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HomeMy WebLinkAbout39632_BRANNON, JOE_20040728CAMA / 17 DREDGE & FILL �jlAC l� GENERAL PERMIT Previ✓ouspermit # LJNew ❑Modification —Complete Reissue LPartial 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 I SA NCAC ❑ Rules attached. Applicant Name 'JGf F,?# PJh4 Project Location: County _ Address Li' L J. Street Address/ State Road/ Lot #(s) city l� (f c>h State N� ZIP 71 Y96 Phone # ( ) Fax # ( ) i Subdivision M(f / 11w or Authorized Agent City f1I o r (~rest. ZIP S%Z F- CW DEW D PTA ❑ ES E PTS Phone # ( ') —r.. 1 'River Basin tJ�! ` r � �— Affected ❑ OEA UBA El -1 IH `l Ci N/A AEC(s): Adj. Wtr. Body ry's . W& rtj ( (nat /� /unkn) ❑ PWS: ''-iFC: r t ORW: yes / no • PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity 0.+1, l" A es a j e llo Ilv� m., ,���1(Scale: Nc Ai- ) Pier (dock) length _- Platform(s) ' i �1 L�fi Fingerpier(s) LgVt Groin length number Bulkhead/ Riprap length ,) jl1(t t t� Vd�{A� ". (64S Mom( avg distance offshore max distance offshore Basin, channel Q E rt Q cubic yards _ T, �_ 1. < 11 ` •'! 1 i 4 I Boat ramp ] � -'-.' � 1 \'66 \ Boathouse/ Boatlift Beach Bulldozing. -.— Other I Shoreline Length _ "�� �•�� ____� , SAM not sure yes ifio ---- - -- -- - -- - - - It Sandbags: not sure yes no I"�t _jee jj Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: _ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Nam Signature Please read compliance statement on back of permit q Application Fee(s) Check # 1-fi! f �1414a� Permit Officer's Signature -J Issuing Date Expiration Date i Local Planning Jurisdiction Rover File Name M 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 (910-395-3900) 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 IV 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet -sand Pender Counties) www.nccoastaimanagement.net Revised INOW I 15-800 POSTAL MONEY ORDER 000 � MW��� SERIAL NUMBER YEAR, MONTH' DAY '-r' OFFICE U.S. DOLLARS AND CENTS 06 7 29488381 2004-07-21 285570 C)W 0 0 ONE HUNDRED DOLLARS & 006, AMOUNT PAY TO NEGOTIABLEjONLY IN THE U.S.'AND POSSESSIONS A SEE REVERSE WARNING CLERK ADDRESS FROM Q CI 4 ADDRE C.O.D. NO. OR 'o USED FOR 1:00000800 21: 067 29488 IR lull . ............ . ............... TIED STATES P 15-800 O,STAl, MONEY 011DEIR _SERIAL NUMBER 000 06729488368 YEAR, MONTH, DAY POST OFFICE UlS. DOLLARS AND CENTS 2004-07-21 285570 1"a .' OW-D AMOUNT.ONE HUNDRED DOLLARS & Oft PAY TO NEGOTIABLE: -ONLY IN THE U.S. AND POSSESSIONS ADDRESS .-!SEE REVERSE WARNING FROM CLERK 000/1 ADDRESS C.O. D. NO. OR USED FOR C-lt I - 1:00000600 21: 06 7 29L.13,B ......... . ...... ADJACENT RIPARIAN PROPERTY OVa NER S)r`ATEMIE ` (FOR A PIFRIMOORING PILINGSIBOATL IFTIBOA'rHOI.,SE) I hereby certify that I ow!) property adjacent Ante a! pr�rlyrter? property located at (Lot, Black, Road, ele.) N.C. can in ._.... �ateai�ody) U _' (Town And/or County) He has desenbed to me, as shown below, the development he is proposing at that location, and, I have no objections 10 his proposal. i understand that a piertmoo-ring pilings/boatlINboathouse must be set back a minimum'° distance of flftetn feet 05') from my area of riparian access unless waived by me. wish to v,,ai.ve the setback regw retnent. I to wish to waive that setback require,nent. ---- — _ -------------------------- -------DESCRI TION ANDIOR DRYING UjpPROPOSED DEVEIAPMENT: asiing develor►ntnt,) (To be filled in by �G,ar prar�T'� Pt�r SgcJ oT r a. C� t lvz�n -J.'r.j,, S xr3 X'2 �d alikow79 1 t print or Type Naive Telephone Number Date: ADJACENT RIPARIAN PROPERTYLBOAT OUSEMENT (FOR A PIERIM00RING PILING BOA s I hereby certify that i own property adjacent tc+ an1e of Property Owner) property located at l� -./ / - — ---- ` 46tL (Lot, Block, Road, etc.) , N.C. u on L����L in {VF, ate ody (Town and/or Conty) 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 pilingslboatlift/boathouse must be set back a minimum distance of fifteen feet (ls') from my area of riparian access unless waived by me. I do,gt wish to waive the setback requirement. i do wish to waive that setback requirement. ---------------------------------------------------------- ----------------- DESCRIPTION AND/OR DRAqNy1NG OVPpROPOSF'D DEVELOPMENT: (To be feller! in by indiridiial proposing development) j I r r Tt`DfbSe q ale v per' , r4lSr. Tt Move pACK �t i --------------- ----------------- 0 5 NI /F 'qatt�/� signature Print or Type Name Telephone umber Date:? ADJACENT RIPARIAN PRO P>l~:,IE IFY 0�� ��T a� FMENT {FOR A P11 R/MOORjNr. 1'1E, G a Hereby certify that. I own property adjacent tO ante of Pr+�perty ®►goer) T_ property located at ��� �Q _—_...-----------•-----._.._�..__ (Lot, Rock, Read, ete.) in N.C' on { "atedy) (Town and/or Coontyi He has described to rye, as shown tx'.low, the developrnert he is prc)pusirg at that location, and, I have no ob}actions to his pinFmu�^ distance of fifteen feet (IS'}from n atea pilings/boatiift/boathouse must be set back a m of riparian.. access unless waived by me. ( dpI& wish to waive the setback regtt.reir?ent. I dD wish to waive that setback requirement. DESCRIPTION AND/OR DRING OtOPROPOSED DEVEI—OPMENT: (To be filled in h�' +�='idv �al proposing devtt�Opm�sled 7s M0ye Mew gct!!�7 Sigrature Print or Type Name Telephone Number Date:�—