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Home My WebLink About49089_SMITH, DAVID_20070626i (9 LJ7 ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued _ As authorized by the State of North Carolina, Department of Environment and Natural Resources % f� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC / ! El Rules attached. Applicant NameJ Project Location: County Address ^ t '.' -. i � Street Address/ State Road/ Lot #(s) k City State ZIP Phone # O Fax # O Subdivision Authorized Agent City i -.kJ,-�''c=is ZIP Affected 0 CW DEW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin s OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC: . Wtr. Body- nat /man /unkn) ❑ PWS: ❑ FC: 1 ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) len h Platf Finge Groin Bulkl Basir Boat Boat Beac Oth< Shor SAV: Sand Mo Phot Waiv (Scale: � , ) orm(s) r pier(s) length - - - I number _ I lead/ Riprap length I _ avg distance offshore i l max distance offshore + i ,channel cubic yards � J ' ramp �: - louse/ BoatlifE 4 7 Bulldozing F — - t _ y r 1% I eline Length --- - If Av % v not sure yes no bags: not sure yes no ratorium: n/a yes '. no os: yes no erAttached • Y es no' ----- --- A building permit may be required by: f CJk) cv%, Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit S Application Fee(s) Check # El See note on back regarding River Basin rules. Permit Officer's Signature i�-tom fl Issuing Date Expiration Date 1, �C auk) Gn L0- Local Planning Jurisdiction Rover File Name • Y Agent or Applicant Printed Name Signature Please read compliance statement on back of permit S Application Fee(s) Check # El See note on back regarding River Basin rules. Permit Officer's Signature i�-tom fl Issuing Date Expiration Date 1, �C auk) Gn L0- Local Planning Jurisdiction Rover File Name y 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 I) 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, certifythatthis project is consistentwith 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 06!06!07 WED 15:10 F.0 North Carolina Department of Envira'ment and Natural Resotircos Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date Applicant Name 1,C) Mailing Address I certify that I have authorized (agent)GjZ ' IvLt S to act on nay behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) C7 �/- at (location) w z::-iz V-0 tr-O This Signature valid thru (date) �-- Cj ! 62 _ *� - - \� P�C- )i cni'c�' [a 001 . ptp, r`��' W, Ift, H k L 5 2007 Morobaad City DCM 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet www.6ccoastaimanagement.net An Equal Opportunity l AtfirmtalIve Add Employer- 50% Recycled 110% Post Consumer Paper Core Creek Range D `' � a. X=2699020.1 Y=428734.7 1 VA �o X=2698554.1� Vo Y=428643.9 iJ ,y ] t, 1 _ Joyner • X=2694538.E Y=426463.7 VR'f r% �Sv.. E 4x Map Date: 05 Feb 2007 Imagery Date: 2005 (NAIP) X=2694580.6 Y=426324.3 Map Number: sawgis-2007-019 Legend `r �. Navigation Centerline Channel 0 Navigation Channel . 80ft Setback I ,' n 200 100 0 200 400 600 800 Feet MAPS Page 1 of 2 Waa 1X''b 184 109 SELECTED PARCEL ID: 5-021-1 -015 14 )ril 2. 2007 Aaril 9. 2007 5:25:38 AM http://gismaps.cmvencounty.com/maps/map.asp?cmd=REFRESH&msize=L&tool=ZOOM... 4/9/2007 (FOR A PIERIMOORIN,Y . INGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to i 4-tI 'S (Name of Property Owner or Applicant) Malting address if different from location address (town, state and zip) phone numbers you can be reached at 21� property located at (Lot, Block, Road,.etc.) on 1 l ;,� =; _ ,-in = ! ,_ - i , 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 minir-nmai distance of ,`'fifteen feet (15) fron my area of riparian access unless waived by me. I do not wish to waive the setback requirement. D` !�• initials I do wish to waive that setback requirement. initials l i w 6 +5 2007 ------------------------------------------------------------------------------------ -------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DE , ' PMENIrOt), i)CM (To be filled in by individual proposing development) �40C"g 1, Qoftr uNr ---- - ------------ ------ f�---�-- signat Print or Type Name Telephone Number Date: www.nccoastalmanagementnet(Permits/ADJACENTRIPARIANPROPERTYOWNERS A .pdf T` (FORA PIERI-. � PILINGSIBOA TLIFTIBOA THOUSL) I hereby certify that I own property adjacent to -= r ', ZI (Name of Property Owner or Applicant) 1�'44"" 10 Mailing address if different from location address C cR rtJA�'IC..,� A-1f,. G. 17 0 (town, state and zip) ' -- - phone numbers you can be reached at property located at (Lot, Block, Road,.etc.) N.C. on I "I} .i r') ;> 1 ,.in (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/boatliftfboathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. th.�'"'� I✓ I do not wish to waive the setback requirement. initials I do wish to waive that setback requirement. Jt j'V initials ------------------ --------------------------------------------------------------------------------- -- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: ! 1)G'/�� (To be filled in by individual propo 'ng development) PR aQk j7>t! 'w^GIL V G' Se i y-3o �o�r L, Pr ------------------------------------------------------------------------------------------------------- - tgnature Print or Type Name 919 -/77 .. X7Ysf Telephone Number Date: 1 1 y _e-7 www.nccoastalmmagement.neNPecmits/ADJACENTRIPARIANPROPERTYOWNERSTAIEMENT.pdf 66-30/531 4357 David 401, SHiith 701 Rob% C Stith S615 Neld Creek 7arm )U DATF. � �-- �er,waHtaK, VC 27019 PAY TO THE - - — $ off.✓, --- - 'V" ORDER OF _ _,� DOLLARS °"•"""°"• v �o �9C O�t-JRST CITIZENS BANK NP www.firstcidzens.com 04357 a.0.O3is003001:0070L702742Si�'