HomeMy WebLinkAbout57861_WESTPORT IV HOA_20110426❑CAe-AA / ❑ DREDGE & FILL I
E N E RAL 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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O Fax # O
Authorized Agent
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AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ElN/A
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # O River Basin
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Agent or Applicant Printed Name
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Signature Please read compliance statement on back of permit
PermitOfficer's Signature
Issuing Date
Expiration Date
Rover File Name
W,
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Application Fee(s)
Check # Local Planning Jurisdiction
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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 complywith 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/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
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
PCA, MA / ❑ DREDGE & FILL NY 5 7 S 61 G
GENERAL PERMIT Previous permit#
�INevv ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources —71-1
and the Coastal Resources Commissioninin an'area
jof environmental
concern pursuant to 15A NCAC
I. JE' O T .1-1� 1 r �7 cG {/ attached.
Applicant Name yv S Project Location: County T-
Address � /311 � e.h -Y ire G�
City ai5� State /AG` ZIP
Phone # -3/-7'5 Fax # (`)
Authorized Agent _ LTC orcc K'A 1 ,e
Affected ❑ CW n EW ePITTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A
❑ PWS: ❑FC:
ORW: yes /(0 PNA yes A3 Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)_
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Subdivision �✓cJ �P°r-F
City P K S zip vZ .s�� 2.
Phone # (_) River Basin
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or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
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PermitOf c 's ignature
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Issuing Date Expiration Date
.s
Application Fee(s) Check # Local Planningf unsdiction Rover File Name
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NCDENR
orth Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson Dee Freeman
Governor Director Secretary
ri , � 6 - 3— J/
Westport IV HOA
1311 Hempshire Ct.
High Point, N.C. 27262
Dear Mr. White:
Attached is General Permit #57861 C to install one freestanding mooring at 576 Coral Drive, Pine Knoll Shores,
Carteret County, North Carolina.
In order to validate this permit, please sign the permit as indicated. Retain the white copy for your files and
return the signed yellow and pink copies to us in the enclosed, self-addressed envelope. If the signed permit
copies are not returned to this office before the initiation of development, you will be working without
authorization and will be subject to a Notice of Violation and subsequent civil penalties.
We appreciate your early attention to this matter.
Sincerely,
0
Ryan Davenport
Coastal Management Representative
rcb
Enclosures
400 Commerce Ave., Morehead City, NC 28557 One
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net NorthCa�r/�ofiina
An Equal opportunity 1 Affirmative Action Employer Na KL Kbi y
GEORGE LAY WHITE NCDL 1427565 6128
LLEWJEAN MAYNARD WHITE NCDL 1982185 `=" 66-21/530
1311 Hempshire Ct Ph 336-882-3175 BRANCH 37001
High Point, NC 27262
Date
P-ay to the
Order of $
Dollars 1�)
w�,,cxovrA
Wachovia Bank, a dMS10n of Wells Fargo Bank, N.A.
For
I:053000 2 L91: L04CT2 295.27 LO3i1' C3 L 28
CERTIFIO MAIL • RETURN RWgj REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner `f
Address of Property_ 59b Obtr4 [ D. 1?##yc %.11 &Apses- 61A, �
(Lot or Street it, Street or Road. City & County)
Applicant phone #: _. 252- 2 7- 4617 Mailing Address: e D Holt Z o2 b
Atio C AAA Nc 7-9 S"Z 1
I hereby certify that t own properly adjacent to the above referencedd prop". r party. The development
applying for
permit has described to me 8s shown on the attached drawing the development i
they are proposing. A desettbtion or drawt.M+, with dknemlo ns moat be gnm4ded mo jhig totter.
I have no objections to this proposal, 1 have objections to this proposal.
M you have olt/ecilona to wlml b Wngpnopos, you must i
MCW 1n wrift wilt? 10 do ��Yrpa In aJ "don oas4tlMaltapemeis
ya rsce(pt ar thus nnlJcb. CoIntbmlglon lfor OC'M ofilCss R
ara/labde at wwwneceastabrmi�rsraantrtit/conact drm.Nfm or by Cam 1-W-4RCOAST. No
►osponae I� Canskfered fhe syu»e rls tw ableation !f mu have been notllled by Cw~ "mff.
WAIVER SECTION
understand that a p1w dock, -mooring pilings, breakwater, boathouse, or lift must be set bed* a '
rr4nirnum distance of 15, from rrty area of riparian acmes unless waived by me. (If you wish to
waive the setback, you —RLLt§LklHW the appropda a blank below.) +
I do wish to waive the 15' setback requirement
— I do not wish to waive the 15' setback requirerent.
+�'Sci �iit)v^ r°p°r4Y Gwner In! on►
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Aapficant:
Date:
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
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
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 ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
.c', :i.2,43 032 23J8 •<'3.3 3 r.'''C; OAST .. %vw%tf.;t ,;s... ... .r'4i v... 1:. 4".1. t^) 1:; •:\i .I iY