HomeMy WebLinkAbout51893_GERAGHTY, GLENN_20071218❑CAMA / ❑ DREDGE & FILL C
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 I SA NCAC
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Applicant Name ! „"' t' Project Location: County
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Address Street Address/ State Road/ Lot #(s)
F] Ru
City
State rj'' ZIP %L'
Phone # O
Fax # O
Subdivision
Authorized Agent
City
ZIP -'
❑ CW ❑ EW
❑ PTA ❑ ES ❑ PTS
Phone # ( )
River Basin
Affected
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❑ PWS:
❑FC:
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ORW: yes / no PNA
yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
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Signature "Please read compliance statement on back of permit
f.�
Application Fee(s) Check #
Permit Officer's Signature
Issuin;' to . Expiration Date
Local Planningjurisdiction 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 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/ 1-888ARCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
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
12/17/2007 11:24 3366264303 SWATCHWORKS PAGE 01
Dec 17 07 10:52a , '�tzt/ARNOLD ?:V-r2 -&1 d P.z
ADJACENT IZWARRXAiN PROPERTY Otil'i ERL STATEMENT
(FOR A PrER1,V00RhVG PIfGI. v'GS✓B0ATLIF:r1BOrt rff0USZ'f
I hereby cev fy that I own property adjacent to JYZI I IF
� ,.�._'s
If
(Name of Propert} Owner)
(Lot, Blo4k, Road, etc.)
OV erbody) 0 gown and/oar County)
He has described to me, As shown below, the development he is proposing at that )oeation,
and, f have,no objections to his proposal. I understand that a picrl»toorinSgilings'boatlift baatho4rse
must be set back a minimum distance of fifteen feet (i5`) from my area of riparian access i;nless
waived by rne.
I o not wish to waive the sctWck requirement.
1 do wish to waive that setback raquirement,
DFSCWTION AND/OR DRANVING OF PROPOSED DEVELOPLNIEt T.
(To be filler! in by individual proposinS develop mer,t)
T!C e Js-e
�f �f NI
Y
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Signature
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Pnnt or Type NIAms
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' eiephone 1�'timber �` ""�.
Date; j
ADJACENT RIPARIAN PROPERTY O'WNER STATEMENT
(FOR A PIER^fDOR r,VG plL r,N-GS,B0.4 TUFT,-BOATIfQTJS£j
I hereby certify that I own property adjacent to/ c� 's
(Name of Propert.c Owner)
property located at 1,47- kr,__
(Lot, Block, Road, etc.)
on A
O erbody) 0, N.C.
(Town and/or Count,,)
He has described to me, as shown below, the development he is proposing at that llocattion,
and, I have no objections to his proposal. I understand that a pier/mooring ings boatl;ft bo�zihocrse
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
%vaived by me.
I do not wish to %%'aive the setback requirement.
I do wish to .naive that setback requirement.
DESCRIPTION AND/OR DRA«'I1G OF PROPOSED -DEVE�"OP-- -
(To be filled in by individualproposing developj)11>11P)t`IE;�T;
%/Ct%1� o
Pr L e--; I`l t
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'�` �► Signature
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Print or T e N`rame -
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Telephone N'umber ZZ I
Date; �- I
A�
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 lL- /C1 ZOO 7
Applicant Name
Mailing Address ��/ C l/2/ Yl,�IU W �S
ivt �4v47AIC -4 yv
I certify that I have authorized (agent) ``�� i'e4?g 6Z'1) to act on my
behalf, for the purpose of applying for and obtai
ning all CAMA Permits necessary to
install or construct (activity) 5 X �0 04-b � 4Y `� /0/✓� / 6 L
at (location) 2—�gD MI L- (X��L ) Po nI C
This certification is valid thru (dat) '- I / 5Z�C) 0
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
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