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Home My WebLink About56872_DAUTRICH, JOHN_20101012❑CAMA / ❑ DREDGE & FILL ^7. 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 ❑ Rules attached. Applicant Name_ Address__ City Phone # ()_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # O ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A I] FC: PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) (Scale: ) Groin length number Bulkhead/ Riprap length ; !y (i — ` avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other r -� t I Shoreline Length SAV: 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 No — ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature *' Please read compliance statement on back of permit ** PermitOfficer's Signature r ` Issuing Date Expiration Date Application Fee(s) Check # 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: ❑ 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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 ERIC B. ELLIS JASA M. ELLIS 205 NOTTINGHAM LN. 252-726-6775 MOREHEAD CITY, NC 28557 A 0Z� Pa to th Date Order of e �/ Ic- First Citizens Bank firstcitiz C oq (, For t� � I 11:0 5 3 100 3001:00 13 L 7 4 48 78011' 04 289 4289 6630/531 133 Dollars .., ' M t H a:01 -11- Im Pact �Omm pu r s <l.C't ^ Applicant:, C) Gwff 4--� fjp � Date: - 10 � ?) K) Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill t4oth ❑ Other ❑ �/ ( / Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 1I-63:84 R COAST ., :,v a f{ �cr �� r�trr,� _� ��, +:y��ra�t } ��i �t: 102'031 t 0 RECEIVED Eric Ellis Marine Construction OCT 1 �� DOCKS • SEAWALLS • BOAT LIFTS loreh DECKS & REPAIRS Phone & Fax: 252.726.6775 Cell: 252.342.6775 205 Nottingham Lane Morehead City, NC 28557 _ J ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVED (FOR A PIER/MOORINGPILINGSIBOATLIFTBOATHOUSE) f� AI hereby certify that I own property adjacent to _.T.r� �� t Cl e (Name of Property Owner) MorehGod City DCM property located at 03 (Lot, Block, Road, etc.) on 4::�, /1 ° // , in � /�N Ti c ecli c z , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: �s % , "rk`141-qrAe- 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 for Permit) Mailing Ad ess City/State/Zip Telephone Number Signature Date -------------------------------------------------------- (Riparian Property Owner Information) Signature Print or Type Name Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVER (FOR A PIER/MOORINGPILINGS/BOATLIFTIBOATHOUSE) a)rT I 1 M1n I hereby certify that I own property adjacent to Je �/ ✓y��—,'c s_ (Name of Property Owner) �vlorehet�e3 City DCM property located. at o2 3 C�o-� v 5 G ✓;") a 17>r7 b—,kc-f (Lot, Block, Road, etc.) on �� ,� CAI , in 1 , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: 4,, ,., y 4 c-- z 7� AJ C 7-C / 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.) ►� 4.. 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) -re 4 ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address City/State/Zip Telephone Number Signature Date ly )) Signature Print or Type Name Telephone Number Date