HomeMy WebLinkAbout51103_SUGGS, THOMAS_20080521DCAMA / ❑ DREDGE & FILL
0ENERAL PERMIT Previous permit #
Eql`�ew ❑Modification El Complete Reissue ❑Partia ieissue 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
❑ Rules attached.
Applicant Name f
Address City State ZIP
Phone # (_) ' ' ' 1Fax # ( )
Authorized Agent
Affected El CW [3EW 0 PTA O ES ❑ PTS
AEC(s): El OEA ❑ HHF O IH ❑ USA ❑ N/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes ( no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # t/ >' River Basin
Adj. Wtr. Body i� t`I - {' (nat /man /unkn)
Closest Maj. Wtr. Body—
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit* �
Application Fee(s) Check #
�) Lam'
Permit Officer's Signature
Issuing Date Expiration Date
Local Planninglurisdiction -- Rover
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit* �
Application Fee(s) Check #
�) Lam'
Permit Officer's Signature
Issuing Date Expiration Date
Local Planninglurisdiction -- Rover
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
Raleigh Office Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06
05-08-2008 16:41
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SUGC FARMS 2525236890
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05-08-2008 16:41 SUCG FARMS 2525236890
PRGE2
ADJACENT RIPARIAN PROPERTY OWNER STATEMEN r y
(FOR A PIERIA100RING PILINGSIBOATLIFTIBOATHOCISE)
I hereby certify that I own property adjacent to _._-1. l +co64
(Name of Property Owner)
le
property located at t 0 f Ked f�t
(Lot, Block, Road, etc.)
on esk$ �d'es , in /Ue-LU'&�4 , N.C.
(Waterbody) (Torun 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. 1 understand that a pier/mooring pilingsfboatlif /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.
I do wish to waive
-------------------------------
DESCRIPTION AND/C
(To be filled
(Applicant Information)
57/D r
setback requirement.
DRAWING OF PROPC QED DEVELOPMENT:
by iirrlividual proposurg (levelopment)
O
Mailing Addresa I
MV-1 A / I N ('
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Telephone Number
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(Ripar-an P op e Owner information)
Signature
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Print or Tvpe Name
Telephone Number
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05-08-2008 16:41 SUGG FARMS 2525236890
PAGES
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER11100RING PILINGSIBOATLIFTIBOATHOUSEE)
-y-
I hereby certify that I own property adjacent to org 1�a G�✓
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
i
on �51Z14! � u le � � in _�%�:►� �o� �' 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/boatlinoathouse
must be set back a minimum distance of Fifteen feet (IS') 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.
------------------------------------- i---------------------------------------- -------------------- --
REM
DESCRIPTION AN
(Try be fill,
p 0
R DRAWING OF PROPOSEI DEVELOPMENT:
iu by indivithtal proposing devet,)pinen1)
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---------------------------------------------
(Applicant Information)
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Mailing Address
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Ciryl&alelZrp
Tcrlrpllom, Number
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'lute
(Riparian Property Owner Information)
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Sigrt tyreE)I
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Print or Type Name
25-7- - 717 - t c
Telephone Nurnher
Pate -
i MUMAS A: SUGG FARM ACCOUNT
"'COL
E SUGG
5100 HWY 58 S.
SNOW HILL, NC 28580-9609
Pay to the
Order of
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BRANCH BANKING AND TRUST COMPANY
1-800-BANK 8BT BBT.com
For._ ` I
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Date
12187
66-112/531
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