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Home My WebLink About47462D - Madison❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification El 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 ❑Rules attached. Applicant Name ✓ v'.. Project Location: County Address Street Address/ State Road/ Lot #(s) City '1 "''/ State ZIP Phone # (;)1j7j' Fax # ( ) Subdivision r Authorized Agent K, r w� / i ; �� City ZIP Affected ❑ CW CaEW ❑ PTA QfS ❑ PTS Phone # ( ) River Basin AEC s : ElOEA ElHHF ElIH ElUBA El NIA Ad'. Wtr. Body () ❑ PWS: ❑FC: I (nat /man /unkn) ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier(dock)length Platform(s) Finger piers) (Scale: / ) - — - --- - Groin length � number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel i _ r I I i ii _ :1 -, 1 I i - _ - --- 'f T -- — cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other z = i I I _ 4._. 1 Shoreline Length SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions i.. > I ❑ See note --f 1 on back regarding River Basin rules. Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # r Permit Officer's Signature f Issuing Date Expiration Date AM Zr,71�f 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: Tar - Pamlico River Basin Buffer Rules Other: Lj 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 Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888ARCOAST 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 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 4 4'75,CAMA/ DREDGE & FILL IEN ERAL PERMIT Previous permit# i'.kw ; 'Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued lzed by the State of North Carolina,Department of Environment and Natural Resources 1 :oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC ,//paa BRules attached. t Name5o/�/ /?9, d' 6 RU,4�,t 7' 6Q//#'iy Project Location: County ea Nrsw��.� 2...S-61 et' AI ea at,///G� /'el. ,y/ci Street Address/State Road/Lot#(s) LG 7 3 ,l,v (/'P4,7// State#4 ZIP 2 p%,'G et DR, (5/ ).73- /- /%2?/% Fax#( ) Subdivision/ 4, ,/,,,Z 2 n,✓ ci ed Agent !` U/j P,0 T (.S p l l fI�� City$�I4 / le'7e�P ZIP-27/2 ❑CW }EW Q-PTA L ES ❑PTS Phone# ( ) River Basin /t/,N`0 ❑OEA ❑HHF ❑IH ❑UBA ❑N/A f 1 Adj.Wtr. Body_5- ,4,1%4 P l v q na /n ❑ PWS: ❑FC: yes(/ no_--- PNA yslT n Crit.Hab. yes / no Closest Maj.Wtr. Body / w� Project/Activity // to , gu I A-1)Pf;4/ ,(Scale:/ _r- e :k)length (s) 1 ~— / i 0 7 7'e f/ er(s) � 4 nber 1 . V Riprap length �� d ,�� i _ .'/'.._ i ' .�— ', j _ � _ distance offshore at I 4 t distance offshore ❑. t annel _....-. is yards } a 1 1. ..... p -_ pip -_. oe/Boatlift • / r r ' '4 illdozing 1 1 , I I Length I U ...f I..- t..�_ ,.._ Q € - 1 ... 7 I - _ & ( +b not sure yes 1 I l ,j '1 ) W`' �i 4( #11 O-• ~ICJ' I4 not sure yes �� . — im: n/a yes nb] �.. a yes n:s I 'Ill ! r i ttached: yes iv, 1 i ; i 1 I I i , 1 . i - ca { rot • • \--\\ _ -171 4 1 :UN.24.2005 B:41AM NCDENR WIRO NO.058 P.2 pIvI3I0p.1 OF CQA$TAL MANAGEMENT N/�AIV�RF6RM ' ADJACENT RIPARIAN PROPERTY OWNER_NOTIFIC Name of Individual Applying For Permit - J e hid i • Address of Property:A.L t#.3 , e—t4 1 etr .2-/ A e a3) (Lot or Street#, Street or Road) (City and County) _ ._ _. . 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. r . I have no objections.to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 91,0-395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mall. • WAIVER SECTION I'understand that a pier,dock,mooring pilings,breakwater,boat house or boat lift must be set bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If you wish to waive the setback,you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Zt.).- 0_,e,-(___-- C__a,j,j, c,'„L_____. - , . . Sign Name Date " k<t(44e Cakkuwv ______ Ara* . Name Print N , ; _TUM.24.2005 2:41AM NCDENR NIRO NO.G58 P.2 DIVISION OF CO AL :NEXT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICA_ ON/W AIVER FORM • Name of Individual Applying For Permit _7o h,0 7. . AddressProperty:of P erty:2n f ,5 l�if_ _ 1 _4 C� � .2/ OI1G03) P (Lot or Street#, Street or Road) Stir./12 e/ j Z' - kSw; ' �G (City and County) 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 axe proposa. A description or drawing, with dimensions,should be provided with this letter, T have no ebjections'to this proposal. LZ If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-39130 within 10 days of receipt of this notice. 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,breakwater,boat house or boat lift must be set bck a minimum distance of 15' from my area of riparian access-unless waived by me. gym' wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wi:.h to waive the 15' setback requirement. /_" ^ ign Name Date • • rr7 J- � JI- y . - -- TuprA • .- Pant Name t