml-■ts1!■i■■■■■■■■■ Mn c Age nt or Applicant Prpnte$1 e f J Signature •* Please read compliance statement on back of permit *'*' I)nC/Y i r ('A1'1 Application Fee(s) Check # Permit Officer's Signature Issuing ate I Expiration Date ni 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 comply with thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1 638 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-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) 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 m^vu Yno Aun RnTTOM THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY 1P17-fjr�)1'1.1� NOT VALID OVER $1,000.00 616 9 19 0 ISSUING BRANCH EN=;:'1-( I'•7c1 �' b: i', r_ :a., ,.-1 r; r ��1 ..1 I. 93-5411920 DATE — PAY TO THE ORDER OF BBOZI DHAWFL. FIRS1 I(IIcHSi Ail BANK Hi.l_r �•%• fn R PEW AVID F��'z,e E DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE AND OTHER TERMS ON THE REVERSE SIDE. 'ru"F-47, ✓Ytl'C o1lS?- PUHCHASL �k)F.Q FOH DRAWER Alli'1 rvEs^ t / CITY & off Cy4� STATE----------- �� 3z9sd' III6 169 1900,11 1:09 200 54 1 41:0 1 70 7 10►, 5 109 2115 ■ THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT Of TIM DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER, ABSENCE OF THESE FEATURES WILL INDICATE A COPY ■ _ �.TT)rl�N [.f1�f N i L iiAJ3r1v*�' i (FOR A PIERIUNC ERED BOAT I IFI) t I hereby c:;tif that I own ro rr ad'acent to 11 i� s � . Y P Pz j 1 �� .._ (�i tzte of Property O -Vuer) property located at _ �/ 7�� pfie // (Lot, Block, Road, etc.) on �� r2 �/ mac% in C IZ t N.C. OVaterbodv) (Town atidlorl Count He ha_s described to me, as shown below, the deve'.opr�nent he is propasir-. at [t:at location, and, I have no objecuons to his proposal. I understand trhat a pierluncoverec'. boat lit must be set back a minimum distance of tiftetn c c (15') morn m;✓larea or riparian act: ss unless waived me. I do not wish to waive the setback reauiresnent. I do wish to waive that setback requi_remcrit. ___ DESCRIPTION A-YD/OR DRAWDiG OF PRO POSFj.)�DEVELOP_tiLE_ti7: (-ro be fu[ed in b�y iitdivrduca 5� AT pC E+F� W 6 Signature o- Print or TyIr: r4'1ine i Telephone ;Nurnb,�r Date :-C� `1N.�e 3 a a o `��0� �. �Yi�1 � � c a��S � �`Pr�t� -� Cas� ?a6 - �316 (FOR A PIERIUNCOVERED BOAT IIF7) I hereby ce; cify that I own property adjacent to LC � 's (ti aie of Property O � nee) property located at 'J-70 1 P/fi(� / (Lot, Block, Road, etc.-)), on �P�/�7i erg %�_C�C in 0,9 / c , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the deve!opr�ient he is proposin; at that location, and, I have no obje`tions to his proposal. I understand at a pier/uncovere. boat Lift must be set back a minimum distance of fifteen fit (l5') from my urea of riparian access unless waived by e. I do not wish to waive- the setback requirement. I do wish to waive that setback requirement. --------------- - - DESCR=ON .A-N-D/OR DRAWTNG OF PROPOSED! DFVELOP? MN-T: To be filled in d, iadiyid1uazl propo., -rg dere-111pment) - I 5�FF: tfT I:rC+4E� I --------------------------------------------------------- Signature .� -jD Print or Type N-1i Telephone Nutnb,�r -30 Date:-- 4 o® _�j�� 1L�, t if - T or4f7