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
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Closest Maj. Wtr. Body
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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
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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 - �'/
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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
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
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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' �✓ /
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DATE %r r D �� 66-30/531
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www.rirstcitizens.com�
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