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HomeMy WebLinkAbout47395_RICHARDSON, BRUCE_20060810CAMA % ❑ DREDGE & FILL 4 � GENERAL PERMIT Previous permit # []Mew --1 Modification ❑Complete Reissue ❑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 15A NCAC 1 ! D Rules attached. Applicant Name 1 Pro'ect Locations Coun Address ' 1 1 - City State Phone # (�' �) s Fax # O Authorized Agent Affected ElCW ElEW ElPTA ElES AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ❑ PWS: ❑FC: ty Street Address/ State Road/ Lot #(s) ZIP ElPTS ElN/A ORW: yes / no PNA yes / no Crit. Hab, yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length (Scale: ) Platform(s) Finger pier(s) i I _ Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel - cubic yards "% Boat ramp f ._ Boathouse/ Boatlift Beach Bulldozing Other - -- _ — —_ I Shoreline Length SAM not sure yes no I Sandbags: not sure yes Moratorium: n/a yes no j Photos: yes i Waiver Attached: yes A building permit may be required by: Notes/ Special ConditionsRIM I _ i I See note on back regarding River Basin rules. Agent or Applicant Printed Name cn Signature Please read compliance state i Application Fee(s) Check # Permit`Officer's Signature Issuing Date Expiration Date Local Planning Jurisdiction Rover File 4 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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules F1 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 Appendix A Adjacent Riparian Property Owners Statement (for a bulkhead, dock/mooring pilings) I hereby certify that I own property adjacent to •S (Narne oPproperty owner) property located at t��oo c 4,- -7 (Lot, Block, Road., etc.) on I d 4 c e- , 4-va- ( , in / xf G � NC (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 of?jections to his proposal. I understand that a dock/mooring pilings must be set back a minimum distance of fifteen fret (15') from my area of riparian access unless waived by me. !�r I do gyt wish to waive the setback requirement. I dgwish to waive that setback requirement. Description and drawing of proposed development: (To be filled in by individual proposing di-velopment) j Jrt. r— Signature k� I T V Print name (f 1 c, Address o / V A-2 Date Telephone number Appendix A Adjacent Riparian Property Owners Statement (for a bulkhead, dock/mooring pilings) I hereby certify that I own property adjacent to ��4c� a�c.��-�yG^� 's (Name o property owner) property located at 6 /,z t 0 -s fl�1011 � G-�-.7 7 (Lot, Block, Road, etc.) on I o ire ✓+ , & 4-;w - ( , in r,4<4 l , NC (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 dock/mooring pilings must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. q I do not wish to waive the setback requirement. N 14, I do wish to waive that setback requirement. Description and drawing of proposed development: (To be filled in by individual proposing development) signature Print name Date Cees1/ C� - z s- y� 3 3 - Address Telephone number A-2 e Ew' . I- BRUCE H. RICHARDSON 1142 BETTY J. RICHARDSON 6121 CASTLEfON CT. 7-163/520 MD _ � NEW BERN, NC 28560 Date_ 8133 252-637-7604 PayTo The Orderer Of — Dollars BankofAmerica ACH Rlr 052001633 ' %S .� 1/ 1.''1.-.� For .f d@�r'/uf 1:052001G331: 0039287346331i'LLL,2 -'_- - - -- -