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