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Home My WebLink About42423_VICK, ELIZABETH_20050720-Li CAMA / . `DREDGE & FILL GENERAL PERMIT fJNev$ LiModification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an a�reaa of en%vironmental concern pursuant to 15A NCAC_ Applicant Name Gr--' { ^ `j0-1 f, V i C K Project Location: County Address Street Address/ State Road/ Lot #(s) City i_� , t : y.. State IJ6 ZIP d Phone # ' s 1`% ' Subdivision /: Fax # ( ) Authorized Agent City_ I '.mil Previous permit # Date previous permit issued ZIP ' - f(.;, Affected 0 Cw �Fw 2•PTA [I ES ❑ PTS Phone # (___) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body i �'%�:. / .! C.. / (nat /man /unkn) iJ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platforms) Finger pier(s) __ Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length (j b SAV: not sure yes r no - -- Sandbags: not sure yes no) Moratorium: n/a yes 60 Photos: yes 'no Waiver Attached: yes not A building permit may be required by: Notes/ Special Conditions �/'AL4,q . 064Se Agent r Applicant ,P inted Name V I . h&U Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: /✓ ! 7. ) See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration bate Local PlanningJurisdiction Rover File Name Statement of Compliance and Consistency 19 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 10 ADJACENT RIPARUNT PROPERTY OWNER STATEMENT (FOR A PIERAVOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ntzal'. r V j4' 's ��''�� (game --' of Property Owner) property located at I' 17 'FS k-y , (Lot, Block, R ad, etc.) on �� G� <3 /`� , 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. I understand that a pier/mooring pilings/boadift/boatho use must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me.Mn , I do not wish to waive the setback requirement. � 3 2005 I dD wish to waive that setback requirement. JUL ------------------------- - --------------------.Mor-.head City DCM - -- --------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) �� ` kbAl ----------------------------------------------------------------- 1 Signature Print or Type Name 17� Telephone Number Date: WHILE YOU WERE AWAY FOR DATE TIM M PHONED OF - ❑ FAx RETURNED PHONE MOBILE YOUR CALL RE E NUM ER EXTE ION -AG ��-�\J EA$E.CALL MESS _ - WILL CALL r AGAIN ,,-CAME TO SEE YOU WANTS TO SEE YOU SIGNEO VTOM FORM 4002 ADJACENT RIPARIAN PROPERTY Oti%'NER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to �rrU ;1� 's (Name of Property Owner) property located at// d 17 (Lot, Block, Road, etc.) on in �^� N.C. (Waterbody) (Town and/or County) 5He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. VI do not wish to waive the setback requirement. 41 P`r. r I d4 wish to waive that setback requirement. JUL 1 3 2005 --------------------------------------------------------------------------------------WM d-city-DW DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ail o FwA �,- ' ------------------------------------------------------------------------------------------------------------------ Signature Print or Type Name (9-5-20 72-�- 3—k 9 F Telephone Number Date: 7._ / 3 -- 4 S '- WALTER P HOUSE 5537 NCDL'1745231 PH.252-728-4974 1114 LENNOXVILLE RD12/531 �.� c-�- BEAUFORT, NC 28516 W 66-1 02 01 BT gdjZaco,�BCCESS ANKING BRANCH BANKING AND TRUST COMPANY BEAUFtggy� NOT CAR A +:05310112If: 514?522?1toll 5537 ::'?; ?..,,-W�';+?'r"°�.5��'�''.�t;':�i„'�'.�w��:�a?"'�`"i.'��;��i'�'i�"'`w•.•z .,. "�''�=��:�"cr$��e1�.�ti�%7a�?.x:.� ?r=