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47500D - McCurry
❑CAMA / ❑ DREDGE & FILL 4,'�1� GENERAL PERMIT Previous permit # []New []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 -7 Rules attached. Applicant Namej'�f• fi„ r Address .J �(,} y G A 46r- p�Ati City Mtn PP ��l State AV(' ZIP yc Phone # Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW Q*'rA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity _ Pier (dock) length Platforms) Finger piers) Groin length number Bulkhead/ Riprap length_ avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift_�M X Beach Bulldozing Other r Shoreline Length i Project Location: County P Street Address/ State Road/ Lot #(s) `Ed is 1? v 6 111101 rVK' S y ✓ , Subdivision ->,, A < k..P f,,-fr /1 J k *, �\ City ��T ZIP Phone # (c lit) / - River Basin L t., yp 6- Adj. Wtr. Body (n_at)/man /unkn) Closest Maj. Wtr. Body (Scale: SAM not sure yes no Sandbags: not sure yes no ti - I *r ,?y_uN�) Moratorium: n/a yes no ! 1 L Photos: yes no — Waiver Attached: es no A building permit may be required by: 1 q1 S VV C-Ic C� ❑ See note on back regarding River Basin rules. Notes/ Special Conditions 6 , ') 1( ('/i'�/114°� r / f j 1 IL(! �o�l,7d'� Agent or Applicant Printed Name Signature Please read compliance statement on back f permit Application Fee(s) Check Permit Officer's Signature Issuing Datt Exploration Bate 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, certifythat this project is consistentwith 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 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: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 Z. / , CAMA/ DREDGE & FILL 3ENERAL PERMIT Previous permit# �t few L Modification L1 Complete Reissue JPartial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC -7 N ,/)00 ,1 Lutes attached. t Name ,.e Mee Lit r l Project Location: County . /eli tSW!Cr...., aiia q 6Awt.-pi4.N $ c% IV' Street Address/State Road/Lot#(s) � T>c) kAre ki State A/C ZIP;0,,S yjr.) a 'VG ft41VK 5 , ►'/• `E) 3a '- 23 Fax# ( ) Subdivision 3NA (Ic} p/t 4.,I\C :edAgent N/A City 5LPic)iy ZIP ' 6 Y( ❑CW PEW *KA ES ❑PTS Phone# ((3)q) 3)'4 3 37() River Basin L tern b OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body 4- (A.A✓ ,a /1 ❑' PWS: ❑FC: yes / no) PNAs no Crit.Hab. yes / no Closest Maj.Wtr. Body il- lnlw I Project/Activity AW;_/..;ur., n-- 37/ii1 7v 1.Xiii/V¢— I�GC4 /k'E7 f F F/ct{7iAi& b s Sal ck)length / 1(s) — T'� N-r--„..-, ier(s) 'I?o r t ngth i - i3'KI 3 r mber /) ) c n. `. E — —_ .-A d/Riprap length ID } IL)' I _ i ts distance offshore , 100, , . e ripA I ix distance offshore j 1L. cannel �.a... i F/64 +_ bic yards ( it, i µl q'ij is Boatlift 17t X r5 I i 7 ' it, o - f ort - I { 1 i i ulldozing i — { I t 5D 1t e Length — t. _ t not sure yes -. __ I s: not sure yes " S wm: n/a es n / l tij 1 iz, yrA4-C-14- It(I't ;g° 4;-4.14:1 14.4i j es)yes 4ttached: no - 1 14'�i ► �� � T ' rig . 7 0 w 14- sJ y r f� ��7 lr cf t k �- 3 V .7 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM tme of Individual Applying For Permit: S A 4,041 r i /7' :"u,,i—r y ddress of Property: a.45 `,9- &,/vq f /*N 4 AN .5 `itl (Lot or Street#, Street or R6ad) P r/,(..,AiS 0 /N.) . (City and County) hereby certify that I own property adjacent to the above-referenced property. The individual )plying for this permit has described to me as shown on the attached drawing the development they •e proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. . )\,,9, you have objections to what is being proposed, please write the Division of Coastal lanagement, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215 ithin 10 days of receipt of this notice. No response is considered the same as no objection if ou have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be set ,ck a minimum distance of 15' from my area of riparian access - unless waived by me. (If you v waive the setback, you must initial the appropriate blank below.) (52 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. C" al-ei e.....D ,--at,--.4-- as a9 HA2 ©'7 5. Name Date )rint 1\Tama �IY! --- "— .__ 1N01tl 3N1013d013AN3 d0 d011V MOLLS 30Vld SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete A. ignature item 4 if Restricted Delivery is desired. 0(a:tin■ Print your name and address on the reverse X d ssee so that we can return the card to you. B. Received by(Print Name) C. Date of Delive ■ Attach this card to the back of the mailpiece, or on the front if space permits.ermits. D. Is delivery address different from item 1? Yes 1 Article Addressed to: • If YES,enter delivery address below: ❑ No 1` 0 aY\-� L L d �L J b"qn IpLShI/. S't L. A;,( . ,)g LI_ _., �C 3. e Type ���111 Certified Mail 0 Express Mail ❑ Registered 0 Return Receipt for Merchandise ❑ Insured Mail El C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Ni,m,--- (rransfer 7006 0810 0004 5459 8360 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540