HomeMy WebLinkAbout32827_PETRATOS, DENNY_20021001='CAMA / 7 DREDGE & FILL 32827C
GENERAL PERMIT Previous permit#
❑New CiModification El Complete Reissue CPartial 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 /S �n� Street Address/ State Road/ Lot #(s)
City :, rrt.541r State ZIP
Phone # (-_) ' �:,� Fax # ( ) Subdivision
Authorized Agent __ City__ ZIP--------
CW J EW C; PTA C ES � PTS Phone # ( ) - River Basin
Affected � OEA � HHF ❑ IH ElUBA ❑ N/A
AEC(s): Adj. Wtr. Body_ _-- _ ___(nat /man /unkn)
C' PWS: D FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s) 1,11
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(Scale: '�j.. ,.-C.. )
1-
I j I i
� I
Shoreline Length _---._-
SAM not sure yes no
Sandbags: not sure yes no
,-
J
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fees) Check #
❑ See note on back regarding River Basin rules.
'. /
IssuingDate
/ Expiration Date
Local Planning)urisdiction Rover File Name
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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, 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 / 1-888ARCOAST
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
U
DECKS N' DOCKS
CONSTRUCTION, LLC
PH. 252-637-1595
243 FOREST GLEN DR.
POLLOCKSVILLE, NC 28573
PAY
TO THE
ORDER O
2120
66-112/531
DATE ' — 01901
DOLLARS
HIM
BRANCH BANKING AND TRUST COMPANY
NEWJBERN, NORTH CAROLINA
FOR c Ta J / "La _ .'�— 6—P4-3Z82— 7
11100 2 1 201I1, 1:0S3 10 1 L 2 Li:S L9SP,
29611,
t1-vV -FX4 1 r.KU r ,K 1 Y 0 WINE 64ATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 2002
(N e o operty Owner)
property located at
' (Lot, Block, ad, etc.)
on /)144_..� , in N.C.
(Waterbody) ( own and/ 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
pilings/boadifVboathouse 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
r
� I
-L-Cfij pk6t��
Print or Type Name
Telephone Nu ber
Date: q 9 (�
Sep 20 02 10:37a charles spiron 9197355839 p.1
t�Jtil�Gl`I1 ��-
(�PR A PIER/Jf0 NG PILINGS/BOAv VV IN 1� , t ``� !'k.t`' E P 2 6
_EN-F 2002
TLIFI'/BOft TfI it iI3'E)
I hereby certify that I own property adjacent to
IS
(Nam of Property Owner)
PION -IV at � � Q � I %�
(Lot, $ ock, Road, etc.)
on/ —Ito
N.C.
(Town d/o� county)
He has described to me, as shown below, the development he is proposing at that
lo�ti0n, and, I have no objections to his ro sal,
Pdgs/boatLit/boathouse must be se[ backs Minimum distance understand that spier/mooring
of rip�an zccess unless waived by me. fift " feet (15) from my area
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-
DES(-1ZnM0N AND/OR DRAWING OF PROPOSED DEVE - - -
(To be felled in by iadividetal �P '`�' '
propon'ng developm¢n!)
F— 11 - i
`I
k
---- - ---- - ---------- - ---------
Signature G211n
riun or Type Name
91 q Z�5s?3TeiephOne r"u—
Date: 9 / 9 D 2
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