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Home My WebLink About30397D - Autry 0 CAMA / DREDGE & FILL l� • ' 9 30397 . 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 I 5A NCAC ") by , /,)Uv . !•,II� p f-.-. ) t, ' Rules attached. Applicant Name , N k it , (44..01, �J Project Location: County /-)ti dio i t,i Address l{O If / l/t/f Street Address/State Road/ Lot #(s) jI4V).-4 City jLi1if/ C/N State f1/( ZIP DellY Phone#0(0 ) 5 1 - 'T j 'Fax#( ) Subdivision 61) p1`7t"it/ /,-1 Authorized Agent A,- e' o 4 t-' City IArr-9 ZIP Affected ❑CW GAIN IOTA DES ..i PTS Phone# ( _) River Basin (/6r AEC(s): ElOEA I:HHF ❑IH ElUBA N/A Adj.Wtr. Body -- 61..A-4 L at an /unkn) ❑PWS: CFC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj.Wtr. Body 75/5 41-' i SO 444--) Type of Project/Activity ft / C_ <"7 f1.�,joti r ( • (Scale: / ' 0 0 ) Pier(dock)length I Platform(s) I — - I - Finger pier(s) Groin length _ _ number 44 C Bulkhead/Riprap length _ CA it avg distance offshore max distance offshore Basin,channel cubic yards CD-- Boat ramp L(Py Boathouse/ oatlift I I )(I I . Beach Bulldozing FlOther ram i..... ._...,.......:Tasiangsge Shoreline Length _ _ _ SAV: not sure yes no 0() Sandbags: not sure yes no - Moratorium: n/a yes no �/ Photos: yes no • f C--.. Waiver Attached: yes no A building permit may be required by: i 4? C' -(- . See note on back regarding River Basin rules. Notes/Special Conditions /1 -' ' C-)--14-(52---V--1.,-- Agelif Applicant Printed Name Pe it Officer's Signature c\ i.( ,4.),lJ ec 4/ l /-1r1:(Vr#1" `..� e�y-,/ Din -o �- Signature "Please read compliance statement on back of permit"`"` Issuing Date Expiration Date q . f ' f ,) `i ////o Application Fee(s) Check# ?J j. Local Planningjurisdiction Rover File Name r • 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: I 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(910-395-3900)for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Washington District Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall 1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889 Raleigh, NC 27699-1638 252-264-3901 252-946-6481 Location: Fax: 252-264-3723 Fax: 252-948-0478 (Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bettie, Hertford, Hyde, Parker Lincoln Building 2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties) Counties) Raleigh, NC 27604 9 19 733 2293 / I-888 4RCOAST Morehead City District Wilmington District Fax. 9 19 733 1495 15 I-B Hwy. 24 127 Cardinal Drive Ext. Hestron Plaza II Wilmington, NC 28405-3845 Morehead City, NC 28557 910-395-3900 202-808-2808 Fax: 910-350-2004 Fax: 252-247-3330 (Serves: Brunswick, New Hanover, (Serves: Carteret,Craven,Onslow-above Onslow-below New River Inlet-and New River Inlet-and Pamlico Counties) Pender Counties) Revised 10/C G ERA TERRLIT COMPUTER FORM AP?L ]C-�li NP-iva C• U! Awf 'y KAN : A(AN..o M tiAI ECD:�IC: P Pfi D OP r=�� -6_ 1 PRD7 DES C: (V i 3 cir. s.=6) (Val othy 1.2z=I) WORE:. Q L t l t '. _ (sal -tir-4) • . 1 =ry -mot/ ( ,;--) . • ACTION = ON P3QUIP - CA MA UV-1(-0 a- 6 -)-(1 _ • PIV4$.19M 2i COASTAL MPNACEKEN„ ADJACENT RI IRIAN PBO2ERTy OWNER NOTIFICATION/WAIVER. FORM Name Of Individual Applying For Permit: ` Address Of Frcpert.y: T ( Lot or Street St et or Road, City & 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 pr.opcsing. A description or drawing, with dimensions, should be provided with' this letter. X _ I have no objections to this proposal. • If you have ob iect,icns to what is being proposed, please write the division of Coastal Manatuplent , 127 Cardinal Drive Extension. W3lmirzctor.,L North CA 9 A a . 234Q5 or call 910 395-3900 within 10 days of receipt cf tti5spOcie . No response is considered the same as no_obiection if you have been rotifled by Certified Mail WAIVER SECTION I understand that a pier dock, mooring pilings, breakwater, boat house , lift or sandbags 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 most initial the appropriate blank b Plow. ) V }( I do wish to waive the 15 ' setback requirement. T do rail, wish to waive the 15 ' setback requirement. - I,_ • S '�' n. ure Date A • AL „„lfr Print Nam �lU 7 c/ 7 ED E Telephone Number With Area Code • • I . • ' 4 . a Y f' P. • . - ��' , .1'24%-v1=0:fizzEss.21'1] ADJACENT RIP CWNER NOTiFICATIoN FORM Name Of Individual For Permit: " . Address Of Property:- . (Lot:b.e:-St et # I hereby certify-iiq40, 4:.-0.wit property adjacent to the above- referenced properP,Y.::;-;;;....!16,4,i,'41,7iitilddua4. applying for this permit has described to me 4*.-0i.I.-00v4Prittife attached drawing the development they are proposing;::H4(.iiu0i-iption or drawing, with dimensions, should be provided4iWii.iiLIetter. haye. 40,:i0:010tions to this proposal. , - ' you. have - being rotosed_.L °lease write the : division ,of Coas" ts=g-: - 6 1.27 Cardinal Drive Extension Wilminaton Nt o cal _910 -395-3900 within io days of- r.eceiot c -1 . Is_r_g_p_p_onse is considered the Same -s£ fleCtjf .iy4.44449 _. notified led Ma i 1 I understand that a:44e*0.4o.c.k.;. : mooring pilings, breakwater, boat house, lift or n444;S‘.)410.: *.set back a minimum distance of 15' from my area of ri0**44.04§0pW_Unless waived by me. (If you wish to waive the sethaOgV406Aartt,- initial the appropriate blank be ow. ) • ; . ) do: i4ht00'i/aive the 15' setback requirement. I --t , do p9:00iiii<tO' yaiVe the 15'setback requirement. ilDat ArtArrAx • 01 0 7 • Yvi E:31---1N111={ Print aape f° 1•N--7 Telephone Number S41,, * isig4F°qe-r. • 3242 ANTINORI CONSTRUCTION BANK OF AMERICA 896 HWY. 210 HOLLY RIDGE, NC 28445 // �n(910)327-3475 66-19/530 1223 TO THE JJ 8 ORDER OF Ale De-A/A? S 300 �LL/VCJ/PP[/ t DOLLARS 8 „° (Q- 30395 P D 3c3'I7 MEMOOr/y ��/ / KZeofPD3O/91AUTHORIZED SIGNATURE NP 0003 24 211' 1:053000 196i: 0006505 2 L99011'