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HomeMy WebLinkAbout50666_BODENHAMMER, WILLIAM_20080331❑CAMAS►/ ❑ DREDGE & FILL ! _ W-6 GENERAL PERMIT Previous perlit # ❑New ❑Modification ❑Complete 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 ❑Rules attached. Applicant Name;, 1. 1,- ,x-,z � !'�' ! 1 (� ?'�a I" I. ;' Address City State i ZIP 7 �- Phone # ( ) Fax # () Authorized Agent 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 Project Location: County Street Address/ State Road/ Lot #(s) "r Subdivision City ZIP Phone # O River Basin Adj.Wtr. Body— i _ t A nat man unkn 1 Y C ��. l l ) Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■E■E■■■■■■■ MINES ■■■■■■■■■■■■■■■■ :.. , • ........................................ .....................................■o MEMO■a■■■■■■■MO■■■■■■■■■ ■■■■■■■■■■■.■■ ■■■■■■■M■■■M MEM■MMEMM■■M■M■■■MO■MEMO■M■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■MEMO■■■■■■■ ■MOE■■EMEM■MEMO■E■■■ME■■■■■■■■■■■■ MEN I■rMH OHM■E■■MEE■EE.■■E■E■EE MEMO E■E■■MEElI■ ME111 ■■EE■■■■ui':9i1■ ..�_«.�■■■■E■■■EE■■MO■MEMO■E■ ■EMM■NEEMM■ ■■■ ...........a.MO.....;..........MO.■■MO... MENEM's MEN IMMEM EEO■f■E■■■■1■J■EM■E■E...c�aEE■EE■E■MOE■■MO -■EE■iiiiCi.l■�:��.;i�iii�J�wit�■■■E■E■■■■■E■■MOEME ■ONE mom ■M■:■■:IS MENI n::::■■MOM MENEM :■■ Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature j 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, certifythat 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 (252-946-648 [)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 (PUK A 1'IERIMUURING PILINGSIBOATLIFTIBOATH'OUSE) I hereby ceri fy that I own property adjacent to (Name of Property Owner or Applicant) Mailing addre:;s if different from location address 3V0 Nlf'- 31I4� Alt f � (town, state and zip) �S��hO� S� o t N 1, 33044 v phone numbers you can be reached at 95� 544" 450 0 property locatt:d at 19 0 CTAA 1. Pd l J ky) N-t `` ll (Lot, Block, Road, etc.) on C N! , in Ct4l' P��N CA�ic��r COu!t N.0 (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that locatior, and, Ihave no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathou& must be set back a minimum distance of fift$En feet (15JITom my area of riparian access unles, waived by me. I do not wish to waive the setback requirement. htI ICI do wish to waive that setback requirement. MAR 4 A) 8 2008 DESCRIPTION AND/OR DRAWING OF PROPOSED 4 Cm (To be filled in by individual proposing development) r 1 � I�P.G.� /�kRiLVJ 101 ------------------------------------ x Print or Type Name XTelephone Number 03/21/2008 09:32 FAX 9197780604 PATE DAWSON COMPANY 2 001/001 3/19/08 03:54PM EDT CTS Software, Inc. -> J M Pate 9197780604 Pg 2 (P. UR A negm ou R&G PWNGSIBOATU'FTROATHOW) I hereby certify that- I own property adjacent to W:l � h"wio %*A fttlK �R 0146rbe of Properly Owsor or AppHunt) Meiling address if different from ;ovation addren_32416 PA. 3 a'X Alt (town, star. and zip)— �3awoSc. PoA, f I. 3 3 b 44 phone numh'ers yrnl can be reached at g5Y- 5a4- 4V o property locawd at 1 i b ctAi c. fi t'- �-A rt (Lot, Haack, Road, ctt) on 'L G Q , in C � P ,,- . �';—RICI tR./II'c . �,,,ax , t�.c (Wetertwdy) '- (TWA sadw couary) Re has described to me, as shown below, the de Ropment he Is proposing at that looation and, I have no ubjactions to bis WposaL I underatand that a piWmoaring pi]ings/boatIftboathousi must be suet back a ndnlrnum distasoe of fh%ftl feet (151trom my area of riparian cross urdu: waived by mc, � T, I do not wisb to waive the setback roquirament. I d2 wish to waive that satback mrmir=ent. t0j" DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPPA3W: (To be jilUd In by bsdirddkW propojfap dty*kpmettt y� Zc V s MAN 2008 !��V L 5tgnuure ` � P"*Or Typo NAM ill 7.3 - �'/ p �� x ooHum M Aj 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 Applicant.Name Mailing Address ar tZINYTi MOW@a ""8t,, OCA41 I certify that I have authorized (agen Z'' o act on my behalf, for the purpose of applying for and obtaining all CANIA Permits necessary to install or construct (activity) at (location) 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 tY E Q O o' 0 NORRIS MARINE CONSTRUCTIONL & LANDSCAPING BILLY M. NORRIS, OWNER LLC B 252-393-8646 H 252-393-8810 377 NORRIS LANDING RD. SWANSBORO, NC 28584 PAY TO r THE AA /} ORDER O' �✓ / 7897 DATE %r r D �� 66-30/531 342 ellPtST CITIZ ENS BANK www.rirstcitizens.com� FOR •� '//� %� �Q ��l �J lj ►I'00 ?B 9 ?n' i:0 S 3 100 3001:00 3 4 1 2 2 g 2 2'1 DOLLARS 6) .,