HomeMy WebLinkAbout51199_WILLIS, TIM_20080804❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New ❑Modification El Complete Reissue ❑Pa Vial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources 1i ; k i `
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC —
�- D Rules attached.
Applicant Name_; t ;L Project Location: County
Address_;' Street Address/ State Road/ Lot #(s)
City State .,ZIP (`>
Phone # O Fax # (} Subdivision "
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
J E
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date 'Expiration Date
Local Planning 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:
❑ 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/ 1-888-4RCOAST
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
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to !/!� is
(Name of Property Owner)
property located at 4�7- :5rwx GAff"A� r?40#z> '
(Lot, Block, Road, etc.)
on �� El�iiL in —gf a/� 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
rnast be se, back a ruin im m. distance of fifteen feet (15') from my area of riparian access unless
waived by me.
V_ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1-� 41} L� full- W& -MGA& C- k,--PJ D OT--
v� town) RW
-Ft.0O�1a bout, 'FWJ1--1 /��v b0cw To 1310
P�t4 p 'lot - ZZ' WA( W1-t1k Pb�r�i�u m �2�� KJanM �NJ
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(Applicant Information)
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Mailing Address
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City/State/Zip
q1q-8q8- '7&
Telephone Number
Date
---------------------------------------- --------------- ----------
(Riparia Property Ow er In orniation)
Signature
Print or Type Name
Telephone Number
loA
Date 19
JUL 7 2008
Mgr@h@ad City ®GIB
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to !/IY� �/�5 is
(Name of Property Owner)
property located at 6�7— -45Twx GA44(ZC# k?60*P
(Lot, Block, Road, etc.)
on 5L�� CPEE',� , in �% a/�� , 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.
I do wish to waive that setback requirement.
----------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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c� W j C u, tn►wn� Rom KtC'-T1WV �G(Z- TO �
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(Applicant Information)
160 DMU-Flab C&lZ
Mailing Address
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City/State/Zip
qlq-8�8- 790
Telephone Number
Date
(Riparian Property Owner Information)
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Print or Type Name
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Telephone Number
Date
15
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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 VUVer- &v/ lW6
Applicant Name
Mailing Address
I certify that I have authorized (agent) / UR�AJOZ I#W-IA(9:— to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) f t —rlxj4 2�o c4,L
at (location) ;-%5 S7lgil Cfflll W % jZ%� it�/Zr22V � /y l
This certificatio4is,/lid*/(4) &L1Mb&7 % 5-
Signature
JULR3 7 zoos v
Morehead City DCM
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 110% Post Consumer Paper
5�. JUL 1 0 2008
ll�ofahaad City E)CM
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�.�� if i �l .4i, fi4 _ <a 10 f
proper-;' Iccated 2i
(L-oc, Mack, Road, etc.)
on
ra . c
(' aterbE�dy) (Tom andlor�County)
He has desc:io,--i to me as shoe';) be?ow, the deve.00r7-]= he. is ro c
location, and, I have no obje::dons tP p°'�� a_ tl a.t
o his proposal. I Understand (�ac a pier/uncovered boat llr
must be set pack a minimum distance or rii�e�n r"mot (l5') 7om my arYa or'riparian ac:�.ss unless
waived by me.
` wish to waive the 'e 'acs re;;uirement.
I do W ,>r
setback requLremer1c.
--_•----------------------- —'-----_•---_•-------_•
D�SCRIPTIO i Air-D/OR DRAT, - v G OF PROPOSEDDEVELOP-Na:-I:
(?'o be ftlled in by inrlividzcal prnposin; deve4meral)
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print or Type i�ianc
Telephone Iyumbfr
1067
R 8 J GROUP 66-112/631
P.O. Box 1885
Morehead City, NC 28557 _ rc,
252-7264253 Bat
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B(iANCH K AND TRUST COMPANY
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FOR a
1120000 10r3?"1 1:053 1 12 L1:0005 2976879 23��'
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MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
9
PERMITTEE' S NAME: 1 (vy,, VV Iti )r- PERMIT # 0(
LOCATION: --JS Z+,, Q. FIELD REP. 76
Lt'!L 0 MONITORED BY �G
PHONE: q lR- _] (] d _ S�:n DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION `6 111 � ([a �
1) Do the asured dimensions of the development differ from those indicated in the permit and workplat?
YES circle one].
COMMENT:
2) SEDIMENTATION & ERPSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES O [circle one]
COMMENT:
3) FUTURE MO ORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [circle one].
COMMENT: C CTNN itrt cllryn C mola-fC Ii� Nccorcmo,ncP
N A EJ MA / DREDGE & FILL
N141 11511'11990�
TGENERAL PERMIT Previous permit #
w ElModifi6ation ElComplete Reissue El 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
X�Rules attached.
Project Location: Coun V11
Tf
Applicant Name I ty
Address Dr--7 Street Address/ State Road/. Lot #(s) :117455p
Ci ZIPS} State W
A
Phone # iot 6At-
Fax #
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Authorized Agent-1&t'24e--1("- OIA—La".( N5
Affected El CW )4EW �TA [I ES El PTS
AEC(s): El OEA El HHF 01H 0 U BA El N/A
El PWS: -E] FC:
ORW: yes i/'no! PNA Y es no Crit.Hab. yes no
(
Subdivision
City! I iAl "n r ✓ ZIP
Phone # River Basin
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Agent or App4caqt Prvted' ae
Signature , "Please read compliance statement on back of permit"
—41� Io
Application Fee(s) Check #
jurisdiction
Date
Rover File Name