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HomeMy WebLinkAbout32839_LEWIS, PHIL_20020913CAMA / F-1 DREDGE & FILL 3 3 9 - GEN_gRAL PERMIT Previous permit # LINew Modification ElComplete Reissue F-]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 EJ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) L City State,' ZIP Phone # Fax # Subdivision Authorized Agent r City ZIP Affected EW Vr)PTA ES ❑ PTS Phone# River Basin S Cw El P AEC(s): 0 OEA EJ HHF El 1H E-1 USA El NIA Adj. Wtr. Body (nat /manjunkn) El PWS: L1 FQ ORW: yes / no lPNA yes / no Crit. Hab. yes no Closest Maj. Wtr. Body IN 0 �;Iffirmmlm Elm mni W I - NOLA 4 so 0 ■■■�■■■■■■■'jam■ N■ ��■■■■■■■ NEENEEMPArie".- Beach Bulldozing IZWVIWaw�► Other -4e-- Shoreline Length (OL, - - 11 SAM not sure yes (no —7— Sandbags: not sure yes no I Moratorium: n/a yes no Photos: yes no -- — Waiver Attached: 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 # D See note on back regarding River Basin rules. Permit Offs 's Sign;iture Issuing'O Expiration Date Local Planningjurisdiction ko)4-rFilgName 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 / I-888-4RCOAST 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 It 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 ERIC 6. ELLIS NCDL 65047 JASA M. ELLIS PH (252) 726-6775 205 NOTTINGHAM DR. MOREHEAD CITY, NC 28557 66-30/531 / Loa- 133 Date Pay to the /�/ $ �� ► o Order of �----�/-� RST CITI7CNS 51 C—P-V !" BANK A lantic beach. M C 205112 �— Fo�NIL LCI.(r s �y �3z�3 i — NP • 3 17 448 78011' 0221313 1:0 5 3 L00 300l.00 L GUARDIANDSAFE�BLUE ESBL i SEP-10- O02 117: q BENNETT/MCCONKEY 252 726 ?975 P.01 ADJACENT RjpARIAN PROWMM STA r I hcreby certifj.'t?rat I own pzaprercy adjacent to �� Q��Et�+rcS s �aa�e of �opertl' 4DWOW) mot, Elo k, Road, etc.) '- on� N_C. (Waterbod�r) (Town *nA or cmuty) He has desc ibed to me, as sbown be)ow, the location, and. I have no obiecaions to his nrnnewcoi r� w DFSCRUMON ANDIOR D%tAWING OF pROP05EU DEiYEfAI'ME.M': (7'o be fa[ied in Bp ie &Pidawl pwaypAws d*v*Aopa mz) // � �� �,�Q GIB � 1 / L� ( ✓ . ArWl IC06 I o i --- ---r--- Slgrla<sife Print or Type dame—� Telephone Number, 00, Daze: of TOTAL P.01 11t1► Srar, d0'R�R, PU gl.1C fill It lit; all i�l IA " 0646-OD" s see,ae' b 260.00' �+ I S �'45'DO"�► 40.00, 7D too x� & ti NDRIE RBFMNC6 D9 221 PC 84 c ADJACENT RIPARIAN PROPERTY OWNER STATENOENT (ARM I hereby certify 'that I own property adjacent to �w+�-s �s (Name of Property Owner) property located at Block, Road, etc.) on Y' o Al o� , in _ � c'�i_`� T` , 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 ft w' --c- ---------------------------------K---------__------------------------- DESCRIPTION AND/OR AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be JWed in by individual proposing development) v� fits Signature Print or Type Name Telephone Number Date: 7O PkM-20-2002 09:21 BENNETTZMCCONKEY 252 726 7975 P.01 ADJACENT RIEPARIA,N PROFF.RTY OVVNER STA (POR A PIERIUNCOVERED BOAT pLF �I/ l T hereby certify that I own property adjacent to rill L ! CUlGS �s / 's (Name of Property Owner) property Iocated at l_� 0_9' 54 ID W� lock, Road, etc-) _/ on SfX UPS �y �b in �&OM0_ 0 al N.C. (Waterbody) (Town and/or Cou ty) He has described m me, as shown below, the development he is proposing at that location, and. I have no objections to his proposal. 1 understand that a pier/uncovered boat Lift must. be set back a minimum distance of fifteen fecc (15') from my area of riparian acxP- unless waived by me- 1 do not wish to waive the setback retluirement- i do wish to waive that setback requirement- -------------------------- ------- -.--------------- -_ DESCRIPTION AND/OR )DRAIN-INC- OF PROPOSED DEVEI.OPNIMN r: !Ta be filled in by individrtal proposing development) --------------------------------------------------- - -------- -- - ---------------- Si narure Print or Type Name vri - ;ryG -A Z SL Telephone Number Date_ ffYGt� TOTHL P-01 Aug-21-02 09:07A P-02 ADJACENT REPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIVNCOVERED BOAT LI [ hereby certify -that I own property acjacent to . ?�'T &Name of Property Owuerl property located at on (i+Vaterbody) a0 (Lot, Block, Road, etc, (Town and/or County N. C- He has described to me, as shown below, the development he is proposing at that loca6m, and, I have no objections to his proposal. I understand that a pierjuncovered boat lift must be set back a minimum distance of fifteen fat (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. V"' 192 wish to waive that setback requirement. D1f:SCRIPTIOW �NDtOR DRAWING OF PROPOSED DEVELOPMENT. (To be JWed in by usdiyidual proposing deyelapmenl) - ----- -- —----------- ----------- — ----- ----------- ------------------- e:�' ` - Stgnatures/y;��a-�f pant or Type Name Telephone N bet Date: Y Zoofj� D111a SLLa 9ZL Z9Z YY.4 RZ:DT 7nn7/tTien MONITORING & COMPLETION REPORT [LAMA Major Development & State Dredge & Fill Permits] PERMITTEE'S NAME: PERMIT # LOCATION: PHONE:�� 0 5 DATE OF INSPECTION( D 1) J FIELD REP. DATE REPORTEDLY COMPLETE: .0 EX+� 1�TE . Z 2 ZZ XZO Z Do th easured dimensions of the development differ from those indicated in the permit and workplat? Y N [circle one]. COMMENT: 2) SEDIMENTATI & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? !NO [circle one] COMMENT: 3) FUTURE MO ORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES/ry [circle one]. COMMENT: