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Home My WebLink About32499_BACH, MIKE_20020826^.�. ,+esrn..w,.+..Rxdfir-0e' +u+v E�#=-- �' ;f+'-hs�pzKiOo—•��r�+�+�^nla ssE..w:.fi-+,.�.... ,,�� .Sv ,yx.�. ; 17 CAMA 1\4 DREDGE & FILL GENERAL PERMIT Previous permit#` ❑New ❑Modification El Complete Reissue ❑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 I SA NCAC r ['11 Rules attached. y Applicant Name ; Address City State ZIP Phone # ( )J;iJ Fax # ( ) Authorized Agent Affected El CW El EW i LPTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP 1 Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) 4-' Fingerpier(s)- ---—� �- i ❑ -- Groin length -- —i number ._.— � I �,., -_ ,--- I i Bulkhead/ Riprap length avg distance offshore � � - - �- _ 'r.�, max distance offshore Basin, channel 1lL kl ..fir-� �. ,_ t � \ �'/+ c ` 4- cubic yards fi - l ill Boat ramp ' Boathouse/ Boadift N, Beach Bulldozing Other Shoreline Length SAM not sure yes no i y : Sandbags: not sure yes no -f -- —i --- / Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no -- r A building permit may be required b ❑ See note on back regarding River Basin rules. r Notes/ Special Conditions ��i ; �' ( ( Z �� } I!, i Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature f Issuing Date ; Expiration Date 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, 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: ❑ 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) Revised 10/05/01 2274 NCDL 65047 133 ERIC 13. ELLIS Try JASA M ELLIS PH (252) 726 6 INGHAM DR' Date 205 NOTT 28557 ,r� ' MOREHEAD ra NG s / Q V 00 pay to the : Dollars Order of C[TIZGNS 133 4RS�' F.tst-CitizonsBankB2tCompa^Y �. ul\j)G[ antic Boach.NL. 0512 IIKK--77FF,�UI/�'a� Att I -VA or �00 � 3 1;0 5 3 L00 3001 022?t' _.`-C"""Agptpt•M SAFETY BWE ESBI�_ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIUNCOVERED BOAT LIFT) I hereby certify 'that I own property adjacent to C V,A IC 1-1 /-\E l_ B f�C�-1 's (Name of Property Owner) property located at L6T ► 1� (� .1 F T WooD t_Ar (Lot, Block, Road, etc.) on S ►pOx:5 oyE Q5 is C-US , in Ado 2c 141�AD a l i �kj Cy , 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/uncovered boat lift 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 that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -------------------------------------------------------------------------- - ---- - ----------------------- t Signature (�--h7 t/-1 �� E Print or Type Name 2jz i2('' Telephone Number Date: 2 '; 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIUNCOVERED BOAT LIFT) I hereby certify 'that I own property adjacent to A C 's (Name of Property Owner) property located at LQ-r 1 i2 I (- 1 CJ OCR D LA, ts5 kL (Lot, Block, Road, etc.) on S pCn 1 t g C C k E Ca l� in N.C. (Water ob dy) (Town and/or Count ) 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 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. _y"" I do wish to waive that setback requirement. ---------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposin development) � s� �a ------------------------------------------------------------------------------------------- ---------------------- O Signa re Print or Type Name ?�-,4tg9 Telephone Number Date: 8 - 24 _ o 1 S1 � Propos Ed 9o�k a ^tom+ �a��- �F� .hEE ,�No� All) I/ - �/ / " 4� l- v� eg /f �-