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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 r Pier (dock) length U. Platform(s) � �, Finger pier(s) - I �.... - _ j—(t _..�_._.' --.�. .. (Scale: ; -r C' ) i —�_ j Groin length — number Bulkhead/ Riprap length avg distance offshore max distance offshore I 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 - r A building permit may be required by: Notes/ Special Conditions j Jk— - i i l i I I I I I _ v r-b+ ( - TT - I i VA , f -. j _ "- -- —M o- i - ----}...d-- ----�► :1-- ❑ See note - \ on back regarding River Basin rules. Agen'orr plicant Printed Nam Signature ` Please read compliance statement on back fof permit** F Application Fee(s) Check # Permit Officer's Signature r 1 Issuing Ditef Expiration Date Ju 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 DOLLARS Wachovia Bank, N.A. Ili NC'2=17 F 0 R ul 280 LD L,13L.1111 1:0 S 3 LO L S 291: 5467 002 57,15 j -£ND Of STAIFVAN TAINANC£ HIBBS-,I£DUCXA UNf 11B J IL2 CEN RUN£ ar t D HIBBE-JEDIICXA ROAD A7' SAWYER 6551JJ5 LARGE 044 h ``1�111111117 CAn i suf �v IpHl�ti $1R OYFR £Cm ££P 1N GROUND OB-BOUNDARYAGRFFN£NT 750/J71 s 69���- LWNIGSTOM O o., 98 COL Ion is r3ffi CL"ffORkAW_ 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'. � " - - 6.o 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) %lam Signature Print or Type Name �) J1l �S'z2 Telephone Number Date: 31` �o(,Qe SAND %J/ �J � R C K PFT 0