HomeMy WebLinkAbout51061_WATKINS, MICHAEL_200709079-�a%6 -7 45
❑ CAMA / C I DREDGE & FILL � �,/
GENERAL PERMIT Previous permit #
EJNdrw ❑Modification ElComplete 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
.Rules attached.
Applicant Name
Address
State ZIP
Phone # ()
� Fax # ( )
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
ElHHF EllH ❑ 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 2 ZIP
Phone # () River Basin
Adj. Wtr. Body i 4-� na %man /unkn�
Closest Maj. Wtr. Body)
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Agen r A li rinted Nam Permit Officer's Signature
Signature ** Please read compliance statement on back of permit" Issuing Date Expiration Date
1 a �I A
Application Fee(s)
Check #
Local PlanningJurisdiction 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, 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 (252-946-6181) or the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer ru es.
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)
e
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
;EP-4-2007 O�3:O9P FROM:
A .�
TO:12525956615 P:2/4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date k)--"";—
,Applicant Name 11-hem-c- '
Mailing Address - w cal% '1C. 2)406-
C'c A3 0
certify that I have authorized (agent) �1�. aRrZO.�l -� I to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)
at (location) B L— AL l l Q lnz c L ri el t1
This certification is valid t ru (date)
Signatures .lC %fir
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet, www,nccaasta1mar4ement:ne1
An Equai Qpportun0y 1 Af�rmatNe Action Employer — 50% Recycled t 10% Post Corrsurrrer Paper
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5EP-4-2007 03:09P FROM:
TO:12523936613 P:3/4
4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOA TU PTIBOATHOUSE�)�
I hereby certify that I own property adjacent to
(Name of Property Owner)
properly located at 8-5� �rtj 162 0 Al( G C Zg�y
(Lot, Mock, Road, etc.)
on [� �'"/L , in , 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 appropriate blank
below.)
I do not wish to waive
✓ 1 & wish to waive that setback requirement.
-------- ---- -----------��--.__�_�___�____�_------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filed in by Individual proposing development)
PE-Ptlqe� t)o0-ie /�tj o 6 tu-
t,Q � z.C' '30+r- La�j'-'
Signature
Print or Type Name
—Iq
Telephone Number
Date:
3EP-4-2007 07:10P FROM-
T0:1252393GG13 P:4`4
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(!G`OK A PIER/MOORING PILINGSIBOATLIFTIBOAI`HOUSE)
I hereby certify that l own property adjacent to zzeoL dgtea) !& 's
(Name of Property Owner)
property located at Sid fie.)/Q D INll, P ' 'iL+v�
(Lot, Block, Road, etc.)
on , i4(¢— T///� - in C.
/ (Waterbody) (Town and/or C nty)
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 appropriate blank
below
I donot wish to waive
14� _ _ V. I do wish to waive that setback requirement,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
/W
Signature
AlldW AliW)
I /A., , ,��%i�;�' / JC -- Print or Type Name
�f� - A-Z -3-s-,72
Telephone Number
Date:
s
MICHAEL WATKINS
PRISCILLA WATKINS
LIC.3795437 LIC.4924031
1025 SWIFT CREEK DR. PH. 919-934-0201
CLAYTON, NO 27520
Y
66-7075/2531 1416
00000470679
DATE ( lo /
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000004706711' L4 L6