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HomeMy WebLinkAbout53327_MIDYETTE, SALLY_20090320❑ CAMA / CDREDGE & FILL �/ S Z3 " )9 /S/3 GENERAL PERMIT Previous permit # ❑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 I SA NCAC ❑ Rules attached. Applicant Name Project Location: County - Address City Phone # ( ) _ Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin J Adj. Wtr. Body at /man unkn Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) I Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Ripraplength avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other_ — —._, -- -- — — - — - ---! — _ - "V r 717 Shoreline Length gt 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: Notes/ Special Conditions i I I { r1 T! ❑ See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Permit Officer's Signature Issuing Date Expiration Date Application Fee(s) Check # Local Plan ningJurisdiction 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. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 (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 a North Carolina Department of Environment and Natural Resources Division of Crustal Mfatiagement Nlechael F.=asley. Governor Charles S. Jones, Director 'Xilkt,-r G Ress Jr.. Secretary llate /09 Applicant Name LWailing Address I certify that I have authorized (agent) 0'�r- oc to act on my behalf, for the purpose of applying for and obtaining all CANNA Permits necessary to install or construct (activity) 13OGt�r� L 1 T ` , at (location) ! /a �Y��l e �� try This certification is valid thru (date) � ,Zp109 Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-3330 t Intemet: www.ncroastalmanagement.net An Equal Opportunity1 Affirmative Action Employer — 50% Recycled % 10% Pest Consumer Paper 02/23/2009 13:15 3363780805 C OFC PAGE 02 Feb 23 09 01;36p BCC 252-7454253 p 2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A P1ERIMOORTNG PLUNGSBOATLIFTIBOA�IWOUSE) 1 hereby certify that 1 own property adjacent to Wlif �v�rrd71OF- 's (Name of Property Owner) property located at / z /D AA u a % z r- (Lot, Block, Road, etc_) on iJk, 4i rcamel N.C. (Waterbedy) Crown and/or County) 7 A— He has described to me, as shown below, the development he is proposing at that location, and, I have no obiecta�'o_nis ,pa�o��os to hiasl. I understand that a pierhnooring pilings/boadifVboathouse MUM be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. �p 1 do pat wish to waive the setback requirement. �V e_?� eJ .4V..1 r+� 7 14o wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: ,I (To bit filled in by Lrdlvid&W pro develwm �t j r _ l�ec.�.t- � � � v e•. ���s-sue �- L' 4Gi�]•-P r.__� Signature Print or Type Name Telephone Number Date: 4. z_ 3 _ d) q - - ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to (Name of Property Owner) property located at (Lot, Block, Road, etc.) ✓.�-- ona 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. I do not wish to waive the setback requirement. V I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by indivi 1 proposin evelopment) plef �- G.. IrH�I 44t1 e. V . —, 6-11�-, Signature Sy /Yl Fa a �-, 4b-n Print or Type Name s� �Y9- l86I Telephone Number Date: "2/'�R /- / "? % Page 1 of 1 Site: rl 73 U43 8 J082-488 74 0451 o J082-467 SSZ 360 -J082-488 -- `�'76 78A-- --- 0278 Property Details: START 4716 UNIQUEID 4634 ACCTNUM 3767500 LASTNAME MIDYETTE. SALLY S FIRSTNAME ICAREOF ADDR1 11210 NEUSE DRIVE JJADDR2 CITY IIORIENTAL STATE NC ZIP 28571 PARRECNUM 9367 NAME MIDYETTE, SALLY S MAPNO J082 467 CONTROLNUM PIN CLSCODE OR DIST:FOWN ID02 INSERT J082 DBLCIR BLOCK 467 PARCELNO SITEADDR SITUSADDR SITUSROAD JEXEMPT LEGDESCI LOT 74 NEUSE HEIGHTS LEGDESC2 I NEUSE DRIVE TOTACRES 0 CRNTTOTUSE 10 CRNTTOTDEF 0 CRNTLANDVA 77400 CRNTBLDGVA 10 CRNTOBLDGV 2622 TOTCRNTVAL 80022 FIRECODE S HOUSECODE SEWERCODE SALEAMNT 110 SALEDATE 8/1 /1966 SALEDATE2 1160,481 IFSALECODE ROADNUM 10 PCTCOMP 100 WILLBOOK 10 WILLPAGE 0 DB PG ii 145/303 DEEDBOOK 145 DEEDPAGE 303 PLAT - MOBHOME 0 http://www2.undersys.comiscriptsltestadvlusiwebpc.dll/usi?formis=ptmap&MouseX=448&MouseY=... 3/ 19/2009