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Home My WebLink About37507_WHITFIELD, JAMES_20040211Ij 4V ❑CAMA / 1:1 DREDGE & FILL chi"I I GENERAL PERMIT Previous permit # E]New ElModification ElComplete Reissue 17]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 El Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City_ State zip 6"5-4- Phone # Fax #(—)_! 41 40 Subdivision - Authorized Agent City ZIP D Cw El EW F1 PTA Ll ES El PTS Phone# River Basin Al,,v Affected AEC(s): EI OEA El HHIF [I IH [I UBA El N/A Adj. Wtr. Body 4e CfEat;Yman /unkn Ll PWS: [I FC: ", t P, Closest Maj. Wtr. Body '- I , . ---;v 1.) -, -, P. " ORW: yes / no PNA yes / no Crit. Hab. yes no Type of Project/ Activity r. a,r- 14 (Scale: AIIII Pier (dock) length Platform(s) Finger pier(s) Groin length number I t-, k. Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel A— 4- -4 ? ...... .. ... cubic yards Boat ramp Boathouse/ Boatlift L 0 Beach Bulldozing Other ErShoreline Length SAM not sure yes no Sandbags: not sure yes no 116 yes a / Moratorium: n Photos: yes no Waiver Attached: no A building permit may be required by: Notes/ Special Conditions 4— Ll E-1 on back regarding River Basin rules. See note Agent or Applicant Printed Name Signature Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date Local PlanningJuriscliction 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 consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: P] 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 / 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.nccoastaimanagement.net Revised 10/05/01 �- UNITEDSTATESPOSTAL MONEY ORDER 15-800 POSTAL SER VIC/CE® 000 SERIAL NUMBER YEAR, MONTH, DAY POST OFFICE U.F. DOLLARS AND CENTS w w 06440707214 2'004-02-05 285700 4 No AMOUNT. FINE HUNDRED DOLLARS t& 00$ PAY TO .- NEGOTIABLUONLY IN'THE .U.S. AND POSSESSIONS 'SEE REVERSE WARNING ADDRESS FROM 4, CLERK ADDRESS C.O.D. NO. OR USED FOR �MES �t-t,r EsPG 7507 ��ca.*-��l• ,%�..�i i v^w...M......._-- i:00000800 21: 06440 70 7 2 0,11' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/UNCOVERED BOAT LIFT) 711�---/ 7 �'o I hereby certify that I own property adjacent to 1 11 t 's �ame of Property wner) property located aty C�_.t.�,%, /�� (Lot, Blo , Road, etc.) on a.1k in , NC. (Wat ody) (Town and/or County) I1�� 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/uncovered boat lift must be set back at a minimum of fifteen (15') from my area of riparian access unless waived by me. I 11 do -no t wish to waive the setback requirement. L/ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWIN ; OF PROPOSED -DEVELOPMENT: (To be filled in by indi� idUal proposing development) D I iWr Signature Print or Type Nam I Telephone Number Date m jr N fe w X� � Bh� t Av- R ° q Al d 6;,S ��/d AUJACENT IIP.AsRIAN PROPERTY OWNER STATEMENT� ,� ? (FOR A PIERIMOORING PILINGSIBOATLIFTIBO�#TN ) i i_nwry/1 1�i/{s I hereby certify that I own property adjacent to( me of Property caner) located at property (Lot, Block, Road, etc.) I N.C. in on (�Vate�y) ('Town and/or County) shown belo'*V, the development he is proposing at that l He has described to me, as ation oc , I understand that a pier/mooring and I have no objections to his proposal. pilings/boatliftlboathouse must be set back a min:murn distance of fifteen feet {I5') from my area of riparian access unless waived by me. I wish to waive the setback requirement. I dD wish to waive that setback requirement. ------.----- - --- ------------- ----------------------- ------------------------------ DLSCRIPTION AND/OR i)R.AVViNG OF PROPOSED DEVEIAPI•iENT: (To be fi11 it in i�rdi►N�?1 proposing development) r-7 Print or Type Name Telephone Number Date: a _ ULY- __.--