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Home My WebLink AboutStrange, Curtis and SarahAffected ElCW XeW 'h TA AEC(s): ❑oEA ❑HHF ❑'IH ❑ PWS: ❑ FC: w 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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 0 Tar- Pamlico River Basin Buffer Rules ❑ Other: 0 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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) ��"l� ��i��'�3�yi�i� � i {��'' ��'�`3 u�y..b? �� c � � °rr- .�*- � ` t 1-ca• -�, a� ig J Applicant.�/V;�5�i7 Date: I l � 1 t 1�:) /q7&p,�`�� Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Appl ed for. Disturbs ce total includes any anticipated restoration or to acts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amo TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 252-8 8-2808 :. 11-3884RCOAS revise-ds 02/03/10 ouinm BMWs CoMmuc"ON Ign §Smt AwanWI36 Mandaimad Cft 14C 28557 DOCKS - SOMMES - #U3aMG DaCgS tWn 240-2-AM -N I ISCA2c, U 10 wJ cog -:z- TLO r, 4 fi -fp>l - )r I lo %D fd-xv"fZ C-d 141 M6� o CAZ) . R, T" C P, *A, v fi1) I' F. B () b 2013 I 4.11"IF, CIUY I-- FEB-04-2013 03:08 From: test2.jpg - Mclambdev.com Mail To:12528083978 Pa9e:1,'1 (Page 1 of l ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to 9-7 ': i �� ,5 (Name of Property Owner) ` property located at ,2 ' (Address Lot. Bloc*, Roac� etc. an Q PO t C'2 - , in c3-4p 14 .0 (Waterbody) (City/Town andlor C unty) The applicant has described to me, as shown below, the development proposed at the abov% locatio I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Indiwdual proposing development nwst fill in description below or attach a site drawing -:5-r::E (:;�4 t pc-u-a) i1.1;t ., V a WAVER SECTION 1 understand that a pier, dock, mooring pilings, breakwater, boathouse. lift, or groin must be se back a minimum distance of 15' from my area of riparian access unless waived by me. (If yo wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) . (Adjacent Prop" Owner Informa)An)' Signature Print or Type Name Mailing Address CilylSiowzip Telephone Number Date Print or araNm��ic4-D�s-- &G WS4�/ -7 7c Telephone Plumber 9 . 9 - 7r�i? Date https://mail-attachztaent.googicusercontent.coxnlatrachmentlul0/?ui=2&ik=b269fUcOfg&view... 2/3/2013 awwwwwwo Cka Via' MASON Y �kn 4 .. t ,r Y 4jr " �rh;;v WAR" fJ, (*4* so% -* OkWOM* (W OPOW 4OV46000000 Moo N* ** d**C*Vft* osww ew safe .0 Oft *60*v *am MGM "Xvt#,Vv wookwo4w NWA is "%"V" oww" tf I S* fh*" AW# &V* 10 1ww M=" W*" blo w%IA W wo%* ttao *oft** , vou damo ~ V* afqoW%W* bW* WOW i op ooso� Ip ww*v r-m 15, omw* mqwfwmw* i �w nO mW i ic., wwv a ro Pro, 71OX-otm rl—,rI- All) a Lj I Kr% I Feb 0713 06:24p Microsoft 2528083978 IS.0 D--,jjSj;7pj OF G!DA-37AL MANAGE-M.I.W. 97, FORM n. 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