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HomeMy WebLinkAbout60264_TAYLOR, MARGARET_20120601i� 7;�CAMA / Ci DREDGE & FALL NO. 60264 GENERAL PERMIT Previous permit# ❑New ❑Modification ilComplete Reissue ElPartial 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 _ .Project Location: County Address Street Address/ State Road/ Lot #(s) City _-- — State ZIP -- -- -- Phone # O _— Fax # ( _) _ Subdivision Authorized Agent City----- ZIP_ C CW 1-i EW 7 PTA ES PTS Phone # (--__) _ River Basin Affected D OEA I HHF ,1 IH UBA N/A AEC(s): Adj. Wtr. Body---- (nat /man /unkn ❑ PWS: FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) Pier (dock) length - - - - - -- Platform(sJr ) Finger pier(s) 't (� L~ X Groin length — - number,. - - Bulkhead/ Riprap length t -- avg distance offshore max distance offshore Basin, channel I cubic yards_ - — — - Boat ramp- .. yd ' Boathouse/ 8oatlift � f Beach Bulldozing -- Other -- Shoreline Length SAV: not sure yes no Sandbags: not sure yes no - —, Moratorium: n/a yes no _ - Photos: yes no T Waiver Attached: yes no - T A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name -- - - - - — - I - - -1 I See note on back regarding River Basin rules. Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** Issuing Date Application Fee(s) Check # Local Planning Jurisdiction 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: 7, Tar - Pamlico River Basin Buffer Rules ❑ Other: Ell 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/ I-888-4RCOAST 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) F. H. SHACKELFORD JR LOU ANNE SHACKELFORD CAPITAL ACCOUNT PO BOX 207 HOOKERTON, NC 28538 PAY ORDER OF > A r x 1843 66-30/531 449 First Citizens Bank FOR firstciti com il'00 L843ii' I:053 L003001:0044974 L78531i' DATE OLLARS C 06/01/2012 07:20 252-747-2370 TIDE TAMER PAGE 01/02 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERT)�PWNER NOTIFICATION(WAIVER FORM Name of Property Owr Address of Property: Applicant phone cz-G� Mailing Address: -..gym. I hereby certify that I own property adjacent to the above referenced property. Theindividual applying for this permit has described to me as shown on the attached drawmg#he de ielopment they are proposing. +�Fiptrd'�i t1"'i�fa+w�ih 'u1�ir t111'figGisib'hi� i'ttist be"i ��1+►ifl,tis;le 1�1 I have no objections to this proposal. � I have objections to this prop ill. If you have objections to what is being proposed, you most notify the otvisfon of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimanyement.i7eticontact-dcm.htm or by caging 1-8884RCOAST. No res onSe is considered the same as no objection if yqu have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set eftrpkm minimum distance of 15' from my area of riparian access unless waived by me. (If youAY waive the setback, you must initial the appropriate blank below.) 2� I do wish to waive the 15' setback requirement, I do not wish to waive the 15' setback requirement. (Property Owner Information) ,Signature Print or Type Name Mailing Address City/statelZip Telephone Number Dote (Riparian Property Owner Information) i 7 S>�nature P int or Type Name Mailing Address /i/��jGYZf` /L� - - L-- - 'City/Ste e/Zip �2- - Telephone Number Date,�� 12 07:20 252-747-2370 1! 11 A fl-! I III' NA ,7- ,Vlc.!;llTY Mnr i///im/� N/r .it. ri Fwf I I I A Yl Or TIDE TAMER ITl j 11117.5' CANAL MONIA(k AO* rillANNE(. SEIIIIACK 6m Sf ALLOWAIlLE [)OCl(A,'E nl CHANNICk LINT No , fr rHAININn I C.V.*A 1*10N AND orritit• w'i'Aimm mom USSAM. ANIJ ,iUr.R,cw.,.rn mom nRAVAMr ENT171,,Fn CREEK rANrr 'T AND rIATFD V1.-(.T-MRrr 4, 1107. . ...... ..... .. — .... . .. . ... . .......... . .... . ..... rRojErT #i rMI07;--I1camOlA1a3,fIfIA :m.im v I or q PAGE 02/02 JIL'OHN &. MAR)' ANNE ()MALl 1'.Y Ms-- -- - --mtw__ vo -Ifl,ft onD S C A GA IL Sl-1 B 1) 1 V1 SI ON 1.M X.%. ft " C, mL Ilam I LARILRET COWTY, mm 1 11 NOW: l[Aftnl,* MAlOrmV.-I IA�170 W.AWLV MC 2AA,lfi P-.mr.; (7v.) 717. 51OU rlDc T 1. Unffr., rAO n "P.A-A r.-Mr.1 Y, , mc 28992 "71101 Ub/101/Z01L tjf;zu IIUL IHMMK rHl]C ril/ tit CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM Name of Property Owner: Address of Property: (Lot or Street ft, Street or Road, City & County) Applicant phone #: ��� 1 ��r Mailing Address jlj-/ - I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. 4d9Fipfit t psi" dtaWik'u►+i di'M sib'ti tit t s ie idV+i ' d siu�(K-Ah s;let tyr!- li' T have no objections to this proposal. _ I have objections to this proposa). If you have objections to what Is being proposed, you must notify the Division of Coastal Management (OCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastaimangement.neticontact dem.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection ifou have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 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.) Mq 1' 3 I do wish to waive the 15' setback requirement. �0,2 i do not wish to waive the 15' setback requirement. 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