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HomeMy WebLinkAbout46017_PERRITT, SUSAN_200606300 Y-" ' LAMA / ❑ DREDGE & FILL 14Z 11ST) g 7 `GENERAL PERMIT Previous pe rmit # r c ❑New ❑Modification [-]Complete Reissue ❑Partial Reissue Date previous permit issue 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 ❑ Rules a c d. Applicant Name Project Location: County Address City Phone # ( ) Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no Type of Project/ Activity Pier (dock) length Platform(s) Bulkl Basir Boat Boat Beac Othe Shor SAM Sand Mors Phot Waiv Street Address/ State Road/ Lot #(s) Subdivision City ZIP_ ❑ ES ❑ PTS Phone # ( ) River Basin ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn� Crit. Hab. yes / no Closest Maj. Wtr. Body (Scale: ) 1 x I + i r pier(s) )ength umber lead/ Riprap length avg distance offshore max distance offshore ,channel I 1/ cubic yards ramp louse/ Boatlift — i Bulldozing r l L _— �-- dine Length not sure yes no gags: not sure yes no _ torium: n/a yes no :)s: yes no ar Attached: ves no v --- A building permit may be required by: Notes/ Special Conditions ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name 4Officer'sSignature j/ 5 2006 Signature ** PIe a read compliance statement on back of permit" Issuing Date Expiration Date Mnrpsa'r� City p��� Application Fee(s) Check # dlPlanning 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, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: U 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 (252-946-648 [)or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer 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 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 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 ,/'A ?orehead City DCM Dec.29 05 11:37a Bob a Missy Ba.skervill 252-249-3537 p.2 . DC IM �r JUN 15 Z006 ADJACENT RIPARIAN PROPERTY OWNER STA.TEIAffiNT (FOR A PIE RIA-fOORING PILINGS/BOATIJ171BOATIIOMo)rehead G;ty ' DCM I hereby certify that I own property adjacent to S� s,� �✓ C 7L. z r is (]Fame of Property Owner) Property located at C t AJ A Li-J J (Lot, Block, Road, etc.) on /�t ( k I U , in; y ,,yip ! r e_ 6 ,. 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/mooring pilings/boatlift/boathouse 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. t✓ I do wish to waive that setback requirement. -------------------------- --------------------------------------- DESCRIPTION AND/OR DRANVD G OF PROPOSED DEVELOPNTENT: (To be filled in by indii•idual proposing development) V-z, Pl- I-b � .tip— - Signature11 Print or Type Name Telephone Number M Dec'29 05 1 1 : 2 7 a Bob a Missy Ba,skervill 252-243-3537 p.2 D �. ADJ.A.CENT RIPARIAN PROPERTY OWNER STATED r �' (FOR A PICR/hfOORING PILINGSIBOATL I71BO,gT � 2006 M64becI(j c I hereby certify that i own property adjacent. to S Ity t,� s,� t✓ 7".22.r r � s (Dame of Properly Owner) property located at 3 .N n n (Lot, Block, Road, etc.) ' on /��.( �, i U �n in ,y (Waterbody) r (Town an ,.N.C. dJor County} - 1`Ie 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 pierlmooring pi lingslboatlifVboathouse 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. ----•----------------- ------------------- --------- -- ---- ------ - - - ---------- DESCRIPrl()N� "N, 7D/OR DRAyvjI G OF PROPOSED DEVELOP:NSENT: (To be filled in by inditi•idual proposing development) Print or Type Name Telephone Number 1745 LARRY G. ARNOLD 66-21/530 P O Box 2277 BRANCH nee Morehead City, NC 28557 Date Pay to the Order of _ WACHOVIA Wachovia Bank A�� wachovia.com J I For �: 53000 2 L9�: L05466 L894 286��' L7 F ee�area �S t Zack la n