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: