HomeMy WebLinkAbout50638_CLEMENTS, TRAVIS_200803143 -a 5 -v E lU-,4
❑LAMA/ ❑DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑Modification El 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
LDRules attached.
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Applicant Name i l ,r_> ( , r ! ,i �_..( ,) Project Location: County
Address
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City ; t 4` State `ii t ZIP'1
Phone#( ��{.} ~.ii� #()
Authorized Agent
ElCW O EW O PTA ❑ ES ElPTS
Affected AEC(s): ❑ OEA ❑ HHF ElIH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)T
Subdivision
City 1'�"t C.l ) ZIP !
Phone # O River Basin
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Agent or Applicant Printed Namig Permit
Signature Please read compliance statement on back of permit Issuing
ApplicationFee(s) Check# Local Planning Jurisdiction
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
Washington District
Mailing Address:
400 Commerce Ave
943 Washington Square Mall
1638 Mail Service Center
Morehead City, NC 28557
Washington, NC 27889
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
252-946-6481
Location:
Fax: 252-247-3330
Fax: 252-948-0478
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
(Serves: Beaufort, Bertie, Hertford, Hyde,
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
Tyrrell and Washington Counties)
919-733-2293
Fax: 919-733-1495
Elizabeth City District
Wilmington District
1367 U.S. 17 South
127 Cardinal Drive Ext.
Elizabeth City, NC 27909
Wilmington, NC 28405-3845
252-264-3901
910-796-7215
Fax: 252-264-3723
Fax: 910-395-3964
(Serves: Camden, Chowan, Currituck,
(Serves: Brunswick, New Hanover,
Dare, Gates, Pasquotank and Perquimans
Onslow -below New River Inlet- and
Counties)
Pender Counties)
Revised 08/09/06
FEB 2 8'1008
Morehead City DGM
D9'e Isis) ? O "�03SW M2n,sm
Charlea S, ,O g, D[T-ac"O Wflilam G. P,ass Jr., Serms r�
aillc7ac� � �as:e; Ga�e:nor •
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A9plicant Name
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Mailing nL,�ress
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to ac* On MY
I cerdry that, hRve aathori7wX (sae»,f)
behal#, fnr the pU,rpn,se na applyingfor and obtaining aIi C.AMA Per lb accessary to
ingtall or constMcl (acti%*T)
at (location) l 19 Sb
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'This cerrficalon c valid thr� ( ate) I
Signature 0/_"
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(FOR A PIER/UNCOVERED 8OAT rRT
1 hereby crrifl that I orM property d_iac.nc
;1i$mc t3C Pru�ri; Qw11�ri
property iccved u I let
(L4t, 8iock, Road, etc.)
cn MeI.1
CWalerb,ndy) IT M m ndi0 COua :)
He has destibed to me, as shown belcw, Lye deve;opheat he is proposing at ti'ac
locaaaa, and, I havc nc obj=doris to his proposal. I undGrs=d chat a pierluncovered boat Ui %-
trust be set ba:k : rrrininum dEv-mc-of fi tmn Fit t15'j :rcm my rea cr ripadaz ac=s unJes;
waived W M&
o not wish to wrditic the xbaGic CGuire:Clcnt.
f
• II r4ol
I �P aish to %give that setback ;ea+sirEcnent-
DESCRLMON A_NWfOR DR.iiW24C- OF PRO PO5EDiD£V LOP' vT
(To be Isfdua! proposing devc4v=nr
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02/27/2008 13:12 12527262865 A B COOPER JR PAGE 01
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objas:.cns cr = �ropvs:,+. * u�de.sr�r:d yh�e a pier/uncc7ver, boat
ii'rsE Me SC; caC!c a Minimum d.surrc-0 Of ii � nrf (;5'� 70m my4rea cA n'pa L—i acc.-s-, urlesl
waive: by rrc.
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DT.5CF.�'tiai� +�.'S�/OR DR�iw'4vG OF PRO�'t1SFDiDEVELQP?�tic._~y ___
ruzual proposing dirvidprrzertr
FEB 2 8 2008
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