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Home My WebLink About53077_CLEMENT, JACOB_200901281_1CAMA / ❑ DREDGE & FILL 3 7 4 t'D GE RAL PERMIT wilPrevious permit # [;,NewModification ❑Complete Reissue F ial 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 1200 ® Rules attached. x Applicant Name .1 (' ,� ,-r Project Location: County(_�„ , &, Address j ? G L"n e �A, �.� Street Address/ State Road/ Lot #(s) City' -0 State WZIP- - Phone # (min; ) Fax # ( Authorized Agent Affected ❑ CW 'FLEW fXPTA ❑ ES ❑ PTS AEC(s): ElOEA ❑ HHF ❑ IH ElUBA ElN/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / h) Crit.Hab. yes / nd Subdivision City— � ire ZIP .� Phone # ) River Basin Adj. Wtr. Body IN_> _ _-1`4 ,a_nati /man /unkn) I `; -T, Closest Maj. Wtr. Body ') E_ �1 Type of Project/ Activity�,;�! -- - a.. (Scale: Pier (dock) length Platform(s) - Finger pier(s)— 17-' Groin length -- i — - number Bulkhead/ Riprap length avg distance offshore _ _. _ ! O _ 00 - i�� I max distance offshore r__ --- ✓Pr K - 1 --.— �- Basin, channel - - - cubic yards Boat ramp i Boathouse/Boatlift f,Zi 1 t t 1 1 1 Beach Bulldozing Other i ShorelineLength SAV: - -not sure --yes ;'Sandbags: not sure yes rim Moratorium: n/a yes n ! Photos: yes n Waiver Attached: yes (-nol) I I- A building permit may be required by: i,� �! ❑See note on back regarding River Basin rules. �r�M Notes/ Special Conditions ti✓ Agent %' Signature "Please read compliance statement on back of permit" Application Fee(s) heck # Permit Officer's Signa re Issui a xliira i n D to LOCarPI nningjurisdiction V ' 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 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 Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to �� Z J7. C L Cw a ~r 's (Name of Property Owner) property located at / A(g 41A" Ban,-r L aeve L I. (Lot, Block, Road, etc.) on ,R.Vjol- , inS a&AP , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: > Zb L:Ne- 3owr 4 -,rvTrrA He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I 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. (If you wish to waive the setback, you must initial the appropriate blank below.) f-, I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) J10F1k1S1'r..} pipit -------------------------------------- ---------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 1342�r La Mailing Address nature .SSE �� tf C/1i u T- z Sw.aGvspo rG�e _ a c a�SB y / i City/State/Zip Print or Type Name D - — ?Vyq Telephone Number <� 6t-� 0. ,ir o9 Si ature Date Telephone Number, Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to cT.9cv #6y • 's (Name of Property Owner) property located at �02 �� sroe 3dnT l.,v ( /-01 20-.zs) (Lot, Block, Road, etc.) on 4z1d re g2,0 e ;�';/iR , in ,Sw^yfAgo tw ,N.C. (Waterbody) (Town and/or County) Applicant's phone #: `T/0.. 3ad'- Mailing Address: / aG L Pros &... r LN .S 4%,#42M s ga Ag A14 g 9 g 4/ He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I 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. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying (Riparian for Permit) ia%o Liao ,c3oA0,— �,q-ve Mailing Address Ale. o9W Al City/State/Zip 910 - 37yy� Telephone Numbers C.. ignature Date ------------ ---------------- Owner formation) Print or Type Name ev Telephone Number Date 56-30/531 676 yaeob j Cleltteltt 341 ,34ary S Cleltrellt 126 ,( jje goat CN Swalrsboro, 1VC28584 -- OKl)V K 01 v fi First Citizens r Br�.zens com l� ,vp I:0 5 3 100 300I:00 34 1 78 2 788 311' 06 7 6