HomeMy WebLinkAbout51117_BOND, DOWL_20080523E] CAMA / E DREDGE & FILL
GENERAL PERMIT
E]New ElModification DComplete Reissue
[-]Partial Reiss e
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Previous permit #
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
:NRules attacped.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City Sta
te ZIP
Phone # O Fax # Subdivision
Authorized Agent city ZIP
D Cw F-1 EW El PTA El ES El PTS Phone# River Basin
Affected Ll OEA Ll HHF U lH
AEC(s): El PWS: El FC:
ORW: yes / no PNA yes / 'no
EJ UBA El N/A
Crit.Hab. yes / no
Adj. Wtr. Bod (nat /man /unkn
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name,'
Signature ease read compliance statement on back of permit
`2
Application Fee(s) Check #
Permit Officer's Signature
41S &'1153ate f
E--- ration 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
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)
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 (nlet- and
Pender Counties)
Revised 08/09/06
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILING S/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to tot /8 s
Name of Property Owner
property located at Sea C''4, ,
Lot, block, road, etc.
on SGG�
Waterbody
in NC
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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing; development)
�c� A Nil
Print or type name
25Z- 7 III
Telephone number
Date
6.A.a.C.���
/v/ vvl���,�
11 Z i)'7 6,
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I oven property adjacent to L�} � 18 S3 Sea &J e l� lode C. 's
Name of Property owner
property located at S S sea CxI�IoCI� L
Lot, block, road, etc.
on ZC GJ
waterbody
in Ce4V-Iceel _ , NC
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 do -not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing, development)
5cc
Sign re
Print or type name
Te ephone number
L' >
A44,,,- i- d
�16; "
2-
T
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILING S/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Lod #-/8
Name of Property Owner
property located at Se,l a, -77f gloSc,
Lot, block, road, etc.
on 7fC c✓ in �' , k �c� 0o1;4z
Waterbody Town and/or county
NC
I
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 do. not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
sty 4d
AQF L u
Print or type name
Telephone number
Date
k`''I
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DOWL H. BOND 1171
VALERY J. BOND
987 HORNE CAMP RD PH. 910-628-0756 66-112/531
FAIRMONT, NC 28340 2 /� l BRANCH 60701
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