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HomeMy WebLinkAbout52366_BARLANT, ANTHONY_20080716f7 / 7&' ❑ CAMA / ❑ DREDGE & FILL / r. GENERAL PERMIT )P-- Previous permit # C ❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ''- ZIP; ' Phone # O Fax # O Subdivision Authorized Agent City. ZIP Affecte❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # O River Basin ' AEC(s)� ElOEA ❑ HHF ElIH ❑ USA ❑ N/A Adj. Wtr. Body '" gnat /man ElPWS: ❑ FC: I ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtc Body / , Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) (Scale: ) - k c > •' II Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other \ Y` .t i _ J 6— Shoreline Length SAV: not sure yes no Sandbags: not sure yes no �• Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: r o" J E C t7 See note on back regarding River Basin rules. Notes/ Special Conditions cn CA ��t' Y C C C 4 i Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Officer's Signature D Issuing Date Expiration Date Application Fee(s) Check # 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 [)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 CarolinaCoastal 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 STATEMENT (FOR A PIERIMOORING PLUNGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to A . 7a r % -rt, / -;3 k " E r ^' e r- Is (Name of P operty Owner) property located at 6 &o 3� I �� rz << 3 e r <j : , j . c . ,� x (]Lot, Block, Road, etc.) 2 aeoP 1 fb /S,L- S-1 9/C -4 Sec a Pr 1z on , in to e �j 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.) I do not wish to waive KI do wish to waive that setback requirement. DESCRIPTION AND/OR ]DRAWING OF PROPOSED DEVELOPMENT; (To be filled in by individual proposing development) AT V o Signature E2I'z .1Fy�En1 Print or Type Name 2Y7 - OZZY Telephone Number Date: �' 2408 — -1 A OJACENT RLPASUAN rRt)rFXM OWNZR STA-TFJ472YT wo&A Pmtwoo&lwf PUZYGs*a4njrTMaL4TWXmq -3 ZT NA4 4,c jofutr 7 VJ� 2 -G*ADI -J#4 ff6 JA�AOAL 11 I�t� r PW t *4a%md""*WwoJkml6oll Id *A 6=bom� how no okiwokwo OWe I obdwdwW be! pgOWwbr* pdWp J bu" I boodhombb w4vidbyme. Mymwi* W pidoo ft6vb%&r#4 pas mmdhmMWAw r e tr`fmtk bdowO I *L20 WFA 00 V99LIMMM AICWMVMI.lMaWP-JM-XFGM bCV13A)TWX'rr-, Obiwinwas b AIr -rot 0 0 f 'To rdqh*m ANTHONY V. BARLANTI 210236 324 BRENDA M. KUERNER 99009987 er- .vC.,j 3E,C J .JC-- .�1yS-G�1 r- /� Date Pay to the order of /" C iD r/J 1 - I $ .2vD. oo o > Dollars c tibank CITIBANK, N.A, BR. • IK 2301 JERItN TURNPIKE GARDEN CITY PARK, NY 11040 Memo `d o-, �- 1 T 1:0 2 10000891: 9goo 998711' B =...,..