HomeMy WebLinkAbout55207_KITTREL, MAG AND SHERRY_20100105/ 16 )3-b
❑CAMA / ❑ DREDGE & FILLprO
GENERAL PERMIT n Previous permit #
]New ❑Modification ❑Complete Reissue ❑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
Address
CityState ZIP
Phone # ( ) l: Fax # ( )
Authorized Agent
Affected ❑ CW DEW 71 PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH C UBA ❑ N/A
PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platf
Finge
Groin
Bulk'
Basir
Boat
Boat
Beac
Oth(
Shor
SAV:
Sand
Mor
Phot
Wal\
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City s i' ZIP
Phone # (`) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: )
o
rm(s)—L I -- - - -
r pier(s)
1
length
number
't
lead/ Riprap length
avg distance offshore i
max distance offshore
r -I
channel � / I I
__ I
cubic yardsIff-
- (-
ramp —
1 `•
louse/ Boatlift I i i j.� J
Jr
Bulldozing
ri
)
dine Length�-
i
not sure yes no
nags: not sure yes 'no (- —I
.torium: n/a yes no
3s: yes no
fi
er Attached: ves no
'1 A building permit may be required
Notes/ Special Conditions �. l
Agent A( Applicant "ted Name
** Pleasgread compliance statement on
Application
El See note on back regarding River Basin rules.
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
Permit Officer's Signature effective date of expiration for this
j permit is
rmit I suing Date Expiration Date
�1 -7;
Check # Local Planning Jurisdiction Rover File Name
'1 A building permit may be required
Notes/ Special Conditions �. l
Agent A( Applicant "ted Name
** Pleasgread compliance statement on
Application
El See note on back regarding River Basin rules.
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
Permit Officer's Signature effective date of expiration for this
j permit is
rmit I suing Date Expiration Date
�1 -7;
Check # 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
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,
Ons(ow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PLER/MOORMG PHbVGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to
i7N ame of Property er)
property located at
(Lot, Block, Road, etc.)
If
on CCA�2cj(_.. _ , in ,
(Waterbody)
7 ` 4�C
-. N.C.
(Town and/or County)
1 l
Applicant's phone #: I Mailing Address•
LG �`
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
&� 1VF
I do wish to waive that setback requirement_ 2 1 0
DESCRIPTION AND/OR DRAWING OF PROPO§ I3$VMJ:0PhW
(To be filled in by individual proposing development)
1�
(information for Property Owner Applying
for Permit)
Mailing Address
1
(Riparian Property Owner Information)
Signature
City/State/Zip Print or 'Type Name
j
-r
I elephone Number
Signature
Date
/7- 5ZoX —4 r 6 9
Telephone Number
LA /,7-1 1617
Date
5 v;
VS
OEC 2 8
merelielad Gity POM
12/21/2009 10:23 19196881292 KING BROTHERS ELEC PAGE 01/01
A,AJACL�N�' i ��tOPlt'.RTY OWNER SI'A.'1`F1Yf�N't
(C,ORA pjER�00�RIN(:,PIL�N(�'/J3OA7LI!'' �U 'Br Utz)
i hereby =Ytifj that 1 tswt► pxoPc� adjacent to `- T1�ianae of l'Fropl
roperty located at '� —` etc.
p (14t, ill k, Road, )
OIY��.
('Wate'i
rboJy) (�U� Y
rg Addr2es�s: � t-!� A�
Appticunt's phone
location, and,1
the devcic)p sin at tb t .
as shown bylaw, mcnt he is proPo
He has described to we. pier/mooring pilings I bozGlift I boathouse
r oaal_ I uncier5tand that a p from my area �f riparian access uDless
have no objections to hie pm dista�tcc of filteeri feet (l5) riltA blank
�,it. be set back a miniima the setback, yoo must inultial the apprt►P�G l�
waived by Jnc- (If you wish to waive
below.)
—1 pot Wish to waive
— do ve that setback regtTc=at----��` — _ _----------- - --
1 do wish to wi►a - — ---'-_ --- -
__ --- ---- J IOR D1tAW>NG ()>h gROPO +$A �1$."I'OPMV1 =
-- A ,9C3tD TION AJ�(D 1 ra using develop>xe 1...-j
h individua p P
(To be filled in
Y LU�9
UEL, L
t ..........owner Information)
�+ro
(inferintxiion for Prop4rtY Uwner ApplYlg, (Riparian perty
for Permit)
Mailing Address
ciiyistatdzip
`relephone Number —
Date
Signature
— — —^ Signature
w),�,
— — _ ---print or Type Nawe
— — — — Telephone Number
7n d 7CCQ-/fi7 F7C7i S2wIJ-71 wl I IAL1 0771 ann7 'ri laa Waoan 'Aeojruec
FIRST CITIZENS BANK
firstcitizensxom
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
(252) 240-2525
PAY TO THE
ORDER OF D
3855
12/28/2009
* *200.00
undyed and ******************************
D.E.N.R 11
MEMO
11000 38 5 511' 1:0 5 3 100 3001:00 13 1 2 18 2
.. a
AUTHORIZED SIGNATURE
66-301531
137
0
DOLLARS