HomeMy WebLinkAbout50696_TAYLOR, WALTER_20080407❑ CAMA ; ❑DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification El Complete Reissue El 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 it �• Project Location: County
Address twtr ` Street Address/ State Road/ Lot #(s)
City State ZIP' `=
Phone # O Fax # O Subdivision
Authorized Agent + City ZIP
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
V i�� tiq
Previous permit #
Date previous permit issued_
❑ Rules attached.
W496 C
❑ ES ❑ PTS Phone # ( j River Basin
❑ UBA ❑ N/A� 7� .
Adj. Wtr. Bodys�rat /r%unkn)
Crit.Hab. yes no
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
ti. y
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
dr,-
Per's ignature
77
Issuing Date . EEICpiratiion,D�att-e-�
Mo
Local Planning Jurisdiction Rover File Name
K
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
❑ Neuse River Basin Buffer Rules
❑ Other:
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
M 1
1 �
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date
:J (ilii
APplicant.Name LAJ#9-t-f-MorehP&O 0cm
Mailing Address z-5 yG . Lt1-,.tyo X I IE �.►a�
(-'Z C 2�S(6
I certify that I have authorized (agent) Yy� �-/ J I' to act on my
behalf, for the purpose of applying for and obtaining all CAINIA Permits necessary to
install or construct (activity) D rz,c--d f,;F B-) WT S
at (location) ?49 5 K A`7 Aboliv-
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper
R
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PI ER/MOORI NG PI LI NGS(BOATLI FT/BOATHOUSE)
I hereby certify that I awn property adjacent to I o rt.
(Name of Pr
property looted at a� `�e,,VAJO)(VIIIE
(Lot, Block, Road, etc.)
's
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that I ocati on,
and, I have no obi ecti ons to hi s proposal . I understand that a pi er/moori ng pi I i ngs/boatl i f t/boathouse
must be set back a minimum distance of fifteen feet (16) from my area of riparian access unless
waived by me.
I do not wish to waive the setback requi rement.
_1L'_'� - I do wish to waive that setback requirement.
v
v
V�
V
DESCRI PTI ON AND/OR DRAWI NG OF PROPOSED DEVELOPM ENT:
(To befilled in by individual proposing development)
------------------ =-► --------------------------------_-- --__------------------------_----
(Applicant Information)
2SvC La�-M 0�-,) q� �d
Mai I i ng Address
$ a �'14a rz 1
City/state2i p
7Zg
Telephone Number
-3,z�
Date
(Ripa,r* Proffttpwr4 IUWmation)
Signature
ZF 0(9-1 117A
Print or Type Name
2 v j
Telephone Number
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to � P'UTt ., 4 '-qLdQs
(Name of Property Owner)
property located at 2-54 0 NNW 0X `J I LUE� y
(Lot, Block, Road, etc.) MAR 3
on ► �`� (-0�2_c5 �� , in �.���� ��� �ore�lE'�► [j�.N1
(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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
,/I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
----------------- ----------------------
Ceti r-vL
i
�• I r p
---------------------------------
Signature
Print or Type Name
Telephone Number
Date: v ,6
ROBERT C. MILLER
DARLENE P. MILLER 66-112/531 6 916
NCDL 3725009 PH. 728-2854 1223024676
242 POPELAND RD.
BEAUFORT, NC 28516
ozZo, BMT �° ate=
BIIA6 1 GIV R AND TRIlT -E-E-7-
617 FRONT STREET
BEA
U ORT, NC 28516
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