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HomeMy WebLinkAbout51821_ATKINSON, SID_20071025CAMA ❑ DREDGE & FILL GENERAL PERMIT Previous permit # El New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources -1 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC _ EZRules attached. Applicant Name i # i i_. Project Location: County Address �� �� _f ,J ? Street Address/ State Road/ Lot #(s) j City a ;L_} State r� ZIP, 1, Phone # ( ) ), r f Fax # ( ) Subdivision Authorized Agent City : ZIP ! Affected ElCW EW 'KrTA ❑ ES ❑ PTS Phone # ( ) River Basin i AEC(s): ❑ OEA ElHHF ElIH ❑ UBA El N/A Adj. Wtr. Body (nat /man /unkn) ElPWS: ElFC: ORW: yes L no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ON i■■■■■■Y■■■■■■■■■■■■■■■■■ ■■■■ M. . ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ '?�!l!■ mom ■ ...............�■I............®.. MEMME ■itM■■C■■■■■■■■■■■■■■■■MIN ME ■ on .. =■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■ WEB■ • • • ■■■�iliii■i�il������"■ �ili�il7�■�ii�� ��■r�Gn=i■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Permit Officer's Signature r _ Issuing Date Local Planning Jurisdiction Expiration Date 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 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 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. (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 DIVISION OF COASTAL MANAGEMENT OCT S ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Moret),ea(I Name of individual applying for the permit: Address of property: or street#, street of road) <P?��k s-< & County) /A!S O Z007 City DC1V C.gre725-1 7T,V I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with 7dime ions, should be provided whit this letter. I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 15' From my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropri7blabelow.) wish to waive the 15' setback requirement I do not wish to waive the 15" setback requirements i S f0 Signature Date _J es K. Sl�►�f Print Name -- 1s1-101121g 2T Telephone number with area code CERTIFIED MAIL - RETURN RECEIPT STED UC DIVISION OF COASTAL MANAGEM rr ADJACENT RIPARIAN PROPERTY OWNER NOTIF ION/WAIVER n,+ FORM 0 C T S 2007 , y Name of individual applying for the permit: �� b E.� t D Address of property: I Ll + );-9 LA ) 'ATM n U Thyq L1 V(-Z) Uf— (Lot or street#, street of road) County) I hereby certify the I own property adjacent to the above referenced property. The Individual applying for this permit has described to me (as shown on the attached drawing) the development they are proposing. A description or drawing, with dimensions, should be provided whit this letter. have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. No response is considered the same as no objection if you have been notified by Certified Mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags must be set back a minimum distance of 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.) �Ido wish to waive the 15' setback requirement I do not wish to waive the 15" setback requirements -07 Signature Date D we Print Name 70y-- ?95- �4090 Telephone number with area code ��9 OIL, jilt2d "AIL Ab&ff ho Untitled Page Page 1 of 1 AREA 16649.83263 PERIMETER 521.37826 PARCEL83 36281 PARCEL83 11136284 WHAT 0 PIN 73350938 MAPNUM 7335 BLOCK 16 p 19793 CONDO MOTHER 0 I MAPNAM 733509 PRID 08003GO306 PIN15 733509069793000 OWNER ATKINSON,SID E ETUX KAY DBOOK 0778 DPAGE 00923 DDATE 0 SALE P 10 TAX VALUE 292567 LAND VALUE 292567 STRUC VAL 0 OTHER VAL 0 BLT CO 10 HOUSE NUM 0000129 DIRECTION ST NAME WESTMOUTH BAY ST TYPEI DR CITYJ ISLAND ZIP 28531 MAIL HOUSE 509 MAIL DIR MAIL ST SHERRON RD MAIL STTYP MAIL C I MAIL STATEIINC I I MAIL ZIP1127703 I EMAIL POBOXI TOWNSHIP HARKERS ISLAND CITY LIMIT mommommarl._ 1 IE. IiZI l I FIRE DISTIIHARKERS ISLAND FIRE I RESCUE DST LEGAL DSC L3 BB WEST MOUTH BAY TOTAL ACR 0.378 Y BLT HODS 0 TOT SO FT110 ROLL_TYPEIIR BATHROOMS1 0 BEDROOMS 0 NOISE LVL RISK LEVEL LACUIZ http://maps.co.carteret.nc.us/Details.aspx?ID=36328 10/25/2007 SID E. ATKINSON 66-T704/2531 KAY S. ATKINSON 08614882024 1241 PH. 919-596-3915 509 SHERRON RD. DATE 0 DURHAM, NC /27�703 PAY TO S THE ORDER OF State Em loyees' Credit Union® Raleigh, North Carolina 21 NIFMO Z C� 1: 2 S 3 1 7 70t, 9':08E 1488 20 21,ll8 1241