HomeMy WebLinkAbout51208_GARDNER, PEGGY_20080807D&AIVIA / r] DREDGE & FILL
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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- (
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AgenydrApplicantPhntec[Narne
Signature *'Please read compliance statement on back of permit"
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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
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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-
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-------------------------------------------------------------------------------------------------------------------
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