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Home My WebLink About36621_FULCHER, LLOYD_200310300 J CAMA / 17! DREDGE & FILL GENERAL PERMIT ' New (-'Modification -:]Complete Reissue IJPartial Reissue 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 Address City State ZIP '`'>`� Phone # ( ) )6":- -ij Fax # ( ) Authorized Agent --�� i `{ `CW T EW '❑ PTA Affected AEC(s): 1-1 OEA ❑ HHF ❑ IH ❑ PWS ❑ FC: ORW: yes / no PNA yes. / no ❑ ES ❑ PTS UBA ❑ N/A Crit. Hab. yes / no Previous permit # Date previous permit issued 0 Rules attached. Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # (_ ) River Basin Adj. Wtr. Body: (mt /tnan /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length t N I --'�Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length (t%1 avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other �. ! 'L' `, t/t "IL-V tic. 1 .J Shoreline Le h SAM not sure yes Sandbags: not sure yes no ' Moratorium: n/a yes n Photos: yes tno --.-�._--•..__ �-'" _ -- _` --- --- ,,,_t. Waiver Attached: yes — A building permit may be required by: % � I '. _ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing DAB FxpiritionDate Local PTanningjurisdiction 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888-4RCOAST Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 aoyd-R 3uleher rNeme 1719013 66-30/531 ,11ary,IU 9uleher NCDC37134O3 453 8842 Ph 252 225-1421 876-HWy70 mast Rae,#, M28581 PAY TO THE jJ ORDER OF /� DOLLARS olook for: Micro Print signature line, gray type and linework. First Citizens Bank logo on back. If not present. do not cash. FIRST CITIZENS 453 013AW11ro-Cift.n. Bank& TrustCompany Southport, N.0 28461 tw_ww�.fl�sldlIzens.com ,(f FOR 1:0533100300i:004536 L4707011fl OBB4 2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to tJ 6 4-- s (Name of Property Owner) property located at PaP-c V70O1Z)5O(o%a000 (Lot, Block, Road, etc.) coV 70 L-- on 13)e I f , in C c2 k t C P` T Co c t N.C. (Waterbody)i— (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. --------------------------------------------------------------------------------®C T b -2Q03---------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) khw p ;;t o h #11)/ 7 d ---------------------------------------------------------------------------------------------------------- E gnature ////</ R I eo 6A. Print or Type Name Telephone Number Date: l 0 , — 6) 3 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L %o ld H, ru t C/zex7 (Name of Property Owner) property located at p011X C e �� 7y7Do i�Z ,ro 7a ono l 7d /5 , (Lot, Block, Road, etc.) I on M/ l 1312 'i , in C. 9 / i e/�'c % Ce & w f y N.C. (Waterbody) (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. OCT 2 8 2003 ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) [::: I O/N!5/r 4f4! i 4-k1eIld O/ 7-c1, /!Ki Y 70 Fs Sign ture Pri t r`T'ype Name Telephone Number Date: s o cis N x o L" COO? Z T A OM .It 10 77 7_ _A/V/ �1 �E�t /sf') ql L,4 �rl n.c LaKa( n a 5e ro J u y 11 r -d +zia MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: (� (_ �(A C LOCATION: PERMIT # FIELD REP. rl PHONE: � �� _ DATE REPORTEDLY COMPLETE: c�- L� DATE OF INSPECTION -�*4� 1) Do th easured dimensions of the development differ from those indicated in the permit and workplat? Y [circle one]. COMMENT: 2) SEDIMENTAT OCONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbedarea �EROSIN [circle one] COMMENT: 3) FUTURE M TORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? Y /N [circle one]. COMMENT: