HomeMy WebLinkAbout34763_CLARK, JERRY_20030829CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
ZNew ❑Modification El Complete Reissue []Partial Reissue
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 I SA NCAC
Applicant Name 31-f 1 i
Address 129 cos GWALAS -1+04
City l 4"Vo fit State * ZIP )?6C, 3— `I q 1)
Phone # (H7 ) ?`16- 7 g f j Fax # ( )
Authorized Agent W, �
Affected ❑ CW [Z EW {J PTA [IES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / ,no PNA yes /tno Crit. Hab. yes / no
Previous permit #
Date previous permit issued
'?I. ltG 0
attached.
Project Location: County "'G - l f. i 4
Street Address/ State Road/ Lot #(s)
/ i opc Wra A.
Subdivision
City '�-'/un+r �('Cw'et ZIP 10 S/l-
Phone # ( )
n ra — /
R rr) -0
River Basin !•Nt • 4, 6, k
Adj. Wtr. Body /'0 0 o wia d r (nat /rfian /unkn)
Closest Mal. Wtr. Body ''`• �� u P (+: �)
Type of Project/ Activity t -, L1 � V l4 fclj lr'r10(fweV4 r [ Ca n4 'crct �+ c V' .
(Scale:
Pier (dock) length
Platform(s)
Fing
Groin
Ik
Basin
Boat
Boat
Beac
Other
Shor
SAM
Sandbags: not sure yes C.
Moratorium:
Photos: yes T.
Waiver Attached. yes no
A building permit may be required by:11 n I'G H + �fot } El See note on back regarding River Basin rules.
Notes/ Special Conditions �-� Nc PV 60 1 t ^^ pu r i G u C . �,1-� (� r Q. c tc t! c ✓ t' f Jr� •�+� �r C'
i,r � ���) � n✓c,r1 ON`4 P+cJt�^ Ic'N'�7� t} i�+�l`S. �� �tic/tL ��C/ic"i /.-�t�+; � w'�u/l.l'F-�
v/f �•� u i,�I, -.v N f r f c �frc.�rM
er pier(s)
length
ead/ Riprap length
avg distance offshore
max distance offshore
channel
cubic yards
ramp
house/ Boatlift
h Bulldozing
eline Length }h%l 1f '1((M�rt 4N-'
o
j i I i I I
-iA
number � i I
h
--�- - �- - - —
j i i I I
i
1 i� c r
� I 4 •_
not sure yes
n/a yes Rio i �
•,__ � � I _
�� J lyv4toc
w<':W
Agent or Applicant Printetame
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
r19 = �
Issuing Date Expiration Date
31 �33
Local Planning Jurisdiction Rover File Name
er pier(s)
length
ead/ Riprap length
avg distance offshore
max distance offshore
channel
cubic yards
ramp
house/ Boatlift
h Bulldozing
eline Length }h%l 1f '1((M�rt 4N-'
o
j i I i I I
-iA
number � i I
h
--�- - �- - - —
j i i I I
i
1 i� c r
� I 4 •_
not sure yes
n/a yes Rio i �
•,__ � � I _
�� J lyv4toc
w<':W
Agent or Applicant Printetame
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
r19 = �
Issuing Date Expiration Date
31 �33
Local Planning Jurisdiction Rover File Name
w<':W
Agent or Applicant Printetame
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
r19 = �
Issuing Date Expiration Date
31 �33
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 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
Fax: 919-733-1495
Fax: 252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: 910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01
THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
Qn y_
1'Jl,1'rT)J '�'.1� 1\f�)1 f-,7 r)1'.l)f El - jam/
NOT VALID OVER S1.000.00
ISSUING BRANCH 6 2 2 5 014 6
DATE
93-541/920
PAY TO THE�� -
ORDER OF
t/- rT ��"+ I 1 • l i P'11 I" 11 _DOLLARS R
BB�oj .�.... "—�"� � I � -� I••�' -la✓ DS Y SIGNING YOU AGREE TO THE SERVICE CHARGE
�� -rL3 yAND OTHER TERMS ON THE REVERSE SIDE
M,
S .
FOR FOR DRAWER
C-flm
Ill 62250b4611' 1:0920054111:0170 7104510921"
■ NII5DDCL\1I.\I IIA. A% \R1111, L\j l\,\III(, %j,
i
(FOR A PIERIUNCOVERED BOAT L11M AUG 2 8 2003
I hereby certify that I own property adjacent to 6 L-AC-I,—" Is
(-,Nkme of Property Owner)
propemy located at
(Lot, Block, Road, etc.)
on � Cjrl`�}� L , rn ff�NT[ C— � e f}�` ?N. C.
(Waterbody) (Town and/or Coun(y)
He has desc;-ibed to me, as shown below, the deve!oprhent he is proposing at that
location, and, I have no objt�,--tions to his proposal. I understand ![hat a pier/uncovered boat Iif:
must be set back a minimum distance of nftevn r-c--t (I5') from mylarea of riparian access un.less
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
i
i
---------------------------------------------- ---------------------------------- ----------------------------------
DESCREYPOiti A-N-D/OR DRAWENG OF PRO POSED'DEVELOPNM-N-T:
(To be felled in by individual proposing development)
Signature
/VltPI� os
Print or Type Na
Telephone Numb(�r
Date:
!
e
i
i1 T �L 7�r y U a' T7T7I'1Z °Fi iy' - I L jr - T1 �;'T, "°�; i ;.J P
� \J V 1 •I� � a . !T" _.E1 .L
(FOR A PIERIEWL- OVERE'D BOAT LIIFI)AUG 2 g 2003
I hereby certify that I own properry ad"tacent toOL.IQ)C1 L' _ s
of Property Owner)
property located at J^—
(Lot, Block, Road, etc.)
on rnfNN mP&V CAVP L , in nTI,- -rJ C
(Waterbody) (Town and/or County)
He has desc-,Ibed to me, as shown below, the deve!opr.rent he is proposing at that
Iocarion, and, I have no objections to his proposal. I understand 16at a pier/uncovered boat lift
must be set back a minimum distance or fifteen fit (15') from my area or riparian ac:--ss unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback reauirement.
- i
•----------------- - - - - - - - - - - - - - - - - - - - — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ------------------------
DESCRUYPOi1i A`+-D/OR DRAWENG OF PRO POSED'DEVELOPMENT:
(To be filled in by individual proposing devel pment)
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Signature
Pi'irl( or Tz Natme
Telephone Number
Datr-:
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