HomeMy WebLinkAbout51534_HOPAK, CHRIS_20071130❑CAMA / ❑ DREDGE & FILL
10ENERAL PERMIT Previous permit#
❑New ❑Modification ❑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
Rules attached.
Applicant Name
Address
City
State ZIP 1
Phone # O "
Fax # O
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
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 # O River Basin
Adj. Wtr. Body gnat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
(Scale: I )
Groin length _
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp / % r/�
Boathouse/ Boatlift
Beach Bulldozing
Other
r.
1
_
.
'l
_
A
I
Shoreline Length L
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a ; yei no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: --
Notes/ Special Conditions
I
i
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
P&mitOfficer's,Signature /' J
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
I
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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(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
Jr ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIFRIiMOORIj' ,G PILINGSIBOATLIFTIBOATIIOUSE-)
C t�2.s b Q
I hereby certify that I ox:i property adjace2L i.o &
(°rfiJ."ilt of Property
property located at L'"� TTWLt (01 I, M')PoRq—Fl C___ 6y%
(Lot, Block, Road, etc.)
on 6—bg ram'" CA4J &-x-- , in N J�-w &,R, Le—&g p�T , 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. (If you wish to waive the setback, you must initial the ap . ro riate blank
below.)' 9 f4f
I do not wish to waive
NOV 2 6 2007
I do wish to waive that setback requirement.
- — -- - - - - - ---------------------------------------------------------
MW
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP
(To be filled in by individual proposing development)
-----------------------
Signature
Print or Type Name
Telephone Number
Date:
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FORA PIERliMOORI,,,GPILINGSIBOATLXFTj/B�OATIlObSE)
I 1>err;lay certify that I o� prop erty !c'jace:lC i.otU2�l-- s
�g�s-- - --- -----
( i I.-,Ic 0J. Pr 0 P e lei 01,x, n!;i)
CRi'1�C 1 D�! eg rmv� Lv s-.z4 -?
property located at k of n o'y0e'-" N C, P-a 5-7 ,
(Lot, Block, Road, etc.)
on (, AA)0 C-AWAt_ , in ► I Pi9iZ� ��1 '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. (If you wish to waive the setback, you must initial the apt, t blank
below.) N�
I do not wish to waive
V 2 6 20U)
I do wish to waive that setback requirement.
1, p r-,.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:t-'1 y 0 w
(To be filled in by individual proposing development) I vl
- 547 ez"
T Signature
So vV\ (2 S (� Pqz q e V,
Print or Type Name
Telephone Number
Date: Viti 21, ;Ub-7
1% '
CHRISTOPHER 0. HORAK
LEAH L. HORAK 4399
4956 HIGHWAY 101
NEWPORT, NC 28570-6226
Pay to the ��j I� I n Dote�(�VI C� 1-163/520 M�
Order of 8148
c I
BankofAmerica
ACH R/T 052001633
II'0043991" 1:0520016331:
Dollars
000009 27 36 70n■—_.__--------__—""