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_
—
—._,
--
--
—
—
-
—
-
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—
_
-
"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
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❑ 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
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j
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_ 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
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