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Home My WebLink About38050_KELLEY, RANDY_20040428InCAMA / i-:1 DREDGE & FILL GENERAL PERMIT !` Previous permit # --'New !Modification [_]Complete Reissue �::Rartial 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 j'r, .I Ve fP%# Address 1t, rl. Vf ►^� r• /r > t , . ti City_ ir' "fJ r State ZIP J rd S-Z 1 Ti Phone # ( 7 ` ) r? I - 7 ? I Fax # ( ) Authorized Agent a Affected `CW ❑ EW p PTA ❑ ES ❑ PTS AEC(s): 17 OEA ElHHF ❑ IH ElUBA El NIA PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) i Finger pier(s) Groin length number Bulkhead/ Riprap length E avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp . Boathouse/ Boatlift ` Beach Bulldozing Other_ M l - E ��• i, l f Shoreline Length SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: es no -- Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City_ iZIP ; <' V7 Phone # (— ) River Basin oI✓ Adj. Wtr. Body f 7(nat /man /unkn) Closest Maj. Wtr. Body �'°I �' $'' °"e� (Scale: T r�%�MIN � MA �� MON��N�NOnN�� n� AIM��m�mN�somows � C OEM Ell ■� ON WEI F MEN a momm�mmom 2J IN== MUMMIN AWNfi�3iso 1010116 ��JOG�i vMENOMONEE��MOMM .+........�..�..�.��....�.�...�MGMEMMENIMEMM wo� M� ��/ ii�Iitli �l �� IN NNE moo�mvMEMOM� IN MEM�MEMEEM mmom0 MMMOMONEEMEMEM MMMEEE MEMO��EMEE MIN�EMO MMMMMMEME INIMEN�v��NNE A building permit may be required by: ~ J. 6FCi ' ❑ See note on back regarding River Basin rules. Notes/ Special Conditions If F; *A Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature Issuing Date 7 7f• L i Expiration Date Application Fee(s) Check # Local Planning] urisdiction 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, certifythatthis 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 (910-395-3900) 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: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 Fax: 252-264-3723 (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.nccoastaimanagement.net Revised 10/05/01 VJ s d Tyl kuyry �� BLUE WATER MARINE CONSTRUCTION, INC. 2616 P.O. BOX 93 MOREHEAD CITY, NC 28557 PAY DATE. 9 66- 112 153 1 TO THE 02301 ORDER OF 9) $ 0. A/ BIR&T DOLLARS BRANCH BANKING AND TRUST COMPANY MOREHEAQ-Q ORTH CAROLINA -c FOR —91 9— 4AT V cq L"Q evao; 6i't 11100 2C3 :C) S 310 112 111: S 2 11,gar. S9 2ol NP /�left/� Cw��e f l4 Sit � (S' T� of Ic It E,d d, b f d 4kc f /AL- S 1A gg� v (Ad d-gv 11 ec/,,'f wl wr i (J r %- L FfltNl) ,+reef' /?.)AT CV Act Ll (fay �� F,C-IL Lied t S I �18 �I° b6 J r 5 f ql 12 8 Zp��6 � 3zo Z q 7- y � 7,o+,r,k 3oq r 8 -� l(p ! r 13s jfi�v/ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT { FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE} I hereby certify that I own property adjacent to 6o t'hAI ^ 611 's /> / {Name) of Property O ner) property located at 12 Z �' r o f� G e e /[' on d c' 4 oe— J O LL Od f in 4k- 44?d (7a44-1e1 e-d nA , NC. He has described to me, as shown below, the development he is proposing at that location, And, 1 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. I do not wish to waive the setback requirement. +� I do wish to waive that setback requirement. DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT: { To be filled in by individual proposing development } /�✓v'(i jA' r.�k �G�lcoa e�Xc�ttvfL'14r ffa5e— dv' Signat e ///,yrZY C . wAaSwo13 i H Print or Type Name l--2S)--),Z(,-65/91 Telephone Number .Z-13-04 Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT { FOR A PIER/MOORING PILINGS/BOATLIFTBOATHOUSE} I hereby certify that I own property adjacent to Ud fd dhl ^ 611m is j {Name of Property O er} . property located at/ 2 z iJ Ie- l-/� y ee on v 4 J e ) c� a NC� , in *A(- vP.qd16Z44W60(eA�,-C.N 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. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND / OR DRAWING OF PROPOSED DEVELOPMENT: { To be filled in by individual proposing development } ,*,Shxj d`ck- ov er r/A f GJSLJor41, 'J'C a /v e— fu��s � SLt P Cx"4 ti'U 9011ac(L Oro Si nature T0hN iAlioCk Print or Type Name ql q - i 30 -5318 Telephone Number �-13-oy Date