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Home My WebLink About78524A_Cone, Keith & Pamela_20200310II IL, L/ ®CAMA / ❑ DREDGE & FILL N° 78524 B C D GENERAL PERMIT Previous permit# XJNew- Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC { 1 ' o Rules attached. Applicant Name k e � i h J I �q , r1(_- �C, CG A E Address I U C UC s1L 0 . City �Ur C-4 State NC ZIP ) `l Phone #t15) 7(0 2 " 2 14 E-Mail Authorized Agent Affected ❑ Cw NEW [Y PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no, Project Location: County ' F`=y Street Address/ State Road/ Lot #(s) 1 U � ( 6C h 1 K C. Subdivision City 1 k r ZIP q yy Phone # ( ) p River Basin Adj. Wtr. Body I k VT_ v (1bat Im�kn) Closest Maj. Wtr. Body �� ' ��c_�a f (F -)0" "d Type of Project/ Activity • ®■■■■■■■■■�f�■�■l�i!�■ail■�■■■�11Q!!■■i..� ■■■■■■■� i��i■■■=■ii ■■ii■■MEN lizoommomim ■I�■■ - �■■■■■■ass■■�■��i��■■■■■■■■■■■■■■■■ ■,� ■■ ICI ■■■ MEN ■■ ME oil . ■, �■ ■■■■■■■�■III■■■■■■■o■■■u�■■■■■� - ■■■■■■■■■�I�I■■■■■��■�■■■III■■■� Shoreline Length /- 56 SAV: not sure yes Moratorium: n/a yes no f Photos: (es no - - Waiver Attached: yes no ' i A building permit may be required by: �e f�i !A ifNC) n'T C)y ( Note Local Planning jurisdiction) Notes/ Special Conditions f�e Signature "I Please read compliance statement on back of permit ** Application Fee(s) Check # ❑ See note on back regarding River Basin rules. a c,f,� �11 t� , (', PermitOffior's Pr'r. ted Name L� Z , 4 J'�J— Signature 3 // U �zG i /10 /26 Issuing Date Expiration Date 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 I) 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 Resources. Contact the Division of Water Resources 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 Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) (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 - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Address of Property: Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & County) Mailing Address: 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, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive the setback, you must sign the appropriate blank below.) /-A , _ _ I do wish to waive the 15' setback requirement. Information) Print or Type Name I do not wish to waive the 15' setback requirement. /0 r";>C VVS C C- Mailing Address /4C C �—Cplcc Q L 7 -7 � City/Stateaip hone Number / Email Address 17- 47 IZ-0 /into (Adjacent Property Owner Information) Signature * Print or Type Name Mailing Address City/State/Zip 1 i-�-r 7y3 f76k Telep neoh Number/Email Address 2 Lai /oc, nnta* IM(VS DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner: Address of Property: Agent's Name #: Agent's phone #: (Lot or Street #, Street or Road, City & County) Mailing Address: 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, must be provided with this letter. I have no objections to this proposal. _ I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if yo wi to wai the setback, you must sign the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 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