HomeMy WebLinkAbout49059_WHITE, ERIC_20070626❑ CAMA / ❑ 5REDOE & FILL
GENERAL PERMIT
0New ❑Modification ❑Complete Reissue ❑Partial Rei u
As authorized by the State of North Carolina, Department of Environment and Natural Resot
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA
Applicant Name 7 \ "J V A , �(, Project L
Address }� (_ r. %L i, ? C- c` ' '+ Street Ad
City ^ t✓" State N C ZIP
Previous permit #
Date previous permit issued
is County
State Road/ Lot #(s)
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Phone # C, !) IT-1 D Fax # (,)
Subdivision -
Authorized Agent
;!: fr
f
n
City
ZIP ?Z1
❑ CW
❑ EW
[]'PTA ❑ ES ❑ PTS
Phone #
River Basin 1 '
Affected
AEC(s): OEA
❑ HHF
❑ IH ❑ UBA El NIA
Adj. Wtr. Body
�at /man /unkn)
❑ PWS:
❑FC:
Closest Maj. Wtr. Body
ORW: yes / no
PNA
yes / no Crit.Hab. yes / no
Type of Project/ Activity
(Scale: /�J'� )
Pier (dock) length _
Platform(s)
Finger pier(s)
Groin length -
-
number
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore I
Basin, channel
---- ---- —.—_ _ - -_- _
cubic yards
f r
Boat ram
— .--- --'
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
i-
SAV: not sure yes ho
Sandbags: not sure yes ino
Moratorium: n/a yes (no
Photos: yes no
Waiver Attached: yes) no
A building permit may be required by: See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Print6d Name
r ,
Signature Please read compliance statement on back of permit
TZ
Application Fee(s) Check #
rermicvmcers signature
_
Issuing Date Expiration
Local Planning Jurisdiction 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, 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888ARCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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
ADJACENT RIPARIAN PROPERTY OWNER STATEMEN�
�
(FOR A PIERIMOORMG PILINGSBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to r I C- k - rk s
(Name of Property Owner)
property located at 4Z �q.. Y, �? 14c. e -
(Lot, Block, Road, etc.)
on MU Q. G k -� C -aa �,,in J`] YY- C_O 128 e! 4/ , 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 � ,vep*te blank
below.)
I do not wish to waive
zoosh>
I do wish to waive that setback requirement.JUN 12
------------------------------- ---_---------------------------------_—_-------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
I
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L r�_e_ / C
Signature
� - 6&-A,1 - E : aakI'T T -T
Print or Type Name
2 If - � ZI'1-
j7 A �,� -A2 —I / Telephone Number
Date: (� 3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to -c-
(Name of Property Owner)
property located at q? I A r— �--
(Lot, Block, Road, etc.)
on �ti.�, �l L.` t �/^ in $- KA l 1 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.) t
I do not wish to waive n
JUN 1CUOI
I do wish to waive that setback requirement.
-- - - - - - -- - - - - -- ------------------------------------------------�� 14— DCAn
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
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Telephone Number
Date: 0 - l - O 7
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ANGELA A NELSON NCDL 2012302 59 66-1121531
JOHN A NELSON NCDL 6346670� �BRANCH 0k903
PH.252-504-2894 J�7
524 SHIPMAST CT
BEAUFORT, NC 28516
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BB�1 BANKING
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