HomeMy WebLinkAbout50197_FRANK, TERRY_200802290 �i6-x<
IL ❑CAMA / ❑'aREDGE & FILL �% TIN'?,
GENERAL' PERMIT Previous permit# '''
❑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
❑ Rules attached.
Applicant Name f t— 4 Project Location: County
Address
City _
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
_ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
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
Pier (dock) length
Platform(s) x!4,
ME
,.CrO
MEMNON
ME
MEN
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Agent or Applicant Printed Name j
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ r - Pamlico River Basin Buffer Rules ❑ Other:
eNeuse 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- 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
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 o'2 atcv I OS
Applicant Name �'�' l K
Mailing Address
oF-Ed&i-6 iT' �J A)Q 2 RISS7
I certify that I have authorized (agent) 1- *?-f2-1 (I • OWA3Q)4-b to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) Ate_
at (location) I O$ S>> � b� i- �S -0?7 ill
This certification is
Signature
thru (
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 501% Recycled \ 101/6 Post Consumer Paper
■ Complete items 1, 2, and 3. Alk complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
ss+-� n, ,.t� i 1-7
0 Agent
B. Rec ed b ring Flame) I . ate o�livery
D. Is delivery address different from item 1? 0 Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) 0 Yes
2. Article Numbrfrom 7007 3020 0001� 9679 7262
(transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-1540 !
UNITED STATES POSTAL SERVICE
First -Glass 'Mv N'
Postage & Fees Paid
,USPS
11111 Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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■ Complete items 1,•2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
A. S' na ure
X ❑ Agent
❑ Addressee
B. Received by (P ' ted Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
1. Article Addressed to: If YES, enter delivery address below: ❑ No
t'11 t ��s>E
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3. Service Type
❑ Certified Mail
❑ Registered
❑ Insured Mail
2. Article Number
(transfer from service label)
PS Form 3811, February 2004
❑ Express Mall
❑ Return Receipt for Merchandise ,
❑ C.O.D.
4. Restricted Delivery? (Extra F-1
7007 3p20 0001 9679 72SS
Domestic Return Recelpt
—1 Yes
102595-02-M-1540 ;j
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UNITED STATIP�Efl_.40 1 )A b15 DARE FA WAT02t
Adam,
G4 FEB- 008 PM 7 "1. 11 f ?!Xit No. G-1 0
0 Sender: Please print your name, address, and ZIP+4 in this box 0
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(Endorsement Required)
$0.00
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(Endorsement Required)
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02/02/2008
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Total Postage & Fees
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(Endorsement Required)
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02/02/2008
$5.21
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Total Postage & Fees
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Sent To
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Sheet, Apt No.;
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City, State, ZIP+4
- PS Form 3800, August 2006 See Reverse for Instructions — PS Form 3800, August 2006 aee r<e.rf �_ •�•��
Sek`0-l >le -
CERTIFIED MAIL •RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Individual applying for Permit:
Address of Property:
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawling, with dimensions, should be provided with this fetter.
I have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Managemer4 4W Commerce Avvnue� Morehead Cgy, NC, 28W or call (252) W8-2808 Wthfn
10 days of receipt of this notice_ No response Is considered the same as no objm*on ffyeu
have been notified by Certified Mail.
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlifi or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me. Of you wish to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 'i 5' setback requirement.
I do not wish to waive the IS' setback requirement
(Applicant Information)
466VAV i t,cl
M&Wng Address
Ste P
A 1f
alephone Number
r
Date
(Riparian Property Owner Information)
signature
Print or Type Name
TelapWm Number —
Date
AfC
02/01/2008 15:39
2522476936
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2522476936
LRRE
PAGE 01
CERTIFIED MAIL , RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIYER FORM
Name of Individual applying for Permit:
Address of Property:
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are prooposing. A description or drawing, with dimensions, should be provided with this letter.
✓ I have no oDjectlons to thls proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Avenue, Morehead (City, NC, 28557or call (252) 808.2808 within
10 days of receipt of this notice. No response is considered the same as no objection if you
have been notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, boatlift or sandbags
must be set back a minimum distance of 15' from my area of riparian access unless waived by
me_ (If you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Applicant Information)
Mailing Address
"ty/Staf p
Telephone Number
Dale
(RlpariaA Property owner Information)
Signature /
111VIJ
Priol or Type Name
Telephone Number
y / �'Age
pate
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02/01/2008 15:39 2522476936 LRRE PAGE 02
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SURVEYED $Y
POWELL SORVEYIhG COMPANY
P.O. Sox GIG ZSZ- 728 - +03T BEALVORT H.C. Z851C
Lu AKNULD DOCKS & SEAWALLS
2779 MILL CREEK RD
NEWPORT. NC 28570
PH. 252-241-2636
i 1 [o
1137
66-112/531
BRANCH 02301
BFezi i'cY
BRANCH BANKING AND TRUST COMPANY
1-m-BANKBBT BBT..o
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