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HomeMy WebLinkAbout46709_SAUNDERS, RICK_20061006,_d7R�..�-�`4ii'wt•I`:. ,... .��S N,. .. E't F�ii'�'i�_�y1�i_, ,�..?T-`" ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue 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 Applicant Name City State ZIP Phone # ( ) Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ElIH ElUBA ElN/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Previous permit # Date previous permit issu d ❑ Rules attached. 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: N Pier (dock) length Platform(s) Boat Othe Shor SAV: Sand Phot Waiver Attached. yes no A building permit may be required by: El See note on back regarding River Basin rules. Notes/ Special Conditions Groin Bulk Basin Boat ft Beac Mo Finger r pier(s) n len h number head/ IZprap length avg distance offshore max distance offshore - � —, --- — -- channel cubic yards ramp _���-- i - —•— i { — - — I { { I { house/ Boatli __ � h Bulldozing - - - I� I. i eline Length not sure yes no bags: not sure es no Y I I � { ratorium: n/a yes no os: yes no Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Permit Officer's Signature -r Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name Application Fee(s) Check # Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Permit Officer's Signature -r Issuing Date Expiration Date Local Planning Jurisdiction Rover File Name Application Fee(s) Check # 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, 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 (252-946-648 I) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 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) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico 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 06/29/05 t,•� T w';iy DJAC.ENJ' Ri-� Ai Air ' FY (y r, y t �'OR .9 P.T, '.R/UIYG"Ca ��^�j 'n �j 7I'''rT�.,r. S .fit`::'7 I .0 [!_.,� D d7 O11 L � j �fs:'f I hereby certify that I owrr property adjacent to . - S (iti:iirr.re or Property OU vneri— property located at BUG----�/ (Lot, BlacZYV—load onLn / (T07rr aztdlnrl County) He ha-s desc, `ibed to me, as shown below, the devP! location, and, I have no objections to his prot3osaI. Z under orient he 1 p.zopositr� at i.hat must be set<Oac!c a minimum distance of rr�n fit i ", st< nd r;hat a p4duncovercd boat; .lift waived by rne. { {�) from my area a[ i ipanan acc-gss unl -Ss I do not wish to waives seliback requirement, i I I do wish to waive that setback requirement. ;•---------ESC'R-iPTIc�I`;------------------------------------------- D-----I----__----- A'+Z3/OR DRAWING OF PROPOSED T�E4��. (To be fv[ed in by 1�zdiYLd111;[yr%posin des•d1rn �,�,enr) t CA Nam- Morehead city DcM P d PL 6 o-------------------------- -- --- ----- Signature I- f Tnfnir or Typ., Pv.7;rne Telephone Nurrib,�r - Date: I p F 1, y ER I ATEMEN. 0 wNk . ss�p .(FOR A PIERIUNC O BRED Bo/tI,111M I hereby ct!rffy that I own properry adjacent to S (N.-Ilme Of Property 0sruer) property located at (Lot, Block, Road, JC-) on � z:,z "(f- (Waterbody) in (ToTv-n and; arlCount') �;. C. He has desc,-ibed to me, as shown below, the dev--Iopr�ient he, is PrQP0-Sih.'!j7 At .hat location, and, I have no objections to his proposal. I undersand Uiat a pi c�rlunc, must besetback a Minimum distanc:� of�ft - i pier/uncovered boat'� ft r! fe—At CILY) fror-,, rn area of riparian ac&g ass 5 ss utU waived by me. I —donot wish to waive .the se back requirement. I do wish to waive that setback requirement. ---------------------------------- ----------------------------------- --------------------------- ------ DESCRIM(DN AND/OR DRAWING OF PROPOSED: D-8VELOP-IYLE:,4T: -- -- (To be.IV-od in by ihdiY&uz-j r-,posing det-C-111,pMent) SS I? JUL .0 reheacl C - ----------------------------------------- ------------ 7f. LQ 16+\ST) t4 (0 L L) Print or Typ,t�4'.Vlie -Z-A— Ttflephone Numb,1'r Date: 1t Cr I T I M AMT,� Q.�A* ? KS , � C- 09 I �. -74,'�A NCDENR North Carolina Department of Environment and Natural Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director Date / - _ C)-? Applicant Name j S�-6 I'� D Mailing Address O) o t—A�) 65 Resources William G. Ross Jr., Secretary I certify that I have authorized (agent)to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)u C-1� at (location) ` �� �110 L6Cq C`D V ?—I This certification is r Signature (date) B-Ifjj��7 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Intemet: www.nccoastaimanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper BB&T DRAWER: TRAVELERS EXPRESS COMPANY, INC. P.O. BOX 9476, MINNEAPOLIS, MN 55480 .DEAWEE: FIRST INTERSTATE BANK, HELENA, MT STL NOT VALID OVER $1,000.00 7 _}5 ISSUING BRANCH "'LI "'`=:01.—f'iOfi;EF'IE�if_? hiraTtI 63379893 DATE JANUAR`r . 042007,93-541/920 DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE AND OTHER TER�M`Sf•/Q��J�THE REVERSE SIDE. l - 1�r\ 1. L' 1 AP II'633798931im 1:092005L,11,1:0L707LOI,5L092,11 ■ f HIS DOCUMENT I ]AS AN AK I11 It I.,: .RMARK I'RIN ITD ON 'fl IE BACK. fill: FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY. ■ THIS Mill TI-Tn M= ALGA •-••--• �• •.,� wa v..ENT CnANGtS COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM NOT VALID OVER $1,000.00 63379894 ISSUING BRANCH Er0'M_301—MOREHEAD MAIN N DATE •JAt'aIJW)R%` 04, o 2r'I; •7 93-541/920 PAY TO THE ORDER OF j � p.1 � i Ji. � �fi✓ � � � I�Ir'f .�5 ��� 7� 11 +°.� ,.� BB&T )RAWER: TRAVELERS EXPRESS COMPANY, INC. ' O BOX 9476, MINNEAPOLIS, MN 55480 �EE: FIRST INTERSTATE BANK, HELENA, MT DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE AND OTHER TERMS REVERSE SIDE. A � II'6337969411' I:09200.54LLJJ:OL707L045L09211' / ■ ')His DOCUMENT HAS .Av AIt'IIOCIAI %VA ! FXMAIO 1 : 1ED ON fill BACK. 1-HF. FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURFS WILL INDICATE A COPY.