HomeMy WebLinkAbout52329_COOPER, A.B._20080630❑LAMA•/ ❑ DREDGE & FILL / -
GENERAL PERMIT Previous permit#
ONew ❑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 I SA NCAC
Applicant Name '-A , � pp _ Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (`) Fax # ( ) Subdivision
❑ Rules attached.
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA El ES ❑ PTS Phone # ( ) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Bo ' 1V jI (nat /man /unkn)
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ElPWS: ElFC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body `I)
MIGNON
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check # Local Planningf urisdiction
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 thatthis 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(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
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to 1T 's
(Name of Property Owner)
prope locaSed at .- u
" . �-
(Lot, Block, Road, etc.)
on �?Et , in -�1 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. I 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.
------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-----------------------------
(Applicant Information)
Mailing Address—L
J '
City/State/Zip
Q 15 - -3 �/ � - a
Telephone Number
/.?/oF
Date
---------------t
er In
- � d)1' kP.
Print or Type Name
Telephone Number
Date
5;:�'K
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to is
(Name of Property Owner)
property located at -O
or
`5it y �i(Lot, Block, Roadt,
onin 2 ,N.C.
(Water dy) (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 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. II..
� �Ll.� ✓lo Q,r CD
I do not wish to waive the setback requirement.
I yr J V�-�Y, �-, -1- �►'�.1.�. V-,� `�
I do wish to waive that setback requirement.
------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-----------------------------
(Applicant Information)
Mailing Address
City/State/Zip
o2s�•- �y8- 366 3
Telephone Number
Dat
------------------------------------------------------
(Ri ri n Property Owner Information)
Signature
Ann m V-C(e-,"C-K
Print or Type Name
Telephone Number
5114'la
Date
05/12/2008);112:38 FAI 9102564881 SANDLIN RAINES
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PROPERTY OF A, B. COOPER J:R.
IDS/fir/�6 ,N. SIDE SETBACK — 10'
IN, FRONT SETBACK — lo'
�j IN. REAR SETBACK — 20'
(EXCEPT UNCOVERED DECKS)
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PROP. LINE \ ROAD R1W LINE
EDGE OF SERVICE RD. PAVEMENT
,400 / +d i��o �/ frirK�"'i A-s '� r- f��'l �,� '� J�ea 1, Ord; A) xA) ce--
ATLANTIC BEACH CAUSEWAY (MOREHEAD AVE.)
A01
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary
1. •
Applicant Name
Mailing Address
I certify that I have authorized (agent) Q�,L,► fflw'y\— _ to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location)
This certi
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
MMIC HOLDINGS, LLC
700 SPRING FOREST ROAD
SUITE 400
RALEIGH, NC 27609
(919) 872-7117
0510
1 BANK CITIZENS
66-30-531
************ One Hundred & 00/100 Dollars
DATE AMOUNT
*******100.00
05/30108
PAY CAMA
TO THE
ORDER
OF
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11800000 5 1011' 1:0 5 3 l00 3001:0008 7 3 L 3 5 2 C II'
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THE SELLING TEAM 3699
r LLEW RAMSEY PH.252-726-4753 ,
TAMMY OR ELAINE MAIN Date �� I � �'� 66-30/131
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PH 252-726-5187 PO BOX 2708
-1 --' ATLANTIC BEACH, NC 28512
Order ofe �1 I s too"
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