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Home My WebLink About38850_LAVALLEE, STEVE_20040629^/ CAMA / DREDGE & FILL GENERAL PERMIT jjj Previous permit # r-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 F-1 Rules attached. Applicant Name ..��c a- f Project Location: County 0 Address c' y�oStreet Address/ State Road/ Lot #(s) City_ State _ ZIP Phone # ( ) `' ��`�' "Fax # O Subdivision Authorized Agent dr °'�� '` J'' `"�'e �' City- ✓✓ ZIP ❑ CW �:j EW O PTA ❑ ES ❑ PTS Phone # Affected O "` River Basin tic" ❑OEA ❑HHF ❑IH ❑UBA El N/A '2,f (; — AEC(s): Adj. Wtr. Body % (riat�,/man /unkn) ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body '. Type of Project/ Activity ) (Scale: Pier (d Platfor __ -Amr Finger )ier(s) M Groin Imgth Amber Bulkhe aTg distance offshore max distance offshore Basin, cr Boat ramp Boatho INEINE BeachI kulldozing OtherNOW" Shoreli,ie Length SAV: not sure yes no Sandbal,s: not sure yes Morat Photos Waiver : A building permit may be required by: Notes/ Special Conditions ON MANOMENEEMENOWEENIMPIMINME NEENNEENERMIN"NOTIMINFI-IME 0 MENNIONENE MEN MEN MEET" ONEMONE MONOMEN No NEE MEMMEME "EMEMENIN ENEENNE 0 ONE EMPINERMINEE ONE Mai X&JOEMIENE I WHOSE ON IAL C Em N NOMEN ANN ONNER IMP-11111ONE NOME N NEENOMI NOME See note on back regarding River Basin rules. N 41( Agent or Applicant Printed Name ,/ Signature "Please read compliance statement on back of permit" Permit Officer0iSignature Issuing Date Expiration Date Rover File Name Application Fee(s) Check # Local PlanningJurisdiction 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: 1�euse 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.nccoastalmanagement.net Revised 10/05/01 far I s. E1'�"'��--- m fv enh ced docum 2571 PRESC.OT[ BROTHERS INC 66-301531 141 TARATRI.. •' _ '�Q 472 GRANTSBOW., NC 28529 DATE TO THE ORDER OF RSI CITIZENS,.. � Firat-Ci mm Bank&Trust Company ".%piontal, N.C. 28571 Nrvyw.firstcitizens.com S �E FOR... „> 1�];257 Lii' i:053 L00300l:0047 1 10 254 2 u U' DOLLARS 8°°' Fl i ADJACENT RIPARIAN PROPERTY OWPMR STATEMENT I hereby certif}' that I own property adjacent to ��r)� ZAot- L�� s (\'ame of Property- Owner) propert}' located at L -�_- l 2 C-!U'�v v' . , (Lot, Block, Road, etc.) on (ti�aterbody) (Town a /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. DESCRIPTION ANMIOR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) 7 �' Ap po-t 4-111 Lin'. �46b,444 C-t d 6 (�/� -29- 5 Wki1z(-�n Print o� Type 1dame <GL - c�l2- Telephone Number Date: