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Home My WebLink About36679_SYLVESTER, NAT_20040426F-JCAMA DREDGE & FILL � �,60 GENERAL PERMIT Previous permit # .-JNew LIModification ElComplete Reissue ElPartial 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 P'Rules attached. Applicant Name A/ Project Location: County Address 115,; ✓ 111V,'J-7;r Street Address/ State Road/ Lot #(s) City State C ZIP Phone # 3- VS";- Fax # Subdivision Authorized Agent I City ZIP s- S I/ Affected --1 CW DEW PirPTA Ll ES El PTS Phone # River Basin AEC(s): E 0EA D HHF D 1H [I UBA D NIA Adj. Wtr. Body r (nat /man /unkn) 0 PWS: El FC: -7— ORW: yes / no PNA yes / no Crit. Hab. yes no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length Platform(s)_ Finger pier(s)_ Groin length number Bulkhead/ Riprap length_ avg distance offshore J- max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other NN Shoreline Length A SAV. - not sure yes no Sandbags: not sure no '—T yes Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: El See note on back regarding River Basin rules. Notes/ Special Conditions 1-2 Agent orApplicant Printed-Na e -Peumit Officer's Signature Signature Please read compliance statement on back of permit Issuing Date Application Fee(s) Check # Local Planningjurisdiction Expiration Date Rover File Name '71 ` i I 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: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST 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 NAT SYLVESTER ,a a n,¢ NCDL 1919029 PH 393-2552 10< 523 NEPTUNE DR Ire CkO CAPE CARTERET PAINS ORO 2 84 Pay to the �?�'� Orde 2564 Date 2 66-30/531 /A 342 Dollars 15wuhZ-7 PIRST CITIZENS 342 }I � BANK B First Citizens Bank 6 Trust Company G il' '� I� Cape Cartarot. N.C. 28584 For A-PL-3 www.fi rstcitizens.com f:0 5 3 l00 300i:00 34 1 760 L 2 39u' 02564 OC ark q can 1.s.cdrrv_S'n"ulmm[mr��.y��1a®Ts-_��Pui--r .. hp Wi GUAROIANg SAFETY BLUE WBL a ADJACENT RIPARIAN PROPERTY O`VNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to (Name of Property Owner) property located at (Lot, Block, Road, etc.) on (Waterbody) , in (Town and/or County) I N.C. He has described to me, as shown below, the development lie 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 r14 wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development)I t 2004 e -—--lures' — J l / 1 ----------------- Signature Print or Type Name .-Z62—31�-13 i7 Telephone Number i Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATFIOUSE) I hereby certify that I own property adjacent to , �jwyyie Si i�esT�'z- 's (Name of Property Owner) property located at �� (Lot, lock, Road, etc.) on �✓ �1L1� , in LAO cbf�—Ztte , 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. 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 ISM wish to waive that setback requirement. Ar'r� 1 << 2004 ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIMENT: (To be filled in by individual proposing development) A- 0 ------------------- ------ --------------------- Signature Print or Type Name C� rc-- 33 - 4 73 z- Telephone Number Date: -3Z 2 916