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HomeMy WebLinkAbout51208_GARDNER, PEGGY_20080807D&AIVIA / r] DREDGE & FILL /Sx p C GENERAL PERMIT�Previouspermit# El New DModification DComplete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources f and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC r_1 Rul6s attached. Applicant Name Address City_ State ZIP Phone # Fax #(_ Authorized Agent Affected El CW 1,014 EjW J;eS El PTS AEC(s): El OEA [I HHIF El 1H [I UBA D N/A El PWS: DIFC: ORW: yes / no PNA yes / no Crit.Hab. yes no Project Location: County I Street Address/ State Road/ Lot #(s) Subdivision Zip City Phone# River BasinL(1kr Adj. Wtr. Body YY n�an..&6nkn) Closest Maj. Wtr. Body- ( :'C::::::: ���:■�::::®C:rMIMEMNIMMEN AMMMMM1 NOON M M. M. ME MCM MENEN COMMISSION NONE ME MMUMMEMMINIMENEEMI I No MOON WINW- -51M ■...w■ -a MEN MEN a C:CNomommoomm ::: o: mmommom IMMNE= O:C:I :::::::C::::::CM1111::::::::::I ■■■....■...■.............o........... OMEN :_::::::::M::: :■MONSO::C:� LS flits. AgenydrApplicantPhntec[Narne Signature *'Please read compliance statement on back of permit" ( k, -7 T Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local P lann i ng 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 howto complywith 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/ 1-888ARCOAST 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 0 CO ,4- -cr 2 P— I/rtA e Fh(o 0 1 (D CD A) CL. 0 Z Act k 5, 6 ADJACENT RIPARIAN PROPERTY OWNER S rA I EMEN'I0 -. (TOR A PIER/MOORING PILINGS BOA TI_II'T/11011III011,5L) CD r CP I hereby certify that I own property adjacent to (Nai ie of Property Owner) C')• o 00 property located at (Street Address, Lot, Block, Road, etc.) S on --- -- in. -- N.C. (Waterbody) (Town and/or County) He/she has described to me, as shown below, the development he/she 'is proposing at that location. and I have no objections to this proposal. I understand that a pier/mooring pilings/boatl ft/boathouse must be set back a minimum distance of fifteen feet,(15') from my area of riparian access unless waived by me. I have indicated my intentions by initialing below:' I do not agree to waive the 15' setback requirement. (initials) ,r j I do agree to waive the 15' setback requirement. (initi' alb) ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -------------------------------------------------------- If, Signature / -, Print or Type Name Telephone Number Date: 7 —17 - ADJACENT RI.l'ARIAN PROPERTY OWNER STATEMENT i 1 (FOR A PLL'RIA100RING PILINGSIBOA TLH,-T1W 0A T110 USE-) ` 4 I hereby certify that I own property adjacent to Ae__1 - ---C �` (Name of Property Owner) ;x property located at o� rX 00 (Street Address, Lot, Block, Road, etc.) (Waterbody) (Town and/or Coun l)` He/she has described to me, as shown below, (lie development he/she 'is proposing at that location. and I have no objections to this proposal. I understand that a pier/mooring pilings%boatl ft/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access uniess waived by ine. I have 1c dicated ii�y intentions by ietitialiirg below: I do not agree to waive the 15' setback requirement. x y Y *.1-do agree to waive the 15' setback requirement. (initials) ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) /(ed (5 fril�cJ' �jc ( � etc tic / (l%4-yk SF 6,#,e- Q� i i e ------------------------------------------------------------------------------------------------------------------- p i 4Siture &P '/too GOS ; Print or Type Name Telephone Number Date: — O� RUG-14-2005 _0:41 Frorr:1111 r August 6.2008 A'I'TEN TIO\ : Heather Styron RE: CAMA Permit Paae:1/1 1144 1 5 AUG 1 2 /2008 Morehead City DCM I, Peggy Gardner, hereby authorize Brentley Brooks to serve as my agent in applying for a CA MA Permit. Thanks 112 Peggy rdner 336-621-1415 f BROOKS DREDGING & MARINE CONSTRUCTION INC 3362 507 BAYVIEW DR PH. 252-728-6886 66-1246/531 HARKERS ISLAND, NC 28531 (/ DATEPAY z TO THE ORDER OF �J ...� 241,��, _ �.�-—� 8 Vic. DOLLARS ^ ,—Morehead City NC 2B557 FOR u'00336211' 1:05311246611: 00013792110