HomeMy WebLinkAbout43695_REIM, BILL_20060118CAWA / ! DREDGE & FILL ' �
GENERAL PERMIT
JNew ! Modification -]Complete Reissue ❑Partial Reissue
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
Applicant Name
Address
City— _ _ _ State ZIP
Phone # () Fax # ( )
Authorized Agent _
Affected CW EW PTA ❑ ES 0 PTS
AEC(s): 1-i OEA HHF IH F UBA ' N/A
F - PWS: `. FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
ry
Previous permit #_
Date previous permit
Project Location: County_______
Street Address/ State Road/ Lot #(s)
Subdivision
City- ZIP -
Phone # (_—) - _ _ River Basin
Adj. Wtr. Body— _(nat /man /unkn)
Closest Maj. Wtr. Body- —
Pier (dock) length_ —
Platform(s)__
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore__
asin, c anne--
- --
cubic yards
—
--�
n'
Boat ramp _
Boathouse/ Boatlift—
j
--- - — -
Beach Bulldozing_
Other
-- ---
— --
i
—
Shoreline Length �
_
SAM not sure
yes no
Sandbags: not sure
yes no
— —'
Moratorium: n/a
yes no
Photos:
W A h d
yes no --
-- -- —
- —
—'
-I--
aiver ttac e . yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant,rP(ited Nam
Signature *4 Please read compliance
statement on back of permit
Application Fee(s)
Check #
(Scale:
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Issuing bate Expiration Date
Local PlanningJurisdiction Rover File Name
)I
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 (910-796-7215) 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
iFr•
- - - J A-N
ru
CERTIFIED MAILT,,,RECEIPT
(Domestic
0
17�
1700(*D*4�41 24
tti
Postage
s W.37
M
Certified Fee
Return Receipt Fee
(Endorsement Required)
•J
Postmark
Here
O
p—
Restricted Delivery Fee
(Endorsement Required)
to
�
Total Postage &Fees
11/2312005
L7
Sent To
c•�
t•
/s�---�._�i?�._..0
Iti
_
- - ---
S`hee,AptN0':
or PO Box No.
--------------
---- -----------
------ --
PS Form :rr June 2002
MED W MMN PO
rMt-ALD, ISLE, ,�, Car c rii
285qd 1,55
EMEkri�:
First
Cac t 1
L aL'�
CusLaw,
$4 U '- ,
Total
Paid by:
Cash
Change Due.
El ; In. 100c)) l' v'U L=-"
Cl erk: 01
-- All adlus f "a old pCbTdUu
Refunds fu 9w AVices only.
Thank vmi vq yw Mblkess
1� I "", PAIII
■ Complete items 1, 2, and 3. Also complete
nature
item 4 if Restricted Delivery is desired,
— �] Agent
■ Print your name and address on the reverse
i H„�t./❑
'�
Addressee
so that we can return the card to you.
B. Received by (Printed Name)
C Date of Delivery
■ Attach this card to the back of the mailpiece,
�
or on the front if space permits.
.
1. Article Addressed to:
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
Cil-w
�41 ��yy
3. Se ce Type
�( 7Ocertified
Mail ❑ Express Mall
❑ Registered ❑ Return Receipt for Merchandise
0 Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7004
2890 0003 4770 0742
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DI`-ISION OF COASTAL ILANAGEINIENT
ADJACENT RIPARIA-N PROPERTY OW1,-ER NOTIFICATIONAVAIVER /
FORM
Name of individual applying for permit:
p /
Address of property:_
(lot or street, street or road)
~ (city &. Coun y)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of CoastalR.k l.r
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
SdigpaiureW Date
Print Nale
Telephone Number With Area Code
V �r�
� L�6
tiell
o�'
�s
I �� ^UDC-4lFL�ivE
V 35•J`� �??'t4E
�,
'Y
W
70.0
lip so 41 D ���� V1
4d I � y
4 N 1 LUuS
V1drehead City DCM
i
i
Y
,Af,Is ALL
, r
CERTIFIED M AIL - RETURN RECEIPT REQUESTED
DIN-ISION OF COASTAL N2 1ANAGEMENT
ADJACENT RIPARIAN PROPERTY 0�'V1iER N OTIFICATIO--NAVA TR
FORM
Name of individual applying for permit:1-41/1- L / Nl �C /57r
Address of property:
(!ot or street #, street or road)
(City & County)
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, sh uld be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless
waived by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
LZ - - o S
Signature Date
Print Name
252. - 3S'l - S (o-1 S
Telephone Number With Area Code
.r
gQC UE souIF
Nc�
•�
fit. _-
.
Irs
(VAtIT
VRK
In
1V
_
►1 Lr-: D�i1c 4 I►JsIvE HonE
15 SI a E S IM-flSocJl: U M I?� q o�.F 4
Ac
I L&v.-10.1% ("1.L)
NCrrE : 5E1, BACK U"ES
30' FRc�ni7
15' SIU�
115, rAcK
ttq�M' SHIM It.-? lw'-laE ,
o 16 SIDr i4?"6Dck IIMI'f .
0
Elf
-� o�w OJYC)t�,"IV tO / M ee4N6�6-
`n 4 /Ti�dA-Oakl Maai
--r-
�o 0
2' +EIP
n
I
i
' PKIVE
•�4 � • - D LIEF
F
60�UE
--'-
�a>,tt Neia. � e �•.
►Jvr'e; pw-r- 4 ItAsiprs
157 sme SeTrAcr- Uml-T e
r � � Lq N
MCA
in
'
eA
'^.
CoubLE
SX. \/
V
NuP1E
VIM. rtwii[
r �ay.. � s.r�►
E►•+�~.t-� y� •
ESP
e
Za.a
e
- N tD
N.. IG Sint ili<f68cK LIMN
r p
G "r to
E9 P
f � , �Ell� ,•SULK µt`�-J !�s �
U J SHOt VIV L4) i rrf 4,�NG�
�- Q L-JNCS �tiD 13%�i°�kJ M
tlt
,9
�O`
V-
MOTE ; SfI- BACK 1.U►-1ES P
-%' FRor-Jt
15, 51DC
I5'�K . WOODcL.��F
,4 -o ,
I � R hl i
,
TERENCE : Lor 5uv j B i vf
Woocc iFF cjt18Prv45iO W,
WILLIAM S. REIST
DOROTHY D. RUST
8520 WOODCLIFF DR.
EMERALD ISLE, NC 28594-2688
to the
2243
6/ j / 66-19/530 NC
Date G(Q 2002
I $/�
Dollars
�f BankofAmerica ��� B k of America Advantage®
��
ACH R/T 053000196
?VP
For
,:053000 Lqa is 0006 2000 L9 2411' 2 243