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Home My WebLink About33163_HERRING, SHERWIN_20030130�LCAMA / 1-1DREDGE& FILL G 33163L GENERAL PERMIT Previous permit # 0New ❑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 15A NCAC ❑ Rules attached. Applicant Name /-f •F Addressf�7� City .T, State +. 1ZIP-5U Phone # O =r (L Fax # (i) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City c- ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity EY �, (Scale: Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore r Basin, channel cubic yards Boat ramp Boathouse/ Boatlift — _ -I I 1 � -- I .......- j � � j I I -- -; Beach Bulldozing Other I =' r I Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: ' n/a yes no— Photos: yes no WaiverAttached: yes no A building permit may be required by: Notes/ Special Conditions i 1 River Basin rules. �° ^r^ r ;' r , !-r- 1 r �p r ❑ See note �q � 4- on back regarding r j =. F �!C lie ft AgentorApplicant Printed Name Permit Officer's Signature Signature Please read compliance statement on back of permit Issuing Date -c r k / /� Application Fee(s) Check # Local Planning Jurisdiction Expiration Date 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 / 1-888-4RCOAST 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 EMMA L. SINGLETON 142 JUNIUS DR. NEWPORT, NC 28570 Pay The (� F 1 }� Orderer Of �/ 1173 Datev/D 66 19/530 Nc 3500 �� Dollars °�•^°�^~ Bankof America. ACHHRR/TT0053000196 1:0S300019D: 0006L6364S971" 1173 UNITED STATES POSTAL SERVICE 01/ .r [, 110' "u` First -Class Mail r Postage & Fees Paid USPS t•ai R�q*. NP. re 01' • Sender: Please print your name, address, and ZIP+4 in this box • �,�, Ittlt(f�tittltiti�itttlttlttltiltltttttillttitll,��tttflttti![ IN Complete items 1, 2, and 3. Also, item 4 if Restricted Delivery is d9m ■ Print your name and address o6.1 so that we can return the card i% ■ Attach this card to the back of i n or on the front if space permits.'\ 1. ArMle Address- ' 33 A. Si nature rev�rV� C` k/� Received by ( Printed Name) D. Is delivp.ry adrimcc rlifforcnf f,, ;+-- ❑ Agent ❑ Addressee C. Date of Delivery i-I 4-,0-3 COZA31 A 276072001 1103 11 01/15/03 NOTIFY SENDER OF NEW ADDRESS COZART JR'ROSA L 501 E WHITAKER MILL RD APT 2036 RALEIGH NC 27608-2650 0 U I ❑ Insured Mail ❑ C.O.D. ILI v.... �..,. .o. .dise 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number / (Transfer from service label) %� D b 7d D(�,S y2 ej S LI a— Ln E' rl.! marl C3 C3 M C3 t` r-� M C3 0 r_ Return Receipt Fee (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Total Postage & Fees PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1035 01/10/2003 14:06 2523542355 EMERALD ISLE REALTY PAGE 02/02 ADJACENT RIPAR AN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to R l ( na 4--) rs (Name of Property Owner) property located at Lo-%` Ir a 11 (Lot, Bl ck, Road, etc.) on 1b w So �.�.& � , in r it r�C4 T+Jcllaw 15e,& N.C. aterbody) (Town and/or Count Ile has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be Riled in by individual proposing development) Rwd• waacr of PROJECT PESC RIPTION SKETCH �:SLr'r"/ £'K� PT,b (aC'n E: �I,r(daUlan�N �` 1:1r Groinirnnn�..� Coastal tL.l"f 1p4S' nWaa.aa yn�m _ ! pt, o7. �_4II�� !oi"j�Ip� ! i 89N.N.9.1wd tew. t� ; Q i 1 i.{ rf �Jr 1: J ..I •. r 41,4 Ne,i .,wy dlingl,M � Y" ! � • f r.. . Signature" lYl off. �- h crrr a 5 Print or Type Name 2z''-_/_3i�'% Telephone Number Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to S1 ,J is (Name of Property Owner) property located at o / 2— K► 1 ti a. 5 (Lot, Block, Road, etc.) on �0�1� �U N n , in JiVd i a nl b2 (4 , N.C. (Waterbody) (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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) Pi of cot Location (County, State Road, Water Body, e-.) _ (7 7 -P. i �' �r/7� / � • Tr ..? YI a'' 15 of Pl oject cfivity s0� , J---7-- �2cLr�IL"Pm � �-� a c . �O n rC✓ PROJECI'DESCR TION 5KE1CH £-S,Cti-� £'GCS �'%� (at-n Pe ) Groh len th _ B � �o� 5t-a! ►L:n'llv�.As' 'a a ' i i. �� i�� i�ti.s;-� i..-�..�:�', Dulkhcad Ifneth �.!!� tip : M m a, distance of(shora� �'-P'S J. Basin, channel dimensions_ cubic yards Boat ramp dimensions Ulher ------------------------- I ey jr i ((�li:.r n . y„ alrr•S I --------------------------------------- T— Signature �0:&'4 4-- Print or Type Name Telephone Number Date: VI 3 J03 — JAN-13-2003 MON 02:28 PM NO DIV OF COASTAL MGMNT FAX N0, 4 P. 02 DIVISION OF COASTAL, MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVE FORM crupJar, cu das- Name of Individual applying for Permit:-- L�'� ua SinertaJi rx�.l`t N3 Address of Property:-- ut ' I � ' 11 C- W �'' I Y � �' ► V C, l; Si r ra . (Lot or .Street #/, street or Road, City & County) I hereby certify that I own property adjacent 1 applying for this permit has described to me as they are proposing, A description or drawing letter. the above referenced property. The individual shown on the attached drawing the development With dimensions, should be provided with this I have no objections to this proposal. If you have objections to wlud is being proposed, please write the Division of Coastal Management, Ilestron Plaza 11, 151-B, I1rvy, 24, Morehead City, NC, 28557 or call (252) 808- 2808 wilhin 10 clays of receipt of this notice. No response is considered the sarne as no objection if you have been notified by Certified Mail. 1NVAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minirrturn 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' sctback requirement. _.,. _ -1 do not wish to waive the 15' sctback requirement. 13 lo-3-- S' 7naturc � � �Datc Print Name Telephone Number With Area Code