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HomeMy WebLinkAbout49701_REAMS, ROGER_20070702❑CAMA / El DREDGE A FILL GENERAL PERMIT Previous per ❑New ❑Modification ❑Complete Reissue ❑Pa ial Reissu Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resour s and the Coastal Resources Commission in an area of environmental concern pursuant to 15A N ❑ Rules attached. Applicant Name " Project Locat n: County ' tO, ? i Address (i /r': ' . .' + Street Addre /State Road/ Lot #(s) City State %wZIP Phone # ( ) Fax # O Subdivision Authorized ?;gent City ZIP Affected ❑ Cw ❑ Ew El PTA El ElPTS Phone # (.. )7c 7•% River Basin 1; Z ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A �_ I AEC(s): Adj. Wtr. Body f.. nat Iman unkn ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes /0 Closest Maj. Wtr. Body �® Type of Project/ Activity Pier (dock) length f(] Platform(s) Finger pier(s) '' t• Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Bo�ramBBoatlift_ Beach Bulldozing ff Other iLL 1 t I I Shoreline Length 1 SAV: not sure yes no — — Sandbags: not sure yes , f Moratorium: n/a yes n, Photos: yes en Waiver Attached: yes (7no — A building permit may be required by: ! Notes/ Special Conditions (Scale: ) a w'' 4 f,/ ❑ See note on back regarding River Basin rules. .0, *%SWESD Keas Agent or App7Q1ht.Printed Name Permit Office 's Signature Signature Please read compliance statement on back of permit Issu' g bate( Expiration Date Application Fee(s) Check# Local Planningf urisdiction 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 landowners). 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/ I-888-4RCOAST 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 AMA -UN 1 K1YAKlAA YKUYKK l Y U W N EK ,51 A l LMr.ir 1 *(FOR A PIERIMOORING PILINGS/BOATUF'T/BOATHOUSE) I hereby certify that I own property adjacent to R&nM G-4 S (Name of Property Owner or .Applicant) I -fail irtg address if different from location address. /s'B WN-w4' aqK ,d,41. 12d (town, state and zip) s�ZV/A NC g$SBI phone numbers you can be reacfted at_ (2 S-0-9a -- 6 $3 y property located at _ - / S,*__ (Lot, Block, Road, etc.) on 14Ake _6kw,. P.ivet2---- in ['*97t-A " (S-Pelt+ MX. 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 waivedby me. / I do not wish to waive the setback requirement. initials I do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRA`VING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) t � -t + I J � J O M t S� aQe oofi t3 kkiF J&,Ky V-fJ1A, Ale, IX M �11kr r 5x 1 g-• _ / &)D► p 20F�v wed+l, i k N0A Print or Type Name ayo) 39s- 6cf y Teleohone Number CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying foi- permit: Address of Property: z��-F---------------- (Lot or Street #, Street or Rbad, City & County) .i hereby certify that l own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown can the attached drawing the developr-hent they are proposing. A description or drawing, with dimensions, should be provided with this letter. --- I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, .NC, 28557 or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock; mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (lf you wish to waive the setback, you roust initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. 61 310 7 Sigr ,ature "l " Date' Print Name Telephone Number With Area Code -a6IF C ADJ AC E N'1' HIPARIAIN P.ttvY. K I Y U W NEK � it A l 1V1 ,lv 1 (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) s 15 c I hereby certify that I own property adjacent to Mailing address if different from location address (town, state and zip) —_ phone numbers you can be reached at property located at on (Waterbody) (Lot, Block, Road, etc.) a (Name of Property Owner or Applicant) (Town and/or County) 's N.C. 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. initials I do wish to waive that setback requirement. initials -------------------------------------------------------------------------------------------------r--- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) I ' �J � 0 /da' przaPOr `d,dtk signature S6 o,+k— �4t,f-f Print orType Name i Telephone Number Ku , w►es -� ! t S'Y r=fi• STp/Ik��G. Date: www.nccoastalmanaQement.net/PetmiWAD1ACEi' rRIPARIANPROPERTYOWNERSTATENIENT.pdf ROGER REAMS TERESA J. REAMS NCDL 1616976- 5369" 6 SOUTH N.C. 231 PH: 476-5711 66-85/531 6231 0574051536 DATE'? 267 - MIDDLESEX,NC 27557 PAY TO ORDER n n - p G!/d � DOLLARS- ' �°^•' ej0 31== RBC RBC uG� % Cenury 4 ra Bank NP Clayt ton, NG ZF520 • __--- MEMO---- �! 6 231 +.053100850+:057405 L53611' _ - -_