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HomeMy WebLinkAbout45797_WENTZ, ISOLLO_20070320DCAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit ❑New ❑Modification ❑Complete Reissue ❑Partia Reissue Date previous p mi issued As authorized by the State of North Carolina, Department of Environment and Natural Resources dC /� /1 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ` C/ ❑ Rules attached. Applicant Name I Project Location: County ( ;/ 'i f ; "ti. Address c l / Jd Street Address/ State Road/ Lot #(s) City - i State ZIP Phone # () Fax # Authorized Agent Affected ❑ CW El EW El PTA E_ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no.-' Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length- I avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing---I-1- Other Shoreline Length _ SAM not sure Sandbags: not sure Moratorium: n/a Photos: Waiver Attached: a Subdivision City ' `1 ZIP Phone # (�) River Basin Adj. Wtr. Body ') ! V f ' = r i : (nat /man /unkn� Closest Maj. Wtr. Body (Scale: A building permit may be required by: ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # t Permit Officer'sSikna ure Issuinji-Dat6 Expiration bate 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 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 L] 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 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/ 1-888-4RCOAST 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 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director illiam G. Ross Jr., Secretary Date &7 MAR 1 ZOO7 Morehead City pCM Applicant Name 15 O L-1 wC—: f `� I Z' Mailing Address 13 ('i t l` I certify that I have authorized (agent) a WE 0 c to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) I at (location) Q 13 T�!? H D —U-4 60- This certification is valid thru (date) ' Z - 51r� -n% Signature 1, f II 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper t c-p^�f 09,, I 11 l � J t . Z 1 ' t. �; t rs t: � ri i. r ; -2 1.' X t)1 �N {:% 'fA:.; T , _-' °'f: e )R A IFRJUNCO FEPF'D BOA 7' )111,'T) T r hereby �rzif that i r p r- adjac:rit to �DL. �1`l y at.n ro ry T (`i:kme or Property ?,,-Tier' -- properiy loc-aced at a 3 ` _-Pp H b (Lot, Black, Road, etc.) (E�aterbodv) (Town and./drlCou) He has desc ibed to me, a_s shown below, the deW`!oprPent he, is pro .p�s5 in� aC L':aC location, and, I have no obj: tioiis to his proposal. I undersuand Ghat a p4i/uncov6re�► boat . it must be set4pack a rninimucn distance or rlftean feet (I5') from rn. r waived by ) L ace,, .urf:ss I do not wish to waive the setback requirement. .� . I ✓ MAR X 20Q7 j I do wish to waive that setback revuirernent. careh�a� . -------------- — ------------------ ------ - _ DESC.RlM(Dr; A--'N-D/OR DRAWING OF PROPOSED DE%ELOP-11 LE:q-.T: (1"o be Jiiled in b-y indi;, du al pn posing dgVe I,pmentJ L �I�(o Signature C'�k Print or 7yp.� A+adne , Telephone Numbl:r I Date: