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HomeMy WebLinkAbout51164_BOXMEYER, WILLIAM_2008071417 ❑CAMA / ❑ DREDGE & FILL 164 GENERAL PERMIT Previous permit # ❑New ❑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 F] Rules attached. Applicant Name kil Tf Project Location: County } Address �?'- ...� ('�. ` Street Address/ State Road/ Lot #(s) City _ StateZIP'-`r l Phone # (_) i ('. - Fax # ( `�� Subdivision Authorized Agent '� City ZIP Affected D CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): IDEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Phone # O River Basin Adj. Wtr. Body k r t : �' t nat man unkn Closest Maj. Wtr. �L.`_ t� ' U Body C=� ■■■■■■■■■■ ■■■Mom ■■li&NUM■�'L ■■�ir■�■■ ■■■■■■■■■■■■■■■■■ ■■ir■■ ■■■■■■■■■■■■■■ :., . M. NMMMMEMMMMMMMMMMME MMMMMMMMM Mom ■■■■■■■■■ i%■■�■■mil..: i'L� i�:i�■■■■xiZW■ ■■■■■■■■■ ■■■■n■■■om■■■o■ii■■■■■■■■■ ■■ ■■■■n� ■ ■■■■■■■■ ■■ ■■■li■■■■ ■■■■ MEMNON ■■■■■■■■: ■■■■o ■■■■■■■■�■�■�■■■■■■■ ME MRS ■■■■■■■■ ■■■■■■n■7 ■■■■■■■■/jt-i■■■■�am ■■■■■� ■■■ONE ■ =MEN ON JIM■■M■■■■ ■■■■■Wv■N04V1■■■�■■�1■■■■■�■■�■ ■■■■EN■■■�■MEOWS■0■■■■■ �mlommmmmoom ■ ■■■■ ■ ■■■■■110MMEggoolif ■ ■■■1■■■■■A■■■■■■■R11!!•!I1■■■!6, - Agent or Applicant Printed Name Signature Please read compliance statement oh back of rm Application Fee(s) Check # Permitpfticer' sign ure �—/ / / I- — #�/ ( //0 17 Issuing Date Expiration Date Local Planningjurisdiction Rover'Fil N�arne 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 Inlet- and Pender Counties) Revised 08/09/06 8MEOW ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1 1. Article Addressed to: Will Pratt 1 Evans Street rehead City, NC 28557 1 A. Received by (Please Print Clearly) C. ❑ Agent D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy from serv%rA canon i 7007 3020 0001 5517 0389 I PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 UNITED STATES POSTAL SERVICE " Sender: Please print your name, CD0 0 CD Mr. W. D. Boxmeyer e= 0 103 Tarpon Way o 'a Beaufort, NC 28516 0 0 1Ij t ! 1, , If 1, ? I I 1 Mail 3 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Ms. Celeste Crane 996 South Ola Road McDonough, GA 30252 2. Article Number (Copy from service label) PS Form 3811, July 1999 I A. Received by (Please Print Clearly) I B. Date of Delivery ture / X r vl ❑Agent ❑ Addressee livery d fferent ro i m 1? El Yes 14 E -- ter elivery adds s dow- ❑ No 41- b � w J` S e L7 EEC ied Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7007 3020 0001 5517 0396 UNITED STATES POSTAL SERVICE • Sender: Please print your name, address, and Z Mr. W. D. Boxmeyer 103 Tarpon Way Beaufort, NC 28516 Q C) Iz Co. c First -Class Mail Postage & Fees,Paid USPS Permit No.. in this C r- 0 N 0 I= 00 ftII tlitsitl,tttII tttfitttfittltitt,ttiiii.trail.,,'! LOT 14 103 TARPON WAY BEAUFORT, NC 28516 Morehead City ®CM f1/11 ITI 1 ml\ /Y"n nl IYl Y11% /I f1101\ 1 21'-112" 24" 36 10' 7 J 0 D J LOT 16 a 21'-112" X14 North o South River CERTIFIED MAIL RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT Ab ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM PA4 (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) Name of individual applying for permit: William David Boxmeyer Address of property: 103 Tarpon Way, Lot 15, South River Subdivision Beaufort, 28516, Carteret County, North Carolina I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me (as shown on the included drawing) the development they are proposing. A description and drawing, with dimensions is provided on the other side of this notice. have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within ten (10) days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance or fifteen (15) feet from my area of riparian access unless waived by me. If you wish to waive the setback, you must initial the appropriate blank below). I do wish to waive the fifteen (15) foot setback requirement. I do not wish to waive the fifteen (15) foot setback requirement. Signature Print Name Telephone Number with Area Code Date LOT 14 103 TARPON WAY BEAUFORT, NC 28516 C%rll ITLJ MIN/Cm 01 I�nl�/IC�1�1A1 c r c 21'-112" 24" 10' LOT 16 21'-112' 1�y North :) South River CERTIFIED MAIL RETURN RECEIPT RE( DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWN Worehead NOTIFICATIONfWAIVER FORM (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) City 0cm Name of individual applying for permit: William David Boxmeyer Address of property: 103 Tarpon Way, Lot 15, South River Subdivision Beaufort, 28516, Carteret County, North Carolina I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me (as shown on the included drawing) the development they are proposing. A description and drawing, with dimensions is provided on the other side of this notice. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within ten (10) days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance or fifteen (15) feet from my area of riparian access unless waived by me. If you wish to waive the setback, you must initial the appropriate blank below). I do wish to waive the fifteen (15) foot setback requirement. I do not wish to waive the fifteen (15) foot setback requirement. , Signature Print Name Telephone Number with Area Code Date W. D. BOXMEYER N C. R. BOXMEYER s2-si3„ 5 2 4.1 103 TARPON WAY BEAUFORT, NC 28516 WILMINGTON TRUST . Wilmington, Delaware 4' r NP 403 1, L0009 21: 26SS 071,20 S241 �A