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Home My WebLink About33119_GOODMAN, JIM_20030116f ' 'I❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previou/permit # ❑New ❑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 Address City - State ZIP Phone # O Fax # (i ) Authorized Agent ❑ Cw ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity ` Y (Scale: ) Pier (dock) length Platform(s) Z ._..- _ _ __ I __._I__,_ _-- -_�-- 1._..--- -- ._' _._...----T___...-- Finger pier(s) Groin length numbeP P gt Bulkhead/ Ri ra lenh avg distance offshore max distance offshore— Basin, channel I I i I I I i I G I C` F -- --- r— L - . ( ! ! I I I I I I I cubic yards Boat ramp Boathouse/ Boatlift"-f , Beach Bulldozing Other-, t Shoreline Length 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: Notes/ Special Conditions I I J i I %• — — -' ( ; ? ❑ See note on back regarding River Basin rules. h Ac N rL, ? i f t-rn n tj Agent or Applicant Printed Name Signature Please read compliance statement on back of permit* Application Fee(s) Check # rmit Officer's Signature 1 1� 1-,i:Grt ; �'r/- , Issuing Date Expiration Date -jJ I 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 (910-395-3900) 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 / 1-888ARCOAST 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) 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, Onsiow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 PAY 11 TO THE ORDER DAVID SIMPSON CONSTRUCTION CO. INC. 800 BROAD ST. P.O. BOX 590 ORIENTAL, NC 28571 DATE In )a-- FIRST CITIZENS-, JB^rI hrst-Citizons Bank d Trust Company ll�� Oriental. N.G. 28571 www.firstcitizens.com \ FOR 3311Q �M �ooLIMAnI,JG��l n'0 l6 20 211' l:0 S 3 100 3001:004 7 L l0D 70 7911m 16202 66-30/632 r 347 $ DOLLARS H Np I8 PAMLICO COUNTY BUILDING INSPECTIONS P.O. BOX 776 BAYBORO, NC 28515 (252) 745 - 3861 ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN# I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. JIM GOODMAN NAME OF LANDOWNER PROPOSING DEVELOPMENT ON GREEN'S CREEK Body TAX PARCEL IN ORIENTAL LOT # SUBDIVISION, IF APPLICABLE COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY: OFF SR 1308 @ 88 WINDMILL PT. FOOT OF ORIENTAL BRIDGE THIS PROPOSED PROJECT: IS TO INSTALL A BOAT LIFT AS SHOWN ON THE ATTACHED DRAWING. FOR A PIER, CHECK ONE OF THE FOLLOWING: I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS. x I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT 10 N 0 s 0 0 0 E s 0 0 a a N 0 N 0 a A e E a 0 M N a a N a 0 0 0 0 0 a a 8 0 0 a W M a a N 0 x N 0 E r F 0 a a E a a M 0 a r M n M 0 M M M a 0 a a SEE ATTACHED DRAWING After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their consent and signature. The forms are then returned, along with a building plan and other applicable required information, to the building inspection office for building permit application/processing. SIGNATURE 4"'� /1 DATE -- I -3 PRINTED NAME r, A1W * 6W aL NC/ TAN.15.2003 5:26AN J.tiri i1P U.1 u2= xzip J. David Simpson 252-249-2cQ. 10 P.4 p.3 PAMLICO COUNTY BUILDING INSPVCTIONS P.O. BOX 775 BAYBORO, NC 2SS25 (252) 745 - 3861 I HEREBY CERTIFY THAT I OWN PROPERTY ADIIACENT TO MR. JIM GOORNAN NAME OF LANDOWNER PROPOSING DEVELOPMENT ON GREEN'S CREEK Body TAX PARCEL IN ORIENTAL LOT # SUBMMION, If APPLICABLE COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY : OFF SR 1308 @ 88 WINDMILL PT. FOOT OF ORIENTAL BRIDGE THIS PROPOSED PR03ECT, IS TO INSTALL A BOAT LIFT AS SHOWN ON THE ATTACHED DRAWING. FOR A PIER, CHECK ONE: OF THE FOLLOWING: I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS. x I DO NOT WISH TO WANE THE 15' MINIMUM SETBACK REQUIREMENT �rarffaaraaa�a■•.■.�rarr•M�rf■■fa■��r■ff�r■r.�r■■aarfarr�zar■ar�araa�a�arar/ SEE ATTACHED DRAWING After this form Is completed by the landowner proposhm the project, a copy Is given to the adjacent landowners for their consent and signature. The forms are then returned, along with a building plan and atlter appllcaWe required Informabon, to the building Inspection office for building permit appileadon/processing, )1,4, SIGNATURE PRINTED NAME Zat,i DATE 4/'16 03