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HomeMy WebLinkAbout38069_BELLIA, BOB_2004040671CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # aNew ❑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 �''• /1 Applicant Name 17- D P4 r I ri Address E n + • f', r Ci"+ 1 rr V State N1 ZIP 7 Z S(. 2- Phone # (7 rz) �{a(t� 11 �iE, Fax # ( ) Authorized Agent ; 11 0 CW ❑ EW E PTA ❑ ES ❑ PTS Affected AEC(s): ❑ 0EA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision ,> v l + test 'Z !r l City ZIP Phone # ( ) River Basin /✓F✓.'< Adj. Wtr. Body ��,1� o- - i i (nat /man /unkn) Closest Maj. Wtr. Body -U/- 1% r Type of Project/ Activity 17, i- f�i' �i rVlGlrwr , , a r` + t i^/ A r� i a r r r_r./ ! 41A" e./t_� (Scale: (Scale: IF_ Pier (dock) length Nt;� Platform(s) Fing !�� er pier(s) n length number head/ ftiprap length avg distance offshore max distance offshore channel cubic yards ramp house( Boatlift h Bulldozing eline Length not sure yes fio; bags: not sure yes ratorium: n/a yes os: yes '�Vtk'r j l T I ---- — i-- --- (no � � r ;., ' � I _��� --- — ti-•� Agent or Applicant Printed Name Signature * Please read compliance statement on back of permit s' 15 Application Fee(s) Check # i Permit Officer's Signature Issuing Date Expiration Date i-,dvfr (c . j0? SIt5iS Local Planning Jurisdiction Rover File Name Agent or Applicant Printed Name Signature * Please read compliance statement on back of permit s' 15 Application Fee(s) Check # i Permit Officer's Signature Issuing Date Expiration Date i-,dvfr (c . j0? SIt5iS 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 thatthis 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 (910-395-3900) for more information on how to comply with thesebuffer 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 / 1-888ARCOAST 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 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 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 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastaimanagement.net Revised 10/05/01 d d—-' ry r n r. s r r b n c k J o r d r 1 n i I '. 112— DECKS N'DOCKS CONSTRUCTION, LLC 3156 PH. 252-637-1595 NCDL 8929001 499 CRUMP FARM RD. 66-110190 1 2/531 BERN, NC 28562 DATE PAY TO THE A - ORDER OF z�ll 'el— DOLLARS HIM BRANCH BANKING AND TRUST C0.1A.1 NEW BERN, NORTH CAROLINA FOR e-4 us 00 1 L 5 C:I 111 1: E) S 3 lo I L 2 0: 5 19 56262 9 E, I's � —6--- — — 11,11, —.-g— -mmwil=jZ- ---- -, t-x— �—. - �mv '' -- -. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to ��• / s (Name of Property Owner) property located at c e (Lot, Block, Road, etc.) � a,�i:�/ , 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. -------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) -3 i ------------------------------------------------------------------------ I % 116� Signature Print or Type Name Telephone Number Date: �, 1-2 v� r� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to� /��� s / (Name of Property Owner) property located at 111�� (Lot, Block, Road, etc.) on W661 c*,r/ee4 , in A�k --- �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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPINIENT (To be filled in by individual proposing development) s t � 1 t Signat e / /U Print or Type Name 416 Ko V3 - ( 7A�5 Telephone Number Date: 0 51Z 6X`�