HomeMy WebLinkAbout50608_CARR, MILDRED_20080304❑LAMA / []DREDGE & FILL 1,/) o
GrEN ORAL PERMIT �v� I 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 ; !1
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name_ t Project Location: County
Address
Citv
Phone # (_)
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:
ORIN: yes / no
State
Fax # ()
❑ EW ❑UPTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
i•
ZIP
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
51116 8
City ZIP
Phone # O r River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
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Agent or Applicant Printed Name
Signature Pleas6'read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date / Expiration Date
Local PlanningJurisdiction 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, certifythatthis project is consistentwith 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.
Raleigh, NC 27604
919-733-2293
Fax: 9 19-73 3-1495
(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
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A11J Ak-;1N 1 K1YAKIAIN YKVYEK1 Y U W INLK N 1'AI L1V1LiN 1
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to EV
0
k i L DP-ed c-, G1k R,P�, (Name of Property Owner or Applicant) A
Mailing address if different from location address 1 Z �� k2R/ T J ��4 ce L
(town, state and zip) W t N to N $o, � ,�, _ 02] I L
phone numbers you can be reached at 33 7.2- q - 7 L1-O
property located at Z?OfyaAU sr` A-cjft �. G,
(Lot, Block, Road, etc.)
on 0 Cf it.4-c- S a u te ,in C 41y N.C.
(Waterbo y) (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. 'understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
initials
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-----No L ------------------
---jod Cas� .
/2jZo
Zqo 1
vaNS
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____ ___________
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Signature
Print or Type Name
Z5-2.-7Z(- eo4�'tt
Telephone Number
Date:
i • V. 08
www.nccoastalmanagementnet/PermitsIADJACENTRIPARIANPROPERTYOWNERSTA. T l'-" F-I,IT.pdf
AJJJAUEIN1 K1YAK1AINYKVYLKIT VW1NERN AI-ENIEN'l-
(FOR A PIER/MOORING PIL,INGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner or Applicant)
Mailing address if different from location
(town, state and zip) cliu J Y 7
phone numbers you can be reached at 291 - a 40 - a q-j o
property located at
(Lot, Block, Road, etc.)
on , in 1 lbo N.C.
(Waterbo ) (Town ind/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 understand that a pier/mooring pilingslboatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
V I do not wish to waive the setback requirement.
initials
initials
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
10,4'00a"ecp 010"1<
-------------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - 1�16 ---- ---------------------------
Signature
C ' b'�_J,r
Print or Type Name
q3y
Telephone Number
Date:
t
www.nccoastalmanagementnet/Permits/ADJACENTRIPARIANPI?.OPERTYO WNERSTATEMENT. pdf
A PIPE
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date /; - oZ 9- 0 7
Applicant Name Z M i L
.11
Mailing AddressI a Os�
I certify that I have authorized (agent) odlue t,�J /'fifaac�;iy�G Coryt7: to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) doil P eye lk
at (location)
This certification is valid thru (date) Lf je O
J Signature _L t 2a�,) c � ra'-yi
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
FOR
BLUE WATER MARINE
CONSTRUCTION INC.
PO BOX 93 5298
MOREHEAD CITY, NC 28557-0093 66-112/531
BRANCH 02301
PAY
TO THE LI
ORDER OF
DATE 41 - / Y- c->K
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BRANCH BANKING AND TRUST COMPANY
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