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
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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. DCMMIlDCITY
(Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/state2ip
Telephone Number
Dare
(Riparia roperty Owner Information)
,Sigh lure
(print or Type Na476
Mailing Address
City/state ip
Telephone Number
Date
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