HomeMy WebLinkAbout51574_CUSHMAN, LARRY_20071101;p,/I-v-<-6-,6
IJ�rmNERAL
AMA /*DREDGE & FILL � J 7/ PERMIT \\ Previous permit#
ME -]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
Applicant Name_
s }
Address
v�
' �r
City
State ZIP
Phone # ( )
Fax # ( )
Authorized AgentAt
❑ EW ❑ PTA ElPTS
Affected AEC(s): ❑ OEA
� HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes l no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
Rules
ZIP
51574 �' I
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
■■■■■■■■■■■■■■■■■■■■■■■■■■■�I■■■■■■■
■■�■■■■■■■■■■■■■■■■■■!■!■■[ill■/1■■■■■
■■■■■■■■■■■■!■■■■®■i�■!■■fi■■■■E■
■■■■EE MINES
■
■■■
MEMO
E■■M■Nib■■■NNE■■■■■■■■■■■■■�
■INN■■
■■®■1L�
fits
!�alM■�aaa�....■M....■�i
9■■M■E■■M.NINEMIM�E■/MVM
..■..■!■...■.■■M■■■M�■ac�■E■■■AIM■M■M■■MEM
'No
MM
MEN
UMMEMMMMLVUMMMMMMM
a11111■■
.
®■■a�a■■■■■■■■■■■■■■■!■Ew
�
�■::::■■■�■■■■■■■!■■■■■mn
100
■�I■MM■■r■E■■■MEkli�lli�0\�r17.�iiai'iI���JM■■■Malit
No
MIEN
..■■I■■■........®.........■..........■
.C■■■■■■■■■■■■■■!.■■ILIMMENO■■■..E■■■■MIME■
:...:IN■■■■■■■■■.■.■■....■....■.■.........
MEN ■■■■■■■■■■■�■■■■■■■■®■.■■■■��.�
NINO■■■■■■■■■�
■■!■■■■■■■■�■■■■:..■■.■
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
PermitOfficersSignature / J
Issuing Date Expiration D to
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 complywith 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 Headauarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
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
4
ADJACENT RIPARIAN PROPERTY ONNWER STATENIE U
I hereby certify that I own property adjacent to J. oli.S�Mlly)
's
(Name o ropertN Owner)
property located at 4�y ?O in f 4-an e
(Lot, Block, Road, etc.)
on I V f- ,inpaW
N.C.
�Ya (terbody) (To�i-n and/or ounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AN`D/OR DRANVE\;G OF PROPOSED DEVELOPMENT
(To be filled in by iudi►-idual proposing development)
0- rock bulkhead
exfend r ny
E as am d
bu ( k hi�-vdd -
se-e Cr) Se
harn eXiSh'ny vinyl
d/ a9 ran .
Print or Type Name
Telephone Number
- v/
BAD pro
d e�
.I, CREEK /J / i
FLOW � V I "{ 4 e Gl
Ar."Aa MEAN IlgH "T" HARK
L�8 C79
1
W W y
LOT 8 W W
104,184 + /— sq. ft
, •- 2.3 9+/- r e s
Af-
ELEVAflDN - 18.2 w y y G y W
W y y
T� STDRY w W b y W y y
W y c
TER
AIDE
W W y
ADJACENT RIPARIAN PROPERTY ONVINT, R STATEMENT
I hereby certify that I own property adjacent toJ. A's
(Marne o roperty Owner)
property located at O/ n f 'Lan F�
(Lot, Block, Road, etc.)
on f inP, N.C.
(V'aterbody) (Town and/or ounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWV,G OF PROPOSED DEVELOPMENT
(To be filled in by individual proposingrn deI,-elopent)
/,J
Es - '�Z-rd �esf
bu l K h,,v-ac! -
She tl-�Cla S ed
ra M e X/ 'S 1'7' y v l n1/ I
d10_yt-�.
----------------------------------------------------------------------------------ALA-/ir;7-----------------
SIR aturee
Print or Type Name
3l 1-/- S 72-" Z -2-
i
Telephone Number
� I
"
BAI,I, CREEK
FLOW 1Z<4e
Ar"AG[ MEAN HISH WATER MARK
C79
W y W W
W y y u
LOT 8 y W
104,184 + /- gq. ft W t y <�
2.39 + /— fes y W W o1 c'
ELEVA �Y W W ' W �101
(kr
XlR ELEVATIO►r 18.2 W W y
1 y
W y /
T' O S TOR r
4
FRAME 01�101MG 67.4'
TER W �• y W W
y y
y W y
W W y
I
y, L 2 y W
Li. Crjl. Ret. Larry J. Cushman
S;.Qiia �,. Cushman
NCR 125>5523 NCDL 21140626
62 Poiat Last PH 252-745-4483
k4.e.tt, NC 28556-9655
R!kY TO THE
1682
66-152/531
DATE' I
G" O RS
WAdHOVIA BANK OF NORTH CAROLINA, N.A.
WACHOVIA SANK OF NORTH CAROLINA, N.A.
BAYBORO, NC 23515 ,c 15 C_
FOR 6q,
— — — -- - ------
7
tl0 �L0 IS 291: %784 LO L88911' LE38 2
DESIGNER CHECKS 6 • LIGHTHOUSES BY DONNA ELIAS POW Loma Chars • Resort GraphIW' 1997 All Rlghis Reserved