HomeMy WebLinkAbout33982_PRICE, JESSE_20030508h
❑ CAMA / 7 DREDGE $ FILL
GENERAL PERMIT f "
Previous permit #
t -]New -iModification ❑Complete Reissue ❑Partial 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 I SA NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address___ ,_— _ Street Address/ State Road/ Lot #(s)
CityState ZIP
Phone # ( ) i Fax # ( ) Subdivision_
Authorized Agent City__ _ ZIP
Affected El CW ❑ EW L] PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): O OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body__ —_— ,nat /man /unkn�
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body V
Type of Project/ Activity
Pier (dock) length
Platform(s) - �—
Finger pier(s)_
(Scale:
_
— - —
I
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Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
(
Boathouse/ Boatlift y
Beach Bulldozing
Other
i
t
_
I
I
T
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I
I
-
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Shoreline Length
SAY: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no l
Photos: yes no
Waiver Attached: yes no -
A building permit may be required by:
Notes/ Special Conditions t
—
I
I '
❑ See note on back regarding River Basin rules.
;
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit*
I,
Application Fee(s) Check #
Permit Officer's Signature
Issuing ate I Expiration Date
Local -Planning Jurisdiction Rover File Name
— — --�». .._;tt,.5� ` ���.�i � �..�:�e� dot-r«emna:.ts'�.��!6�'i ,�- •
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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, 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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 complywith thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888-4RCOAST
Fax: 919-733-1495
Elizabeth City District
1367 U.S. 17 South
Elizabeth City, NC 27909
252-264-3901
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
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I hereby certify that I own prope.Tty adja=t to -7 7—,,,—,
_ 7.r-
(N&Me of Property Owner)
property located at _ Ze 0�
$.Gat
CM
(Water body)
Block, Road, �.�—' ,..� ✓aka
(Town an.dlor Oouaty)
He has dwribed to me, is shown below, the development he is proposing at that
location, and, I have no objections to his proposal, I understand that a
ierAnooring
p &a°'b(W,U 3athouse must be set back a Minimum distance of fifteen feet (15,) � om my area
of riparian acre Urdess waived by me,
... - I dish to waive the setback requirement
._._._,.�. I dQ wish to waive that setback requimmevnr,
O _1;....._.O�'v A;INDIOR I)R► i% Off' PROPOSED � VE10Y 41,NTa._
a
1 be, it td bj� individual pro
t s 't development)
ent)
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05/06/ 03 1_1 : 37 VAN 2 2523 `707 CDS NFTWORKS ��02
XDJACENT RIPARLMN PROPERTY OWNER STATEMENT
(T-; ,+* _Ft PIFRI!P.[Otin[:1}G PJIIAG,.'V/`1101°1 TLIF 1`8 .4THO E)
I hereby cpm'fy that i own property adjacent to
e of Prop e i 3+svner)
Property ty located at r '
(Lot, Block, Road. etc.')
NC
(Waterbody) (Town and ler C outnd"yl
I -le has d es+e.ribaA to ease, as shown below, the de-velopmeni he is proposing at that
location, and I have no objections to his prnpossl, I understand that a pier/mooring
pilings/boatleft!'Iroathouse must be set back a minimum distance of fifteen feet (1511)
firam my are Hparltan access unless waived by rae,
Y eL nx>d wish to waive the setback requirement.
I -g wish to waive that srtbaci:. requirement.
- M .43I 'vC itlP iY'ON ANDIOR DRAWING OF PROMSED DEVELOPM. . T-
,,c 1t s1"G be rifled ise by indivi<ludiiiroposing deveiDpment)
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f rip
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Pn,7,nto r ype -Nam
Telephont ?-ber
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Date.