HomeMy WebLinkAbout48420_WHITE, HELEN_20070503❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Af Previous permit #
New ❑Modification ❑Complete Reissue El Partial Reissu/o15ANCAC
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natces
and the Coastal Resources Commission in an area of environmental concern pursua
D Rules attached.
Applicant Name i Project Location: County
Address �� j \ I V\. oo t C Street Address/ State Road/ Lot #(s)
City ;�,i 4 , lk. State '. ZIP Or, j
Phone # Fax # () Subdivision �j
Authorized Agent CityZIPQ� p��0-0
Affected ❑ CW VEW KPTA X ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ O� ❑ HHF ElIH ❑ UBA ❑ N/A Adj. Wtr. Body Znat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes [ no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body `-`�—k• I'-'-"�-"�
Type of Project/ Activity
Pier (dock) length
Platform(s) Y ,
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel - -"-
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes ,.no -
Sandbags: not sure yes no?
Moratorium: n/a yes no
Photos: yes
Waiver Attached: yes n ----- ------ -- -- - - -- --
A building permit may be required by: { �th. W
Notes/ Special Conditions
Agent or Applicant Printed
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
{ A�
(Scale: )
See note on back regarding River Basin rules.
Signature
S- 3 07 t 3--U 7
Issuing Date Expiration Date
(
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, 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 ❑ 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/ 1-888-4RCOAST
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
ADJACENT RIPARIAN PROPER�'Y OWNER STATEMENT
I hereby certify that I own property adjacent to tC-,�-�J H W FA i f c
(Name of Property Owner)
their property is located at
(Lot, Block, Road, etc.)
on ESL IQ , in
(Waterbody) (Town and/or County)
North Carolina.
The applicant has described to me, as shown below, the development proposed at the
above location. I understand that any construction, must be set back a minimtun distance
of fifteen feet (15') from my area of riparian access unless waived by me, The (15')
setback does not apply to the following: bulkheads/riprap, boat ramps, upland boat
basins, utility lines and attendant structures, temporary structures, riprap for wetland
protection, or upland development.
I have no objection to the project as proposed, but do not
wish to waive the(15') setback-fdquixement. - - _
I have no objection to the project as proposed and do wish
to waive the (15') setbacl< requirement,
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing the development)
2.0 0 -r-T, k-t-3 D
'r(Z-Z�M 1ab-U�,S�G
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PRINT OR YPE NAME
TELEPHONE NUMBER
W(ac-V.WAJ VJ/L-P'Qb)tJGS
SIGNATURE
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AT -
'!? 0,1 006
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C-L T�
(Name of PropertyOwner)
their property is loc ted at
� ��.�i� � Q R-1►v G S I�--1�
(Lot, Block, Road, etc.)
on eye ., in L
(Waterbody) (Town and/or County)
North Carolina.
The applicant has described to me, as shown below, the development proposed at the
above location. I understand that any constriction, must be set back a minimum distance
of fifteen feet (15') from my area of riparian access unless waived by me. The (15')
setback does not apply to the following: bulkheads/riprap, boat ramps, upland boat
basins, utility lines and attendant structures, temporary structures, riprap for wetland
protection, or upland development,
_ I have no objection to the project as proposed, but do not
wish to waive the (IS')-sefbackregLuremen .
I have no objection to the project as proposed and do wish
to waive the (15') setback requirement,
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing the development)
2—O d F t . �� C-T
BJ-D M - K15-us-c-- .
PRINT OR TYPE A E
TELEPHONE NUMBER
DATE
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