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Home My WebLink About42490_WARD, TOM & JUDY_20050815ECAMA / DREDGE & FILL /� j 90 /ermit# GENERAL PERMIT �- Previou -!Nbw -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 I "^I '+ Y �1'� 1'�Jt �`d El Rules attached. Applicant Name Project Location: County Address f �/ t BUJ t--� % Street Address/ State Road/ Lot City + ' p; L"._ ; '�=,-S %u . CS State ZIP Phone # ( ) Fax # ( ) Subdivision Authorized Agent �1 t-" - 7 a :._� i J%, �; !) City Ci ' r f ZIP � -- ElCW ❑'EW 1$TA [I ES ❑ PTS Affected Phone # ( ) River Basin ] OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body (nat man /unkn) _ PWS: El FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp i ` Boathouse/ Boatlift A 7 I i Beach Bulldozing Other .i- ,----- \♦ .1 Shoreline Length - SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes nd A building permit may be re ired by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: ) r IF L See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date 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: F� Tar - Pamlico River Basin Buffer Rules [] Other: E 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, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 W ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (Name of Propert - Owner) property located at m (Waterbody) (Lot, Block, Road, etc.) in , N.C. (Town anal/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. ;/Z/I-=------------------------------- ------------------------------------------------------- �E_ '_1 -- DESCRIPTION AND/OR DRANVCL G OF PROPOSED DEVELOPMENT (To be filled in by(iadiv-iduul proposin, development) • s 1 � I I N 1 ( I I -------L�--------- (--- ---- I------------------------------------------------------------------ - - ----- �t,,A� S a ature Print or Type Nan'�e Telephone Number WHILE YOU WERE AWAY FOR DATE ' TI Evb OF PHONEO FAX RL-BURNED PHONE MOBILE Of YOUR CALL AREA CODE NUMBER EXTENSION M E AGE EASE CALL WILL CALL r ` A AGAIN 00 CAME TO SEE YOU WANTS TO SEE YOU SIGNED PS. FORM 1002 0 9 9 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ( I hereby certify that I own property adjacent to TO AA /—J"V 91 tij 14)q (\'ame of Property O ner) property located at (Lot, Block, Road, etc.) on , in o� .Y �1/Vl , 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 DRAWC\G OF PROPOSED DEVELOPMENT (To be filler( irz b/individual proposirz; deti'elopmerzt) is r I a ;- ----- -------------------------------- - ------------------------------------------------------ ------------ �Y Z,qi�V ��, S Tyl-,?oAl Signature Print or TYKC Nan -it Telephone Number G , C'W' -7c sT,k1"C/ 66 21 530 3287 .,i G , 6' W Pay to the order of $ N CASQ, _ Dollars WACHOVIA BANK, N.A. W OVIA.COM� 1:053000219 1: 10 546319256481i' 3287 ?�,7'rs u,.�ii ,... �k r� s7�.{'�`.��;��'t•S°;�.+*{'��.�.�.'�„:�'�r.�T.�;�..�`a'e'k�c-�`�tii :l�S'µ��ir an'�,Z�'r��i"'_:. HERMAN CURTIS GILLIKIN NCDL 2369236 Lot 8 Crow Hill Mhpk 252-504-6269 Beaufort, NC 28516 1299 530 BRRANCHANCH7767585 DATE PAY TO THE // / r /) J. /// r(✓ I �Q ORDER OF ,/ f--� WACHOVIA Wachovia Bank, N.A. wechovle.com � k� -- — � NP FOR 1:0 5 3000 2 91: 10 1008 2 5 2 5 3 2 711' 1 299 r-m