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Home My WebLink About54613_CARR, T.M. JR._20090910fit.. ��,_.__. .. + .r.*t. .. .. "�.'w: ___. / �� „_" _ v - •- ❑CAMA /'L DREDGE & FILL!` GENERAL PERMIT 4� Previous permit# LNew ❑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 ,_ ff ❑ Rules attached. Applicant Name ) l� l !!� Project Location: County Address i { { _ R� Street Address/ State Road/ Lot #(s) City State ZIP --- — Phone # O_ Authorized Agent ❑ CW Affected AEC(s): ❑ OEA ❑ PWS: ORW: yes / no Fax # EW 1 PTA ❑ ES ❑ PTS HHF I IH ❑ UBA ❑ N/A C FC: PNA yes / no Crit.Hab. yes / no Subdivision f / City 7 ZIP Phone # (>'} River Basin Adj. Wtr. Body ; (nat /man /unkn) Closest Maj. Wtr. Body .. i • ■:::::011U®=■NWEWE ■ ■■■■■■■0 E'-:■■■■■■■■■■■■■ ONE■M■■■■■■■■■ ■■� .. • No& OEM ■ �..�:■■■■■■■■■■■■.■■. INNEMEMIMEN■■■■■■■■►1■.N■■■■■■■■■■■■■■■■■■ ■..■E■■■■■ ■■� ■■■■:■■�� ■■E:■■■■■■NEON■ ■■■ I■■■■■■■■.■..■ 1019,50MINME ONENENENEO■■■■EEE■ON":% NEONEE ■■■kil■im■■■■■■!■■A■■A■■■■NNUM■■■■■■■■■■ 'Ni■'4■Non ■�iNN�O■E■■■■No ■■■■■ MENEWL10 ENJIM ■■EE■EE■EEE■■■■ ' N■■ it :�■N■AMIRMAI iii�N!!��..1�61a■■®�11i■!1�■�■■■��■■■�i■■■■■■ ■I11�■■ram■.�iiii■�il��llMEN - ■■■■■■■■■■■■■■■■■■■ 0. see Agent or Applicant Printed Name Permit Officer's Signature Signature "Please read compliance statement on back of permit" Issuing Date Application Fee(s) Check # Local PlanningJurisdiction Expiration Date 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 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, certifythatthis 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 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/ 1-888-4RCOAST 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) Revised 08/09/06 Sep 04 09 11:02a anna paxton 609-294-1685 p.1 pu-"Lt7-ewj rxi ii:Uf Rn hwuirmtti 5ALk5 i sEn FAX K. 2b2 291 8482 P. 02 r � 2 / 11 c ADJACENT RXPARIAN PROPERTY OWNER STATEWNY' (FOR A PLEB! 00RlNO pluNGS/BUA7TUt lBOOATOOVSEj Iu teby certify that I o►ru property adjacent to /x" (Nyaae of Property Owner) property located at /I 7 ,u'W J?t— (Lot, Block, Road. etc.) on Ca Pm ! in //' i c Jb L , N.C. (W2terbody) (Town and/or County) He has dcacdbed to ttte, as shown below, the devtiopttuttt he is proposing at that location. sad,1 have no objections to his proposal. I undetstastd that a pier/mooriag pilings / boatlift / boathouse must be set back a miniawm distance of fifteen feet (15� from my area oFriparian accvu unless waived by me. ((f you %Jsh to [waive the setback, you taut initial the appropriate blank WOW.) 1 do not wish to waive. ✓r„ I du wish to %valve th"It setback recluiremeat .DESCRIPTION A.MORDRANVINGOF PROPOSED DEVELOPMENT: p (ru be flHed in by uulivirlrrul prapo v{� devefoprnerct) u fl ` l signature Print ar Type Name 'Telephone Number Dace: 9 G el — 31V 9z" 9Z1 Z92 IVA CUIT Gan/1Y/90 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER12VIOORING PILINGS/BOATLIFTIBOATHOUSE) I hereby certify that I owa property adjacent to c� � �a r r is (Name of Property Owner) property located at �1 'dy .Uo� P. F— (Lot, Block, Road, etc.) on �c� ►U` / , in �/; c c�"ff� , N.C. (NVaterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. 1 understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. ((f you'wisli to waive the setback, you must initial the appropriate blank below.) I do not wish to waive ✓ 1 do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP1tiIENT: t (To be filler! in bj, individual proposing development) tgnature Print or Type Name qb_ 643_46-76 }� Telephone Number Date: y ol� T001n OiHa SLL9 9% Z9Z YVd ZT:6T 600Z/VZ/90 KC ;fir 1v�f� ; ERIC B. ELLIS'; �'��...,�rt , , . X�; �1X ` JASA M. ELLIS 4047 , . , 66-30/531 l %�r,�� 205 NOTTINGHAM LN. 252-72&6775 �, 0, �/ r`; . CITY, NC 28557 Date 133 .MOREHEAD Paytothe` Order of /vJp l"rUuJd�'C`�-�>oo! _Dollars 6 a First Cank itizensi fiBrsa s. m For �:0 5 3 L00 300�:00 13 L 7448 78011' 0404 7 OCiarke Amnkan -