HomeMy WebLinkAbout34573_PERRINE, RICK_20030703-4 . .:'- ll ram... 't.. 'f°"�. r T[3.. ` .f: F•-S^�Y Y� - - _ _. _ _ __
'��CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#y
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources !!j
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC `t
f • J
M.Rules attached.
Applicant Name Project Location: County I''I
Address Street Address/ State Road/ Lot #(s) i j
City State ZIP
Phone # O , Fax # ( )
Authorized Agent
D CW
❑ EW ❑ PTA
Affected
AEC(s):
ElOEA
❑ HHF 4 IH
❑ PWS:
❑ FC:
ORW:
yes / no
PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
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Pier (dock) length U.
Platform(s) � �,
Finger pier(s)
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_..�_._.' --.�. ..
(Scale: ; -r C' )
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Groin length —
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
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Basin, channel
cubic yards
Boat ramp _. ,.._.._ .. i_.
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length �
SAM not sure yes
Sandbags: not sure yes rho
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes , no -
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A building permit may be required by:
Notes/ Special Conditions
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❑ See note
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on back regarding River Basin rules.
Agen'orr plicant Printed Nam
Signature ` Please read compliance statement on back fof permit**
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Application Fee(s) Check #
Permit Officer's Signature
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Issuing Ditef Expiration Date
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Local Planning Jurisdiction Rover He Name
',C- 1
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 [)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, certifythatthis project is consistentwith 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 / 1-888-4RCOAST
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
SHORELINE MARINE CONST Gp-1:1j4s-L3 28010484
ASHLEY BROOKS NCDL-7666496
PH (252)-646-3212 66-152/531.
99 CENTURY CT DATE D3
SWANSBORO, NC 28584
PAY TO THE $too,-
ORDEROF
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T. RICHARD PERRINE-JANIE ®. PERRINE
SURVEY TYPE: BOUNDARY AND RETRACEMENT
STREET ADDRESS: 189 HIBBS ROAD EXTENSION
SCALE 1"= 50'
TWP: MOREHEAD COUNTY: CARTERET NORTH CAROLINA
PRESD(T OriNER: NEWSOW
alONS
7/10/2002— 0® REF:78s/sao
MAP REF: ------
TAX PID:6336.03.31.3753
SHEET: 1 OF 1
fECF FIELD SURVEY:7/3/2002 DAIS OF WIPPING:7/3/2002
RVEY BY: JIP DRAWN BY: JIP HECKED BY:JIP
JAMES I. PHILLIPS LAND SURVEYING PA
LAND SURVEYING AND PLANNING
1210 ARENDELL STREET
MOREHEAD CITY. NORTH CAROLINA
252-240-4470 PHONE OR FAX EMAIL 1IP30C008faln®f.corn
7'. � " - -
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to K I C. V-, ' -\z -1z I iti 's
(Name of Property Owner)
property located at , LL�SG� 1� %fi�i j �O`✓ , ��� >l> /� - ,
(Lot, Block, Road, etc.)
on S6,oid , in � , �2. < <<� � - �rice,N'7 � , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
piungs/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A"
Signature
Print or Type Name
Telephone Number
7- 0% Date: .7 - �
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1 C' 's
(Name of Property Owner)
Property located at ,? q N (39 S �Zc A-0
'r►J � wiz/ ,���L��� %� :� � �
^ ( (Lot, Block, Road, etc.)
on 1 �£J 6 -fit ^ , in / i ec-)U Li N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
o o distance ram_ r_ ( ')
S^:lst b.. set back a ,:cl,^iI;~:::Im disca„�E of irTi�ceri icet fit.`) from ,iiy area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
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J1l �S'z2
Telephone Number
Date:
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