The URL can be used to link to this page

Home My WebLink About58177_GASKILL, EDNA_20110701❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # []New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued i As authorized by the State of North Carolina, Department of Environment and Natural Resources I and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC a]•Rules attached. Applicant Name_ Project Location: County Address City Phone # O_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: es-/ no State ZIP Fax # () ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no ❑ ES ❑ PTS UBA ❑ N/A Crit.Hab. yes / no, Street Address/ State Road/ Lot #(s) C; 3 Subdivision City � -tLX zip Phone # (�) `��3 River Basin ',} f, r, Adj. Wtr. Body t arv�c t ( o ^r, i (nat k an� /unkn) Closest Maj. Wtr. Body C) n �0 ^Ci ■iurl■1�■■■Ri;.ri11.■�■ ■■■■■■■■■■■■■CG■■�i■■! ii■■ - ■■■� Il &M ■■■ ■f1�4..��1��■IIr■I��i:.�ll■�:::�� ■■■■!■■■!■■■■��i3iilTrl+�J■■■i'■Qi■■!!■■■■Ems ■■■■■■■!! ■■■■■ �'■!I■■■Tl■■■i■ir■■■■■■l!■■■■ ■■■■■■■■■w■fj.■•■■■■I■■■■��■n■/■Awls■w■�■ �■�■■■■■■■1��1►1�1�\��!■►.i.■■■1.�`�l'�fl�!ir' C■ii�!�ui�i!L■ltt ■ ■ ■■■ ■■■■l��ri■�A�■■■1■■Iiirlli�!!f!�!il!i!�!�Ir■!!a!� ■ swapRam ■■■■■■■■■■■■■■L�i:lkr 1►�/.!!!■tlt!�'■iiiiiili■■i■■rrl ■■■■ ONE ■■■■■lid:�%!./�!.1r:1■■■![11l■■�'\r■■■■■ ■■■■■■■■■■■■■■I��H�'/_,�i�./I■■S■■■`i■■.fill■■■■■■ ■■■■■■®■■■■■■■riw�w■�ns�■■■��■■■■■■■■`■■■■■ ■■■■■■■l1IA■■!�i■■ ■■■mum MEMEMERAMEWN G■G�i■■■in■■■■■■■■►`■■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** 2.L•rL Application Fee(s) Check# PermitOfficer's Signature Issuing Date Expirationon ate 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 thatthis 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 complywith these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead Cif 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. 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 MCD04R North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date -z S- C� o / j Name of Property Owner Applying fourr PFrmit:,qN -rrz c <� Mailing Address: �LJy/10 /` WAV4 lac, A2 9-5-2 I certify that I have authorized (agent) I Al11 c to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ,�Jl% fi- ! l , at (my property located at) 2 '7 5 7-,6 �e,D °� �,` �%� �-%_T9 ( ` This certification is valid thru (date) 1 — a 20 l i Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal opportunity \ Affirmative Action Employer - 50% Recycled 410% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to &, H. maw is (Name of Property Owner) property located at 70 Leo 1 (Lot, Road, etc.) on art 4ft Oft , in 9&-ay I N.C. (Waterb dy) aown and/or County) Applicant's phone #: SU 199-g3�` Mailing Address: A Pw?-L 4144W .- k -,1 N.Z.- �.�,?03 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 (IS') 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 I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ec,�Cll --------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) '"< S i Mailing Ad ess City/State/Zip 47m- 77-y- 40I Telephone Number Signature IfDate Signature Print or Type Name Telephone Number Date (FOR A PIERIMOORING PILINGSBOATL.IFT/BOATHOUSE) I hereby certify that I own property adjacent to &. N. gmnm 's (Name of PropertyOwner) property located at I70 (Lot, $lock, Road, etc.) on 206k4 , in � M .Y , N.C. (Waterb dy) Jown and/or County) Applicant's phone #: SU 159-1900 Mailing Address: tell Nift 411►.Wc 262 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 / boatlifl / boathouse must be set back a minimum distance of fifteen feet (IT) 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 _ i , I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) It r "Gov` ec,,� p9oroy. 46o (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip Telephone Number Signature Date (Riparian Property Owner Information) Signature 19 ,j N E rT iSm t9 l Print or Type Name Telephone Number Date v(FOR A PIER/MOORING PILI'V'GSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to &jt H. *I , is (Name of Property wner) property located at �•70 Cs'rA-C��f L-04, r V00,1k (Lot, Alock, Road, etc.) on Si�.N.C. (Waterb dy) (town and/or County) Applicant's phone #: 3 g5�—�,�00 Mailing Address: l nn� __ 0-ulL Ate- pro . � •�. Z7�o3 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 I do wish to waive that setback requirement. ----------------------------------------------------------------------------------------------------- -------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) goo � I*Z" alfM = l Ara. it "G�ev.�. 11 OCA:,�APPro� 40a� --------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address City/State/Zip Telephone Number Signature Date � Signature Print or Type Name �2- 62 23- 2 7,�-1 Telephone Number Date