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HomeMy WebLinkAbout57936_HAND, KATHRYN J_20110525•'�S.".=fY"- ,m:-� ..�_ ^�"iE.:�rt :-,s�'".'r=`P.: �: _��,�. ;:.ista,YSt. ry ❑ CAMA / ❑ DREDGE & FILL q14111 GENERAL PERMIT Previous permit# E]NevS [--]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 Address City - State ZIP / Phone # O Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Win Body IN NEES OEM MENNIMIN MM:■"::■:■::■::::: MEN :::■:■:■:::::l.:■:::■:�:::�:■�:1' ■::■::::9::V�::�d���:�:::::::�■■: ■■iSilliMMMUM■■■ ■■■■:■■iIR ■■:iUMIR I■■■ !t■ ■ ■JIMMI1110110F.EWERIME Ia■f11linoi■ ■■!1■■■■ii,1C:%::■■: ■�tii■■i i®�1i11�J ■■■■■■■■■■■■■■■�Il�i■�1�1■ii®■li■■■1■flli�ii�■■i ■■■i■■■i■■■■®■LRI■■■I1�I■■■■1!lillri■■■■■irJ■ilk ■:::::■::■::::::::��t::::■:::::�®:■ :::::: 4 ■ ■■■■i■■■■ii■®i■■i�±i�l�ll�iiir�lii■■■ai�■�1 1■ ■■■■■■ EMMIMEMMEMMEEMMMUNIMMENE Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Application Fee(s) Check # Local Planningf urisdiction Expiration Date 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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 J , di)bL AjoF licant: � / ✓ Date: -� 5 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts)amount FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact redge ❑ Fill ❑ Both ❑ other. �— Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both Cl Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ '_'�ei`•;:v^�•�'_'•�:; y: `i•�,$•3-w;'+~'tJc�:ai :: =,tPii?r...�r_spat,��?�:a.a.j.�.�=..a...,,+�*-rtiut r.�.•:.:.:y.. 205 Nottingham Lane Eric Ellis Marine Construction DOCKS • SEAWALLS • BOAT LIFTS DECKS & REPAIRS Phone & Fax: 252.726.6775 Cell: 252.342.6775 Morehead City, NC 28557 ADJACENT RIPARIAN PROPERTY OWNER STATLMENT (FOR A PIE"WORMG PIUVGSIBOATLII'TIBOATHOUSE) I hereby certiry hat I own property adjacent to Kathryn J. Hand '5 (Iame of Property Owner) prop-e-my located at 1611 Shackelford St (Lot, Block, Road, etc.) on Bogue Sound in (Waterbody) Applicant's phone #., 252-638-8398 Morehead City N C. (Town and/or County) c/o William L. Hand III IMailing Address: 510 East Front St. New Bern. NC 28560 He hits described to me, as shown below, the development he is proposing at that location. and, I have no objections to his ptolmsal. I understand that a piciftnonrutg pilings I bnallifl ! boathouse must be set back a niiniinum distance of fifie: n i�-et (15') from my area of riparian access unlc-s-.,s waived by me. (if you wish to valve the setback. you must inkiil the appropri9te blank below.) I do not wish to waive l/ I &a wish to waive that sdbac:k requirement_ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: as beJrlled in by ixdicvdual propasnrR development) boat lift <14.0009 capacity ^ existing i .SX 1-3 deck not to scalera (Information for Property Owner Applying for Permit) Kathryn Hand/ William L. Hand III 510 East Front St Mailing Addmsq New Bern. NC 28560 Cityistalelzlp 262-638-8398 Telephone NtnnJ _ �( Signature Dat1 (Riparian Property Owner information) ore Print or Type Tcicphont Number Date ADJACENT RIP4RIAA PROPT'rM' OWNER STATEMENT (FOR A PIE"fOORIS6 PILINGSIBOATUFTIBOATJYd USE) I hereby certify that I owri property adjacent to Kathryn J. Hand 's (INstme of Property Owner) property located at 1611 Shackelford St (Lot, Block. Road, etc.) on Bogue Sound (Waterbody) AppiicanCe phone 9: 252-638-8398 Morehead City , N C_ (Town and/or County) clo William L. Hand III h1aiIIng Address: 510 East Front St. New Bern. NC 28560 He has described to me, as shown below. the development he is proposing at that location, and. I have no objections to hLq pto}msnL I understand th:a a pic.rlmanrwg pilings / bnatiift I boathouse must be set back a minimum distance of fific--ti icet (15') frc:in my area of riparian ac.:ess unless waived by me. (if you wish to walve the setback. you must itiltial the appropriate blank below.) I do not wish to waive I do wi4h to waive Lhat setback requirement. DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT: ,To be filled in by indirvdual proposing development) boat lift :1d.000# capacity I I existing dock not to scale (Information for Property Owner Applying for Permit) Kathryn Handl William L. Hand III 510 East Front St Mailing Address New Bern. NC 29560 City -Stale/Zap 262-638-8398 Telc phono Num o .-g 7 L/ s isnatum Date (Riparian Property Owner iiznature � • �wt � g L F �o�A �. � Print or Type Name 2S2 - S.2-3- Z70 / Telephone Numbcr 3- gate ERIC B. ELLIS 4398 JASA M. ELLIS 205 NOTTINGHAM LN. 252-726-6775 MOREHEAD CITY, NC 28557 6630/531 133 Date z Pay to the �(/� �-7�/v,C1 $ .2Ott, o s N Order of / � 1i" /� //wooy ri ��. �10' Dollars 8 �,:s.,,,s. ®First Citizens Bank firstcitizens.com For ��_� 3( 0 1:053 1003001:00 13 L7448780i1' 04398