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Home My WebLink About38855_LEB, NICHOLAS_20040603i�'� f' �tY 6P -CAMA / DREDGE & FILL I/ RAL PERMIT GENERAL Previous permit# C New ]Modification Complete Reissue—i—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 Aj,,r L _ jp ; i Project Location: County Address 77'o 1c, !� L` _ Street Address/ State Road/ Lot #(s) City ---State a<< ZIP c ' Phone # ( )C/ J 7 p z (,) Fax # (_ ) `>'�t / "j; '/ % Subdivision ti io r : f v I bN J 6'S Authorized Agent Opt JFP City r-r 2 L � � — ZIP CW ❑ EW 20 PTA ❑ ES J PTS Affected Phone # O River Basin ' - OEA ❑ HHF ❑ IH UBA ❑ N/A AEC(s): Adj. Wtr. Body / FF 'r Cnat /man /unkn) II PWS: ❑ FC: Closest Maj. Wtr. r Body ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity * , ` C <" rrl • ! f,41 ,jp o &-c) L r _. � 4 t : it (Scale: VJ f ) Pier (dock) length i• Platf Finge Groin Bulkl Basir Boat Boat Beac Othc Shor SAV: Sand Mora Phot Waiv o rm(s) Ci f _ -�- — — -• r pier(s) length —' � I I number lead/ Riprap length avg distance offshore max distance offshore ,channel cubicyards _.._ ramp louse/ BoatliR r c v<, rc� i Bulldozing - r t ,t. t� eline Length notsure yes no - c bags: not sure yes no —---'..— _....— I torium: n/a yes no os: yes no f �l er Attached: yes no A building permit may be required by: r. ,' /, Notes/ Special Conditions I; v < r 0 V /v, v E r• r✓ r.. r ' Agent or Applicant Printed Name Signature *- Please read compliance statement on back of permit ** Application Fee(s) Check ❑ See note on back regarding River Basin rules. I Permit Officer's Signature ri-�cy q�-cy Issuing Date Expiration Date Local Planning)urisdiction Rover File Name A building permit may be required by: r. ,' /, Notes/ Special Conditions I; v < r 0 V /v, v E r• r✓ r.. r ' Agent or Applicant Printed Name Signature *- Please read compliance statement on back of permit ** Application Fee(s) Check ❑ See note on back regarding River Basin rules. I Permit Officer's Signature ri-�cy q�-cy Issuing Date Expiration Date 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, 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / I-888-4RCOAST 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) Morehead City District 151-13 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 :.:w,.;•,•HT.:.iN.+:..�;a::.le,__Ai::.=;::�dt'rt AOG .��i.•••J:e_��.r...YS iTm'i -.. ..vo.�lEw1.-. ..a.SAtYib�N4.b[.aF: 3104 MCHOLAS J. LEB SUSAN E. LEB 66-I9/530 NC r 205 PARK YORK LN. DATE L`""Z �3. Z'1111 i 4690 APEX, NC 27502 N Lo s le o AY TO THE --- --- aoo ORDER OF 4?y ��+-�- '�^-eC�•.� - -- - DOLLARS ®U BankofAmerica�i Premier Banking N ACH PUT053000196 w i- q cc aQ,XK '-"ram,-+ I:053000 L96I: 00065 L L668 29ii' 3 L 4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby Certify that I own property adjacent to N l 1. c-b 's (Name of Property Owner) property located at Lo i q a,As c (Lot, Block, C,-ee- V (Waterbody) 6o�e S d, etc..) (Town and/or C unty) Lc -in d .C. He has described to me, as shown below, the development he is proposing at that location, and, I have no objections tom 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 the setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (TO BE FILLED IN BYINDIVID UAL PROPOSING DEVELOPMENT) Fg. MAY 2 7 2004 Morehead City DCM ------------------------------------------------------- ,41, Signature s �-c C '41?- d e�� Print or Type Name '1_2V/6)6 V% Telephone Nupber Date: ZU Gov 7— Kidtech, Inc. (919) 387-5066 p.3 q t '!t - IX M a y n.ri ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PIUNGS160.4TUPTeBOATHOusF.� I hereby Certify that I own property adjacent to M cli old (Name of Property Owrier) property located at L a I S S4 nJ:2 n L a (Lot Black, Road, etc..) 0- (U-c- t.c-- (Waterbody) L.Rr �c rki- Cave N.C. (Town and/or ounty) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections tom his proposal. I understand that a pierimooring pilinp/boatlWboathouse must be set back a minimum distance of fitleen &0 (1 S) from my area of riparian access unless waived by me. 1 do net wish to waive the setback requiMMCnt I dowish to waive the setback requirement, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (TO BE FILLED IN BYINDMD UAL PROPOS11VG DEVELOPMENT) MAC ?nn4 r More �eaity ------------------------------------- Witt " al It Y- Print or Type Name 3 � Telephooa Number Date: Ze-d 9LQL 8ZL ZsZ 1 D7'1 'SI-4-n Wd iy:Zi i'00Z-ae-Aldw