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HomeMy WebLinkAbout49090_FORTIER, MARK_20071029❑CAMA / ❑ DREDGE & FILL r. 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 El Rules attached. Applicant Name - Project Location. County Address Street Address/ State Road/ Lot #(s) City State.' ZIP, - Phone # ( ) Fax # ( ) Authorized Agent_ Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ORW: yes / no ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes /, no. Subdivision City - ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat an /unkn) Closest Maj. Wtr. Body `'- Type of Project/ Activity (Scale: Pier (dock) length Platf orm s er pier(s) n length number— head/ Riprap length avg distance offshore max distance offshore channel ramp house/ Boatlift h Bulldozing eline Length not sure yes no bags: not sure yes no ratorium: n/a yes no — — � � _.❑ _ _! cubic yards �f [ -- -- �;-�j�" ---- � - ! r os: yes no 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 Planning Jurisdiction Rover File Name 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 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, certifythat 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 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 0 7*, R""L ERR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date Applicant Name Mailing Address /4 6 I certify that I have authorized (agent) 1�7/u ,e C. )e-t fe— to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) / 5 ( k 5 to f/ (y 0"44-e'- x0-'t4A This certification is valid thr!!Jdate) - 3F JUI_ Signature rehoad City; DO 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper A1lJAUEA 1 KWAK1AIN YK"FEKIA V WINEK NTAl'EINIE N 1' (FOR A PIER/MOORING PILINGS/BOATLIFT/BOA7HOUSE) I hereby certify that 1 own property adjacent to 's Mailing address if different from location a, (town, state and zip) phone numbers you can be reached at - property located at ft C` (Name of Property Owner or Applicant) Z� or MR)Z -2303 (Lot, Block, Road, etc.) on C Q� , in 1 iCr(l o V� J YW `r"J , N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is pro a that location, and, I have no objections to his proposal. !understand that a pier/mooring pi f' r%q' must be set back a minimum distance of fifteen feet (15) from my area o waived by me. J U L 0 9 2001 r I do not wish to waive the setback requirement. ��/^� ('` initials 1Ie����Q�� ���y f"tL-.�]�/� I do wish to waive that setback requirement. C Cd 7 y! initials ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) v 30 LI�1' 151 '--------r------------ ----------- ----------------------------------------------------- Signs re Print or Type Name -V7- M 7 Telephone Number Date: /vim i d ) 7 www.necoastaimanagementnet/Permits/ADJACENTRJPARIANPROPERTYOWNERSTATEMENT.pdf AIJJAl:EIN 1 KlYAKlAiN YKVYKKl Y V WALK S-1-AI'LIV1E I (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 's (Name of Property Owner or Applicant) Mailing address if different from location address 3 50 T1 e nm l isom P �a CQ_ , (town, state and zip) _ z:7(con, phone numbers you can be reached property located at b1Qt� C�,ti (Lot, Block, Road, etc.) " on Cl ort� , in RQ:-riK"J3 V t,0f e4 ' , N.C. (Waterbody) (Town ind/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 rmarian access unless waived by me.' �, t� ;►f' I do not wish to waive the setback requirement. itials J U 1. .0 9. 2 o 0 7 I do wish to waive that setback requirement. initials Wreheecj City E)CM ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 0 vlaaf � 4 � '� �4' -, 7�4- S W � V � ,.,�CO? D�Jo�z 15 Few �i'a� uW� &(Aq VN 1AP" ---------------------------------------- i ----- 1.3J� ` &,f 9 Z'tFT 15/ Signature mom' f j ! V/ Print or Type N e (b`qI3 Telephone Number �� Date: �7 www.nccoastalmanagementnet/Permiis/ADJACENTRIPARIANPROPERTYO WNERSTATEMENT. pdf s c4r�41 lA �o �l ew. i4 ✓�,w a N��- '6°a�}' 14-5 3z' J ►MKS CaN�i ,�► J�Aie rl x N OCT 2 9 2007 Morehead City DCM 31 i / E i-,5"Nt ooc,W- E W4 S -urir- n6nn•d dnrn mrnl BLUE WATER MARINE 4461 CONSTRUCTION INC PO BOX 93 . MOREHEAD CITY, NC 28557-0093 �'55-112/531 DATE � -O� PAY — --- 0230 t TO THE 1 I, /� d ORDER OF `/�J /�O Q �� ,(� ---fJ C C --�"`J ------ --- ' -- o ----DOLLARS 8 BB&T BRANCH BANKING AND TRUST COMPANY MOREHEAD CITY NORTH CAROLINA ; / FOR __ZFV,, ��' (jam \.J "� - r cl 11'004L,6111' i:OS3101121,:S214986S921+' w