HomeMy WebLinkAbout51807_DAVIS, RICHARD_20071108❑ CAMA / [:]DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification El Complete Reissue El Partial Rei
As authorized by the State of North Carolina, Department of Environment and
and the Coastal Resources Commission in an area of environmental concern pu
Applicant Name_
Address
City
Phone # O_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State _ ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF 7 IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Previous permit #
ssue Date previous permit issued
Natur esources
rsuant o 15A NCAC
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Platform(s) ~
Finger pier(s) i
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
'
L i
I
i
f - �
Shoreline Length I'
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no I
Waiver Attached: yes no EFT I
A building permit may be required by: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
� Y �
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compIiancestatementonback ofpermit** Issuing Date
Expiration Date
i 1
Application Fee(s)
Check # 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, 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
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/ I-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
s
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date it) - 2 y o 7
Applicant Name �xV 5
Mailing Address a1k ' 7
I certify that I have authorized (agent) TT iX to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Do1--K
at (location)
—70 1Vo5 4'&)i 1 c �
This certification is valid thru (date) /0 �" C
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastaImanagement.net
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled 1 10% Post Consumer Paper
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to _ pc, iGya 'D9 's S 's
Name of Property Owner
property located at -7 D t '
Lot, block, road, etc.
on & QoY�)D CI�Qjr--Et_, in &1c`- , NC
Waterbody 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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement
_ f
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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Print or type name
Telephone number
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Adjacent Riparian Property Owner Statement
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no objections to his proposal.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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Page 1 of 1
IDENTIFY RESULTS
Layer: Parcels
ACCTNUM
20891
LASTNAME
BRIGHT, BETTY L
FIRSTNAME
CAREOF
ET VIR RICHARD K
ADDR1
P 0 BOX 646
ADDR2
CITY
WAKE FOREST
STATE
NC
ZIP
27587
PARRECNUM
505
NAME
BRIGHT, BETTY L
MAPNO
L091-117
CONTROLNUM
PIN
CLSCODE
DISTTOWN
D02
INSERT
L091
DBLCIR
BLOCK
1117
PARCELNO
SITEADDR
SITUSADDR
SITUSROAD
EXEMPT
LEGDESCI
END OF 1328
LEGDESC2
LOTS 3 & 4 ON
PCA 20-1
TOTACRES
0
CRNTTOTUSE
0
CRNTTOTUEF
0
CRNTLANDVA
35000
CRNTBLDGVA
0
CRNTOBLDGV
1690
TOTCRNTVAL
36690
FIRECODE
IF
HOUSECODE
P
SEWERCODE
SALEAMNT
36000
SALEDATE
4/24/2000
SALEDATE2
72801
SALECODE
10
ROADNUM
1328
PCTCOMP
100
WILLBOOK
0
WILLPAGE
0
DB_PG
353/624
DEEDBOOK
1353
DEEDPAGE
624
PLAT
PCA 20-1
MOBHOME
0
DELREC
SRAT
0
MYDIS
10
http://www2.undersys.coin/scripts/testadvlusiwebpc.dlllusi?formis=identify&MouseX=44... 9/ 11 /2007
Page 1 of 1
IDENTIFY RESULTS
Layer: Parcels
ACCTNUM
7833
LASTNAME
DAVIS, RICHARD K
FIRSTNAME
CAREOF
ET UX BETTY L
BRIGHT
ADDR1
1p O BOX 646
ADDR2
CITY
WAKE FOREST
STATE
NC
ZIP
27588
PARRECNUM
4185
NAME
DAVIS, RICHARD K
MAPNO
L091-116
CONTROLNUM
PIN
CLSCODE
DISTTOWN
D02
INSERT
L091
DBLCIR
BLOCK
116
PARCELNO
SITEADDR
SITUSADDR
SITUSROAD
EXEMPT
LEGDESCI
END OF 1328
LEGDESC2
SURVEY PCA 20-1
TOTACRES
0
CRNTTOTUSE
0
CRNTTOTDEF
0
CRNTLANDVA
185800
CRNTBLDGVA
26430
CRNTOBLDGV
7222
TOTCRNTVAL
119452
FIRECODE
F
HOUSECODE
P
SEWERCODE
SALEAMNT
0
SALEDATE
12/1/1993
7ALEDATE2
70465
SALECODE
ROADNUM
1328
PCTCOMP
1100
WILLBOOK
0
WILLPAGE
0
DB_PG
293/830
DEEDBOOK
293
DEEDPAGE
830
PLAT
JPCA 20-1
MOBHOME
0
DELREC
SRAT
0
MYDIS
0
http://www2. undersys.comlscripts/testadvlusiwebpc.dil/usi?fonnis=identify&MouseX=3 5... 9/ 11 /2007
Page 1 of 1
IDENTIFY RESULTS
Layer: Parcels
ACCTNUM
5731
LASTNAME
FREIBERGER,
JOHN JACOB
FIRSTNAME
CAREOF
ADDR1
830 KENMORE
ROAD
ADDR2
CITY
CHAPEL HILL
STATE
NC
ZIP
127514
PARRECNUM
3016
NAME
FREIBERGER,
JOHN JACOB
MAPNO
L091-114
CONTROLNUM
PIN
CLSCODE
DISTTOWN
D02
INSERT
L091
DBLCIR
BLOCK
114
PARCELNO
SITEADDR
70 MOSQUITO DR
SITUSADDR
70
SITUSROAD
MOSQUITO DR
EXEMPT
LEGDESCI
END OF 1328
LEGDESC2
TOTACRES
10
CRNTTOTUSE
0
CRNTTOTDEF
0
CRNTLANDVA
50000
CRNTBLDGVA
0
CRNTOBLDGV
6290
TOTCRNTVAL
156290
FIRECODE
IF
HOUSECODE
P
SEWERCODE
SALEAMNT
0
SALEDATE
1/1/1991
SALEDATE2
69400
SALECODE
ROADNUM
1328
PCTCOMP
100
WILLBOOK
0
WILLPAGE
0
DB_PG
2721177
DEEDBOOK
1272
DEEDPAGE
177
PLAT
PCA52-2
MOBHOME
0
DELREC
SRAT
0
MYDIS
10
http://www2.undersys.comlscripts/testadvlusiwebpc.dillusi?formis=identify&MouseX=22... 9/11 /2007
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ORIENTAL, NC 28571
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