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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) C`A c' I 16 UL tT+I s JL ----------- Z�� -- &5- , -- - ----------- Signature Pi'irl( or Tz Natme Telephone Number Datr-: 0 I 16L & -D h/ �bq gl-41�1