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HomeMy WebLinkAbout34038_THOMPSON, TOMMY_200305291QN'7JCAMA / 7 DREDGE & FILL dGENEPtAL PERMIT EJNew E 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 15A NO Applicant Name Address —/_,1,L ,-L k City State zip," (-'i Phone # (107�) 1415Ki Fax #(_) Authorized Agent Affected Ll CW EW [I PTA ❑ ES El PTS AEC(s): El OEA El HIHIF FJ 1H El UBA L-1 N/A El PWS: El FC: 0IRW: yes/ no IPNA yes / no Crit. Halb. yes no S d Previous permit # Date previous permit issued 0 Rules attached. Project Location: County , wj-kt� Lai: c Street Address/ State Road/ Lot #(s) Subdivision City -L-!' zip AS-5 Phone# River Basin Adj. Wtr. Body /unkn Closest Maj. Wtr. Body ANEWN, EMWU ME EM ME NPIENOM ENWMJN�m EIRMI 11■mi" INEM MEN MEN MEN M me OWN"NEMENC112=1 M-IM IIEMOMMEWAML, 11� WEIRPLAMEM . M ►MEMEMOMWEAV, UrKMEM MUF;M=EMEM■EM 0 WREWA�MMKIMIN MOM • OWINEEMOMMEMEEMEEMEN MEMO WENEMME SEE SEMEN E 0 LM■MEMONWM , Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit olficer' orI . re s Issuing Date Expiration Date 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST 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 it 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 a T W1 HOVIA '/^ry 885 TOMMY THOMPSON (y�c3'W3d PHONE 770-458-3445 S. 64-11610 2066 WESTOVER PLANTATION J a ! , O3 BRANCH 699 DUNWOODY. GA 30338 onrE U riy 10 nJ TIIE ORDER of; ((�� DOLL: RS t e« CASH INVESTMENT ACCOUNT ETA_ Wachovia (Sank, N-A- Atlanta, GA 30303 1:06 L0000 LO1: 26 473 0�411' 0885 HARLAND 2002 T. D. EURE CONSTRUCTION CO., INC. POST OFFICE BOX 650 T D EURE MOREHEAD CITY, NORTH CAROLINA 28557 IL "0ommar' PHONE: 252-728-4191 FAX: 252-728-4192 PR T PR P S r IE 1,4 o DATE AND �6A7iigr LISATE OB 3ERVA7 10 ❑ CQ .' -- o - - FX 5 r............ -6 I I v -- t _ I I i i I I� F T' o - FA O 1 ❑ O IE SI NE _ _a�_ 1 U : 1.t► 9 _fit C_ # !. 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit:/ Address of Property: 7-n/� S P Y� (Lot or Street N, Street or Road, City & County) I hereby certify that I own property adjacent to the above referenced property. Tile individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza H, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the sane as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) x✓ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. r, - z� -G C. lint Name Date 2, Telephone Number With Area Code _C a 11101no :_X_ .Ikj 014119095OWN DI-1 WOOL@ t . DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY-7O�fWNER NOTIFICATION/ WAIVER IIFORM Name of Individual applying for Permit:- `� dti� h S %G titi , SrJ Address of Property: 160C A 2 (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. J I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plain II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) X V I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Print Na IM 13s� 11�a'3 Telephone Number With Area Code PERMITTEE LOCATION: MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] FIELD REP. --8 PHONE: `j-�-�-`� ` _.5 DATE REPORTEDLY COMPLETE: 17 /,n,4 /1) DATE OF INSPECTION p Q 1) Do thqjjeasured dimensions of the development differ from those indicated in the permit and workplat? YES O circle one]. COMMENT: 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES/NO [circle one] COMMENT: 3) FUTURE MObUTORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES/ [circle one]. COMMENT: