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Home My WebLink About59373_AZERSKY, RALPH_20111101t�-- rAMA / ❑ DREDGE & FILL GENERAL PERMIT FL- New [-]Modification [-]Complete Reissue El Partial Reissue 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_ Applicant Name._ '4 ! ' 72 err J --t 1 Project Location: County r Address t ;t d Street Address/ State Road/ Lot #(s) Ci State ZIP Phone # (- ) _ Fax # (`) Subdivision , Authorized Agent Ist City Affected CW EW PTA ES ❑ PTS Phone # ( ) AEC(s): El OEA HHF L: IH ❑ UBA ❑ N/A Adj. Wtr. Body ❑ PWS: FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Qom, 5-T.,, Previous permit # Date previous permit issued D Rules attached. ZIP il River Basin nat /man /unkn) • - • - . - . :.. :.. ■■■■■■■■■■i■■■1►1■■■■■■■■■■■■ ■MEMO ■■ill■■■■■®.■■■■.!ll�!lII�J■■8■■8■■■■ ■■■■ 8■Ir■MO■■I&■Ei�ri■■■I�rr■■■MO■■■■■■■■ ■E■EM MEMO ■■ 8■■�■8 ■■■■■■8■■■■■■■■ ■No ■■■■ MO■■■■■■■■.■■■■■■■■■■i■■ti■ MENEM ■ M . wamo l mori ■■■■■■■■■■.■ MEMO ■EMM■■■■■l.�r":7EEE■■■■■■■■■■■M.■■■E■■ME■■ MENEM MEN E�0 00 • ■■■■MO■■■■MOM■■MO■■■�■■■■■■■■■■■■■■MEMO 11 W 01-1WEEMEMMEEMEMMEMMEM■ Agent or Applicant Printed Name /<-• t1 Permit Officer's Signature Signature "Please read compliance statement on back of permit" Issuing Date ApplicationFee(s) Check# Local Plan ningJurisdiction 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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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) 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 AL , CASH ONLY IF ALL CfteckLock"SECI N FEA NO TAMPERING O _COPYING WELLS FARGO 66-021/530 10917 BOBBY C,AHOO MARINE CONSTRUCTION AND LAND DEVELOPMENT DBA BOBBY CA HS 6NEUSOENRDRUCTION, INC. 1 Y GRANTSBORO, NC 28529 �� o PH (252) 249-1617 $) ArQ ° PAY TO THE ORDER OF . �Q DOLLARS 8 d t v d d N F / I cYi O 1'9 o" U u 0 L09 171111 1i■ 1.0 5 3000 2 L 9 : 20000 i 7 68 48 28��' __ _� 1-40--, CA (V\ AIVIAIV RCR North Carolina Department of Environment and Natural Resources Division of Coastal Management saway Ea1e,q prwdue Governor James H. Gregson, Director Dee Freeman. Secretary Date —2;L �O� Name of rroperty Owner App"g for Permit: I L4 Ch Z e Mailing Address: r certify that t have authorized (agent) t'10 �6v,.>;r�l�t5� W YL��ILto act on my behalf, for the purpose or zq►plyinr for and obtaining all CAMA Permits necessary to inxtull or construct (activity) 0!h �. o� (, ' r C\ h h5�1 �� `�� ' ' S �ZZt, 6V-, at (guy PxOPcrtY located ttt) t:% `� s�� 11- C� GT Neu e r» AIL - 60 This cer'tilleation is valid dhru (data) / C� Signatarc Date 400 Commerce Avenue, Morwhmd City. North Carolina 28557 Phone: 252-808-2808 l FAX: 252-247-33301 lntemat www.nccoastaimanagement.net An Equal Opportunity 1 Awamab m Action Empbyer- 50% Rocycw t 10% Po9r Conwmar Paper Z d Vega-81?Z-Z9Z Z0 SOT -ON uooyeo e9eje1 eo0:80 6L80 6nb V£8b84LL09 LZ:ZZ TTOZ/80/80 CERTUIED TATAEL — RETURN RECEIPT REQUESTED 1)IT-BOON OF COASTAL M AisFMFNT II�AL ? Rom' ARIA. PROPERTY OWNER � 0TMCATJ4D-N1R19IV7ER FORM Name of individual applying for the permit: Address of property: 9 0 Q- CS�t (Lot or street of road) `V� (C-iy & County) I hereby certitr that I own property adjaceai to the above referenced property. The " MdMdual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing A description or drawing, with dimensions, should be provided with thL letter. z, have no objections to this proposal P'0041ed Ph dy", <t a7c(U'e- be, !T you have objections to what is being proposed, please write the Division of Coastal Managemeut, 400 Commerce Ave.,Morehead City, I�tC 28557 or call (252) 808 280$ within 10 days of receipt oftiie notice. ztio response is considered the same as no objection ifyoa have been uoifed by Cerfified -Mail. Waiver Section I understand that a pier, clock, mooring pilings, breakwater, boathouse, lift or sandbags must beset back a minimum distance of 15' From my area of riparian access unlem -waived by me. of you wish to wive the setback, you mast initial he appropriate blank below-) T do -wish to wage he 15' setback;. requrtrement I do not wish to �=wive sze l�' Setback requirement Si�ahire Daie Print Name L� Telephone nuiber wiffi area code CERTD -MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL IVIANAGEAMN-T ADJACEI T RIPARIAN PROPERTY OI�t�ER NOTMCA'ITION[ AIVER FORM " Name 01-1-ndividual applying for the permit: A Z -:rs k �n Address of property: q 0 O.SZ� C.57-( (Lot or strict of road) nn 11 O ' (C;IY & Counig} I hereby certify that I own property adjacent to the above referenced property. The " individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing A description or drawing, with dimensions, should be provided with this letter. have no objections to this proposai ?F von have objections to what is being proposed, please write: the Division of Coastal Mauagement, 400 Commerce Ave., -Morehead City, ITC 28557 or call (252) 808 2808 within 10 days of receipt of the notice. No response is considered the sake as no objection if you have been uofified by Cerfified Mail. Waiver Sermon 1 understarld that a pier, dock.. mooriub pilings, breakwater, boathouse, lift or sandbars must be set back a minimum distance of 15' From my area of riparian access unless waived by me. (ff you wish to-weaive the setback, you must initial the appropriate blank below.) I do v�Rsh to waive the 15' setback requirement _ i do not-W,sb io Nvasve the I5' setback requirement SIMI ,hire Date PFiI L IVf�aMe Telephone nurinber wn area code r- 'V o v '� T £