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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) w. 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 w ccd 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) L'Aj (xi s ay IS s � � ►^� � �-� C> l3fl, 6 cs- Signature L4 1-� t- 1 Print or Type Name aS1 - U 1-7-0-7;2,2-- Telephone Number Date: 0 - l - O 7 l 12� qs,c50- �, � )-,? e F- 1847 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 �Gr 7/e nre�r� ° T ACCESS BB�1 BANKING BRAN BANKING AND T BTST COMPANY -800-BANK BBT .co— M+ .-h,i•— �li¢aature S31 LL2L�:000S29267?8 847 ». �iir2a.�ffCa