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Home My WebLink About40316_PAGELS, RUSSELL_20050211CAMA / DREDGE & FILL GENERAL PERMIT Y� Previous permit # ']New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued - 4 As authorized by the State of North Carolina, Department of Environment and Natural Resources j U and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC _ �� Q Rules attached. Applicant Name y ..t -�" ,' Project Location: County Address I' Street Address/ State Road/ Lot #(s) City rj._: <. State ZIP— -- Phone # ( ) Fax # ( ) Subdivision , Authorized Agent City ZIP ❑ CW ❑ EW D PTA ES ❑ PTS Phone # ( ) River Basin Affected ElOEA ElHHF ElIH _ UBA 17 N/A . AEC(s): Adj. Wtr. Body __- (nat /riian /unkn) ❑ PWS: ❑ FC: / Body y "o ORW: yes /' no PNA yes / no Crit. Hab. yes / no Closest Maj. — - Type of Project/ Activity 1 w ,.. (Scale: Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards 1 / I {U Boat ramp Boathouse/ Boatlift Beach Bulldozing Other t r f JF- 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: — See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name ermitOfficer's Signature A` S Signature Please read compliance statement on back of permit Issuing Date Expiration Date 1 Application Fee(s) Check # 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, 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 complywith 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 151-13 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 RUSSELL F. PAGELS 08-04 BARBARA J. PAGELS 300 PINE KNOLL CIR. ATLANTIC BEACH, NC 28512-6812 147 /J w D� NC 01 66 19/53 2 Date �c Pay to the a /C ) $-610C) e7 — order of Dollars 8 BankofAmeric t Bank of America Advantage® ACH Rrr 053000196 Ivp For 1:053000I96i: 0006524380?Site Olt? ` ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted"Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1, Article Addressed to: ticyAocc�tl!'i✓4 'PO G i A. Signat e X ❑ t ddressee B. Rec iv d b ( Printed Name) C. Date of Delive D, Is deliv address different from item 1? ❑Yes If YES, enter delivery address below: ❑ No 3. )Aer ified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number """"'��t (transfer from service label) 2 ® ot/ 11 �j 0 00 C73 PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid uSPS Permit No: G-10 • Sender: Please print your name, address, and ZIP+4 in this box • t?ittIIIt£ii??£.I £II£1 p ------------------------- -------------- •SECTION ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Addressed to: % S GD r= 61-AArF TyN�' 7` 2. Artinle Numhar (Tr PS F A. X 4�, address different from enter delivery address b OCT 13 2004 MV ❑ Agent ❑ Addressee C. Date of Delivery It? ❑ Yes ❑ No 3. Serv'peTyp: ; ertified Math Express Mail egistered ❑ Return Receipt for Merchandise In, Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 102595-02-M-1540� UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit Nc. G-10 k'T • Sender: Please print your name, address, and ZIP+4 in this box • 0 2. A&&11 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to 's (Name of Property Owner) property located at /, r,4, im (Lot, Block, Road, etc.) on p' �� r �N� u v! w,t w�v , in �. , 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 _ n (To be filled in by individual proposing development) 7IfG--_ems' Z,v A7 1 A I` t ow yJ F T r i3kLK/-'4eA/f -------------------------------------------------------- ---------------- Signature Print or Type NamZ,�� Z�/�s Telephone Number Date: IZ12, Z z 3 , QQ 4 40