The URL can be used to link to this page

Home My WebLink About52155_FAIRFIELD, LEONARD_200712211 ;)-�)Tprl 166 a 5� ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT i Previouspermit# ENew [-]Modification El Complete Reissue El 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 ❑ Rules attached. Applicant Name_ ' 1 t_.i f ( Project Location: County Address Street Address/ State Road/ Lot #(s) City _ State ZIP Phone # (_^) Fax # ( ) Subdivision Authorized Agent City ZIP a " ❑ CW 1-1 EW PTA [IES ❑ PTS Phone # ( ) River Basin Affected !! , J�'� ❑OEA i IHHF ❑IH ❑UBA ❑ N/A P,��f P�� : - nat /man /unkn AEC(s): Adj. Wtr. Body _ ( ) ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■ ONE ■■■■■■■■■■®■■■■■■■■l�■■i��■■■■■■■■■MEN ....,■■..�....■..�,v ..................■. ■■■�■■■lwii�■■� 1'!1 L!■�:fiil@■■�I■■►�C.�f�1ji/. �i■® M. ■■■ ■■■■■■■■■■��■a■■■■�1■■■•�■■■■■■■■■■■ ME ■MEN ■NONE ■■■■■■■■■@il■oWMEN■■■■■■■■■■ --. ■■■■■■■■■■■■■■■■■mow■■■■■■■®■■■■■■■■■■■ ■■:■:■■■:::�:■■o:■■:..■..■......� Agent or Applicant Printed Name Signature - Please read compliance statement on back of permit Application Fee(s) Check# Permit Officer's Signature Issuing Date Expiration Date Local PlanningJurisdiction Rover File Name i 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 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:919-733-1495 (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 FEE-13-200' 16: S7 From: [AC GIV COASTAL MGtlI T 2522473=0 P.211 AIJACENT RIPARIAN PROl:TRTY OWNTER STATEMENT (FOR .4 PIE,RIMr?c?ltLYG P1LLVGS,730:11'L1.F1;B0,4 MOUSE) I her�L-f>y certify Ulat 1 Own I,rnrPtfv nd ja; cl.t fn �cn c rd Ngmf! of Property Owncr or Applicant) Ma: i i & ad;'_te5; if (111`lere11. [1-OrTI 190ilion (town, state and zip) CA-��- ...._ `�'1—�- -z�'S� y - Pli-10i.UC I1L inbeis yclu can be reached at 2 SZ/3 `33 - �8 S7 c P a S �7 �- `/36 3 pror;erty located ul (Lot, Block, Read, etc) _ / / ! / E'i��tei'hodl) (�uwu and.'or (-auet�1 He has described to me, as shown below, e development he is proposing at that location, �!Jid, I h we no obje lions to his proposal. I undci-stand .hat a pie-hroonngpilin-s.rboaQiftlboatho,:se must be set back a minLnum distoance of fifteen fat (15'i from my area o=pariLi access unless waived by :ne. 'Cis � ram, I do not wish to waive tcie setback requiremer_t. l; ininals - _ I do WiSh to waive; Lhat setback requirement. DEC 18 200l initials ---------------------- —------------------------------------- --• - r € DESCRIPTION ANIVOR DRAINJUNG F 11ROPOSED DEVELOPAENT; `" 4-IWO (To be f lled in by individual proposing development) ;sue to W 4 4e, M,';- JntTf+x)A-,-1 ce- - 1-A P FZ o re.A 46 1'rc.t or Type Narti Q 317 Te.epaonc dumber Dim:; 1 a s • ADJACENT RIPARIAN PROPERTY ONATNTER STATEMENT TCM A PIEItIMOOR1_ G ?1LINGS,'B0A1U1,'1';R0,ATHOr'SE) I hereby Certify that 7 even proprtrtlr a'Ija;oc_t to �f)c,rc 4�wt QF-)�� A s ;'vAn�e of Properly Owncr or Applicant) Ma ling address if difTcranl. (rorn '10C ttiva addre:Sc 1 I I t-J (town, state and zip) y pllotle rnbc-7 936 3 pror)erty located si _.__..__..... _ -- (Lot, Block, Road, etc.) (Waterbody) (Town an(!'or County) HtI has described to me, as shown below, _ne development he is proposing at that location, anti, I have no objections to his rruposal. I undentan.d :hat a vie*/i:,cxring pilin,,sfboatliftlboathot se must be set back a minhmm distance of Tlftecn fcct (; 5) from my area oz riparian access unless waived by nie. I do not wish to waive the setback requiremer_t. C initial; 0 I dowish to vaaivc that setback rtgairemen:. g ZOOT ---------------------- --------------- ---- -------------------------------------------- DESCRIPTION AND/OR DRAW NC: OF PROPOSED DEVELOP-1�1 ,- (To berlted in by individual proposing development) oc4f -44 M"j- - /- f ' ) `f'G ntio0.0- — A-Pere K. 'Z d Or o C-3 � do , �-o G -----------� ?,1 U.l Gi .� ---------- Signacurre —�--- _ (�w o Fa o S D Q rui I'rL:t or Type Nwrx: (10 1 Te_ephanc Number l? t4: Id Z1710-7