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Home My WebLink About55020_BOND, NEAL_20091104❑CAMA / ❑ DREDGE & FILL GENERAL, PERMIT (�/ Previouspermit# ❑New ❑Modification El Complete Reissue ❑Partial Reissue v Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resourcesfr�� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC '- Applicant Name �� a �: F,1 Rules attached. Project Location: County ,'N �; Address _ i `` f� �� } ` Street Address/ State Road/ Lot #(s) City 5 State ZIP Phone # Fax # Subdivision Authorized Agent `` ; ° f' ! _ City ZIP Affected ❑ CW ElEW ❑ PTA ❑ ES ❑_ PTS Phone # ( ) River Basin C AEC(s): ❑ OEA ❑' HHF ❑ IH UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body 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 ' '-� Y. �' Beach Bulldozing Other cJ Shoreline Length �} SAV: not sure yes jno Sandbags: not sure yes 1 no Moratorium: n/a yes no Photos: yes ` no III' Waiver Attached: yes �no) A building permit may be required by: Notes/ Special Conditions Agent or Applicant Signature ** Please read compliance statement on back of permit Application Fee(s) Check # n- (Scale: ) 11-1 . "Y� See note on back regarding River Basin rules. Permit�fficer's Signature Issaing at r� Expiration Date Local fPlanningjurisdiction / Rover File Name 10 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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 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) 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 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 RCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date 11 0 8 Applicant Name Mailing Address -5 NC, I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) �� o �� L at (location) 3 C�o 17v l/ v\ S C f, U. N l This certification is valid thru (date) Signature "-),-- � 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper Page 1 of 1 CITY JISAN FRANSISCO STATE I CA ZIP 94133 PARRECNUM 3559 NAME BOND, CORNELIUS G. MAPNO K071-7 CONTROLNUM PIN D02 CLSCODE DISTTOWN INSERT K071 DBLCIR BLOCK 7 PARCELNO SITEADDR 3620 BROWNS CREEK RD SITUSADDR 3620 SITUSROAD BROWNS CREEK RD IFEXEMPT LEGDESC1 OFF 1326 & 1325 LEGDESC2 I BROAD CREEK TOTACRES 1.31 CRNTTOTUSE 0 CRNTTOTDEF 0 CRNTLANDVA 128275 CRNTBLDGVA 11220078 CRNTOBLDGV 41354 TOTCRNTVAL 389707 JIFIRECODE F II HOUSECODE lip JISEWERCODE SALEAMNT 0 SALEDATE 12/29/2004 $ALEDATE2 74,511 SALECODE M ROADNUM 11 1326 -IIPCTCOMP 100 WILLBOOK 0 WILLPAGE 0 DB PG 437/546 DEEDBOOK 437 DEEDPAGE 546 PLAT Jul-97 II MOBHOME 110 http://www2.undersys.com/scripts/testadv/usiwebpc.dll/usi?formis=ptmap&MouseX=O&... 10/23/2008 11/17/2008 09:51 FAX 9738754286 Gene Osias 4000110001 CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT R1pARIAN PROPERTY OWNER NOTIFIICATIONIWAIVER FORM Name of Individual applying for Permit: ! v e°�., 9 0v\ o Address of Property- 3 610 1b'r0'JhS Cr. R�- \nAaAoy'- r" 0_0t or Stream s, Street or Road, City & CountY) I hereby cw* that I own property adacent to the above referenced property_ The individual applying for#n pemut has described to me as shown on the atlached drawing the development y a n9_ A descxiptian or drawing, wiTh dimensions, should be provided with this letter_ _ i lianre no objeiorts to this proposal-`0✓9 o c,� if you have ob-ecOons to what is being proposed, please write the Division of Coastal Nenagwpent, 4W Conmwrce Avenue� Mmet ead City, NC, 26W7 or caA(2 M SWAMW within 10 days of rec*t of this notice- No response is considered the same as no objection if you have been notified by Certified Mlan7 WAIVER SECTION I understand that a pier, dodo, mooring pilings, breakwater, bWdxx se, boatliift or sandbags must be set back a ff**mm distance of 16 from my arm of riparian access unless waived by me. Of you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. l do not wish to waive the 15' setback requirement. (Applicant lnformabm) Mailing Address Pc7 Pax citylsbielzo Cy r: c �,A,A . W. 1571 Telephone Number Dwe iS/to,og (Riparian nformation) X sigrtai�re Print or Type Name Telephone/hhunber 712Dd Dae i -' ,ER: COMPLETE THIS SECTION ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ? ■ Print your name and address on the reverse so that we can return the card to you. r ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: wr^vA'kV\0 107 54f6,J\ e v/ lk V'A. 13?3? A. X B. Received by (Printed Name) C. Date of,Delivery D. Is delivery address different from item 1? ❑,Yes If YES, enter delivery address below: /W No 3. S ice Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise r ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7006 0100 0004 9789 4818 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt " ' ' ' 102595-02-M-1540 I' UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid LISPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • 0 � x �90 lax PO BOX 190 ORIENTAL NC 28571 1 019 r Pay to the vc 66-30/531 Order of 472 � � Date First Citizens ccIN Bank tc,ens.com For9',erw��} ':0 5 3 100 3001:00 4 7 1202 Back. 1 2 5 4 II' 0 10 19