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Home My WebLink About36688_LIPPETT, DEVEAUX_20031112ILIA -�CAMA / ❑ DREDGE & FILLJ. a� $C_ GENERAL PERMIT � Previous permit # ]New ❑Modification —]Complete Reissue ❑Partial Reissue Date previous permit issued i I 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 O Rules attached. Applicant Name Address City State ZIP Phone # O ; -.`�'� Fax # O Authorized Agent �� _F l /)?/►;, nrc?►•.?1'Ctl Affected L CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): =L OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A L PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / nc Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin. channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAM 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 Agent or Applicant Printed Name -•- Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man lunkn) Closest Maj. Wtr. Body. (Scale: ) ❑ See note on back regarding River Basin rules. Permit Ojf'f�`cer's Sig)'`naature j Issuing Date Expiration Date r 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 (252-946-648 [)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 / 1-888-4RCOAST 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.nccoastalmanagement.net Revised 10/05/01 s,, 1,.1ry ,nhn „•d I",,, ,,,,"I COASTAL MARINE CONTRACTORS IN PH. 252-638-6407 PO BOX 12729 NEW BERN, NC 28561-2729 PAY TO THE ORDER OF BB&T BRANCH BANKING AND TRUST COMPANY NEW BERN, NORTH CAROLINA FOR J;G9u-F, Ci f'C C'-r..ti. rt�G C ' 7012 7 GG-112/S31 J Gi - j 5 01901 �y DATE / Iq G L � DOLLARS NP 11100701211' 1:05310LL20:5LL0LL2698ii' Nov 12 03 08:35a Bob & Missy Baskervill 252-249-3537 p.2 0 ADJACENT RIPARIAN PROPERTY 0 IVNMZ STATEAZCNT (FOR A PLER/hfOORING PILINGSIBOA7-LIITIBOA7-1.10(JSE) I hereby certify that I own properly adjacent t 2• d i , �(�e.r s . J T (I r e of Prc{p�rty Owner) Property located at I Uok, W t [5e AJ 4,6; .V -r q ' (Lot, Block, Road, etc.) ' on %%�.A) rl U , in f tip Ala I lio o; (Waterbody) (TN.C. own and/or Co aty) - 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/boatliftlboathouse must beset 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 AINT/OR DRAWDiG OF PROPOSED DENTELOP,tiir--NT: (To be,illed in by individual proposing development) Signature Print or Type Name g �- � C,,i !� Telephone Number M . Nov 12 03 08:35a Bob a Missy Baskervill 252-249-3537 p.3 ADJACENT 12II'N PROPERTY OWNER STATEACENT (FOR A PIERAVOORING pIL7NGSIBOAyLI1.71BOAT110USE) I hereby certify that I own property adjacent t Z L �s (Larne of Pr fy Owner) property located at1!- _ r (Lot, Block, Road, etc.) on NI �, t!' , in �/>Jovc�s 1l ,.N.C. (Waterbody) (Town and/or Co nty) 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. t/ I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AIN-D/OR DRAWDG OF PROPOSED DEVELOPIN ENT: (To be filled in by individual proposing development) i C J1b+lIdIUIC �LDPC'7 igx Print or Type Name Telephone Number