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Home My WebLink About34769_MARSHBURN, CHARLES KEITH_20030903❑CAMA / ❑ DREDGE & FILL J GENERAL PERMIT Previous �ermit # ONew []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 o 0 Address I f,C i joke P)Yr " PJ City ��"��f It State NI ZIP 7 S91 Phone#(`j)�) "E5-r.`/�S /Fax# )EF9-E.7�q Authorized Agent Am. U Affected ❑ CW X EW RPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no. PNA yes / (0o Crit. Hab. yes / no Project Location: County ! a , -V c + Street Address/ State Road/ Lot #(s) Subdivision City ! iq i- ZIP 6 �7fr Phone # ( ) River Basin Adj. Wtr. Body Mat-,vic a 1--oa i (nat (man /unkn) Closest Maj. Wtr. Body WL' f K (--)"I< fir'. ve' row■ii■■■�i■o■■■mi■�■■■�i■e■ii ■ ■■i■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■NONE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■ ■■■nW■■■■■■■■■■■ ■■ ■■rdra ■IQ ►-��■■■■■■ ■■ ■■r■■ ■■■ ■■■■■■■■■■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ i■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ MWEMEMMMEMMEM ' ■■■■■DMEM ■■■®■U" ■■■■■■�...■ ■�■■■■ ■■■■■■ A■ 0■��N■■■■■■■■■■ ■ ■��■■■ Agent or Applicant Printed Name Signature PI a read compliance statement on back of permit* `{ !' ' t, -J to ri Application Fee(s) I Check # -( Permit Officer's Signature Issuing Date Expiration Date /014t111 -1 (C' I(7C 3/1/3 Local Planningjurisdiction 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 Buiiding 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, Onslow -below New River Inlet- and Pender Counties) www.nccoastaimanagement.net Revised 10/05/01 i'`UNITED STATES.�� 7"N POSTi fO -JOS'r-L .... 15�800 MONEY ORDER 0 k 1 SERIAL NUMBE .. F4 U 5 DOLLARS AND . CENTS 000 02705102YEAR, MONTH. DAY 11 k 2,003-og-03 285570 V!fil oa�rq, o o 4: AMOUNT ONE HUNDRED DOLLAR-5. & Oo(� PAY TO NEGOTIAIXE )NL IN THE U.S. AND POSSESSIONS :-SS 'S ADDRESS S�E'E-YR VERSE WAR NG FROM CLERK C.O.D. NO OR 1:00000a00 21: 06 102?OS 1 2611- FROf-? : k.E I TH MARSHEURN BUILDERS FAX NO. : 919 3r5 37-38S Sep. D1 21,W3 N8: 12Prl P_ f ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/UNCOVERED BOAT !LIFT) I tw"by certify that I owa progtrty adjacent to __C^ASC4-� �' /y1kCf �ifir�ii—I S (Name of Property Owner) property located at (Lot. !Mork. Road, etc.) in NC. att!sbatlj►i (Town sad/or County) He has described to ayrs, as sbown below, the developenertt he is proposing tit that toeatioa. aad I bavo ao objoctiotas to his proposal, 1 uaderstand rhAt a pierhrncoverrd boat lift must be Pet back as a "rlsvaarsa of n "44 (15') franc ;my ar" of riparian Access uakss waived by mt. .,..._. 1919IA2t wish to waive the setback requirement. 1 112 wish to waive that setback rtquirerarerrt. DESCRIPTION AND/OR DRAWING OF PIt-POS�'DOEVEL0PMF.NT: (To be filled in by individual propg;ip�. =trsjoptrtent) i ,��s,��hPl f Zip 0 ` PR lf Icy'' i Telephone Number Pant or 'fyp�me Date FROM :KEITH MARSHEURH BUILDERS FNX NO. :919 365 33e8 Sep. 31 20a3 08:12FM P1 ADJACENT RIPARIAN PROPERTY OWNER s,rA'TEM'FNT (FOR A PIER!L'NCOVERED BOAT LIFF) I hereby certify that I own property adjacent to Gee _&1�Gr ,,gym (Name of Property Owner) property located as (Gat, to Road, etc.) on c 0'" r in NC C atarbodyi (Town sad/or County) He has described to omit, as shown below, the development hr. Is pwoposial at tbst Iotstion, and I ►sve as objectlows to hua proposal, I understand that a pierluscovered boat lift mutt be •ct bask at s aNits►MOM Of liiteen (151 fram My area of riparian Access unless waived by me, T IjAgs with to waive the setback requirement. I #g wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PBOPOSFDO£VELOPMFNT: (To be f1flied in by iridividgal proposing devel pment) �xaf'��ry Signature Prim or TyFe Name ialsphone Number Date -- --- � — --.-- 1