HomeMy WebLinkAbout52170_GLOVER, DOUG_20080123a►
--. ❑CAMA / El DREDGE &FILL 4
GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue�4 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
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
Project Location: County
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
(Scale: , )
Pier (dock) length
Platform(s) _
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ram P
Boathouse/ Boatlift
Beach Bulldozing
Other
_-_-_
—
i
1
1
i
Shoreline Length "
SAV: not sure yes no 1 ` \ i ✓
I
Sandbags: not sure yes no
Moratorium: n/a yes no j %
Photos: yes no _
Waiver Attached: yes no
A building permit may be required by: 0 See note on back regarding River Basin rules.
Notes/ Special Conditions s-
Agent or Applicant Printed Name
Signature "Please read compliance statementonbackofpermit"
i
Permit Officer's Signature
Issuing Date Expiration Date
Application Fee(s) Check # 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
Iandowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis 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/ 1-888-4RCOAST
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
_; . ...... ., � ... r+ �
North Carolina Department of Environment and Natural Resources ��, r -".
,_ �.,
Division -of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date
Applicant Name ) O u CQ o V e C
Mailing Address Ar)ahcr tV ckV
I certify that I have authorized -(agent) ('J 14me. PC'r 6e-]-s C to act on my
beli-alf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) -bc)C
at (location) �o
This certification is valid thru (date) l- 2— J00 9
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagQment.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
Adjacent Riparian Property Owners Statement
(for a bulkhead, dock/mooring pilings)
I hereby certify that I own property adjacent to �-Dlou e ov�Y, 's
(Name of property owner)
property located at
MUM MIAMI
(Lot, Block, Road, etc.)
on �e�tf �i ✓'r , in verb-n d� CfICLye-/1 , NC
(Waterbody) (Town and/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 dock/mooring
pilings must be set back a minimum distance of fifteen feet (15') from my area of riparian
access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
Description and drawing of proposed development:
(To be filled in by individual proposing development)
ignature v
IJayl� or { orral'oe Goye(-
Print name ate
3q!J 3o o- k Or e e hLA) & rr,
Address Telephone number
Adjacent Riparian Property Owners Statement
(for a bulkhead, dock/mooring pilings)
I hereby certify that I own property adjacent to �_ qo Je r is
(Name of property owner)
property located at / 0 i /ten c ko r Kay ,
(Lot, Block, Road, etc.)
on 1 enf l�- %V'e( , in �iLe y- Le✓���� �r���r� , NC
(Waterbody) (Town and/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 dock/mooring
pilings must be set back a minimum distance of fifteen feet (15') from my area of riparian
access unless waived by me.
I do not wish to waive the setback requirement.
X I do wish to waive that setback requirement.
Description and drawing of proposed development:
(To be filled in by individual proposing development)
GO.r\-or' v c
Print nam
Po �cx 1391 / I -ems & rn N�
Address
Z;�'la 81
Date
4,3'7— -- 6,3X--/Z7/
Telephone number
MAPS
December 3. 2007
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SELECTED PARCEL ID: B-073-A-040
December 6, 2007 4:41:24 PM
Craven County does NOT —rit the information shown on this page
and should be used ONLY for tax assessment purposes.
0 m 242, ft
■ CITY:
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