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HomeMy WebLinkAbout51200_HARKERS VILLAGE HOA & LOUIS, MARY ANN_200806101 y AMA / ❑ DREDGE & FILL 9 ENERAL PERMIT ew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue NGO 512000— Previous permit # 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 pur uant to 15A NCAC r��_ ,l >k5ules attached. Applicant Nan- a % Project Location: County v2"i�- i7C� Address Street Address/ State Road/ Lot #(s) ! Cityit StateZIP Phone #) `- ax # (_) Subdivision '1-�(ZiL 1t2 \�A C�E' Authorized Agent E-i 7 .k rc i a CityS ,� �..i ZIP �J Affected ❑ Cw `Aw WA ❑ ES ` ❑ FITS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑\ PWS: ❑ FC: ORW: .yes /f no PNA yes /I no J Crit.Hab. yes / no Phone # River Basin �.11i ! . t� :• -- le Adj. Wtr. Bod t�6 t t '� (natma. funkn) Closest Maj. Wtr. Body;"ac " Type of Project/ Activity . 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Mllili■.MONO■MOO■ _.......E■■W..■■■■■OOOOM.ft1'�17.ME■N■OM■ EEO O.OwNI�l�1 r►�0.�.�.M YONM MNrEOO■OEM ■N■�EN■N■NNN Ij■■MpEM■■■■ME■■EONE ■■■■EN■■■N■■■■ MEMMEMMNmiiii■MEN i■MMNiEEii■i MMMi t 147 Agent or Applicant�nted Name Signature ** Please read compliance statement on back //o^'f�permit Application Fee(s) Check # PermitOffi is Sig ature Issuin Da Expi tion Date Loca anningjurisdiction Rover File Name toVPevious CAMA / ❑ DREDGE & FILL y Jt2OK- GENERAL PERMIT permit # ❑New ❑Modification El Complete Reissue El 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 Ll T' �¢ i.__. Rules attached. Applicant NameProject Location: Countyip Address a Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) Fax # (` ) Authorized Agent t 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 Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ON ■■■-.��0 -a■■■■■■■■i1■■I mON■m■■■■. .. • ... - : .. . . - ON ME NOON/��■■■■■■■`�1■■■■■■■■■■■■■■■■■■■■■■! E■■NE■■N:j■■■NE■■E':_s'=w9■■■■■EEi. 11�1t�■■■ ■■ ■ I �■ �"'J■ NOON■■■ IN■ \■■■■■■■a�i■IIiYi5■NONE ■■■EI I■NIBM ■ENE �■■ ■EEE■11■■■■EN■■■.■E■ ■.E■■■E NO■■E I.■.■...■!■LINEN■E■■■■.■■■■....... ��:■ ■■■■■�■■■■■■■' ��■:■::■■■NE . ■■EEE■.NE E■N■■■■■■■■■■■ ■ 1l'1:�i7■■■■■■■■ aNNNNNNN■i■i •. ■■■■NE■NNNi�N���IiENNiiiNi ioIN IIIMNINNNN11NMMNEM1N NOON •■EEEE■EN■■■■■■■■■■■■■■■■■O.B�!■E■■NEE■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date Local Plan ningjurisdiction 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, certifythat 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/ 1-888-4RCOAST 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 Eric Ellis Marine Construction DOCKS • SEAWALLS •BOAT LIFTS DECKS & REPAIRS Phone & Fax: 252.726.6775 Cell: 252.342.6775 205 Nottingham Lane Morehead City, NC 28557 o O �fi � ✓ c� � _ r ' . 47 i V CJ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to 14A.'V ,441) LAn iih &AI /P &771enys (Name of Property Owner) property located at /O Oct ISL Z7 k U dGae (Lot, Block, Road, etc.) on / O_p;rq 1?)Veg , in VAR P R, s —Z LAIVP , N.C. (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 pier/mooring pilings/boatlift/boathouse 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/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) � Lie "Z1 At /AJ (Applicant Information) 1J?q r y A Vr) L 4p b I44q Zrook Fern U Mailing Address I��L EY6la A!G 2 74 o City/State/Zip — Ke - 05z Tel,;pholne Number -- - - DsP 1J0 8 Daie (Riparian Property Owner Inform ) -4&-CW- Signalzzre D pp . 7�A VE Ro ►S JA�nC{ _ Ae rh Print or Type Name -Sod -3Go3 Telepho71a zaztber �--�0 Dare ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to /1114iz AO Limb �LAVP &7111-e L's property located at (Lot, Block, Road, etc.) (Name of Property Owner) on 1V0-P7,q R?VegVARgERS _Z4A V D , N.C. (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 pier/mooring pilings/boatlift/boathouse 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. 3,,/— I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) S Lip "Z1 13' X 13�� �r - ` o o - - - -- ----------------------- ---------------- ------------- (Applicant Information) (Ripar' Pr a wne fo a on) j �y 7B rock Fern 1 ,, Mailing Address i S n ure City/State/Zip Print or ype Name 0 Teliphotie Nzanber Telephone Alum er Date IDate ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOA TLIFTBOATHOUSE) I hereby certify that I own property adjacent to /yR21/ ,4^,7 Leh &AXAP drWe L's property located at eSLiP W (Name of Property Owner) V 2 A(Ae/n) A'� ; (Lot, Block, Road, etc.) on NORTH �)Veg ,in VARP R-5 -Z�LAVP ,N.C. (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 pier/mooring pil ings/boatl ift/boathouse 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/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) SLlp 1�21 15' X 13! .(- h(AA AP60 IC 0 V /AiA d 7FT, 7 I I i I i I 1 1; 1 "! 1111 F, -! -------------------- (Applicant Information) 1 �y q brook Fe - Mailing Address %�A4CJr6 E/, VC- 27409 Ciiy/State/Zip �b -sz Telep a ie Number Date -fio (Riparian Property Owner Inform Sl 11a/1lre ApO60M Print or Type Name J 07521 718- i� -- 1 elephone Number Date MKS HARKERS ISLAND PROPERTY MANAGEMENT 222 PINTAIL LANE HARKERS ISLAND, NC 28531 66-21/530 ,,.. BRANCH 77585 :. r�Date Pay [o e Order of pi y Fasi Frei Dollars wacxov" Wachoyjal For 1:0 5 3000 2 191: 20000 I? 696 18811' 2 2 36 MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: �� ��� r s �f � � U � � PERMIT # LOCATION: din FIELD REP. 2C z;�r- 1 :1lcnJ MONITORED BY 8 , PHONE: 152 -72c1 _ 6 4 S5 DATE REPORTEDLY COMPLETE: r 2 0 I DATE OF INSPECTION T 1) Do t e easured dimensions of the development differ from those indicated in the permit and workplat? YESNO [circle one]. COMMENT: v 2) SEDIMENTATION &EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YE [circle one] COMMENT: 3) _FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES O circle one]. COMMENT: N-fa—i ucn'141111 -f Ccn.ni�