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HomeMy WebLinkAbout33923_WILLIFORD, BARBARA_20030415F1 CAMA I I] DREDGE & FILL GENERAL PERMIT [-'New L-IModification '-]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 I SA NCAC Applicant Name Address —f'00 �J City State N,-- ZIP , Phonefl VI Fax fl—) Authorized Agent Affected 0 CW 19 EW [PTA OES El PTS AEC(s): El OEA EJ HHF 01H ED UBA EJ N/A El IPWS: 11 FC: ORW: yes / no PNA yes / no Crit. Hab. yes no n Ir 1, X,..,3c Previous p mit # Date previous permit issued -1 Rules attached. Project Location: County____ Street Address/ State Road/ Lot #(s) Subdivision A City lcl ZIP_ Phone# River Basin Adj. Wtr. Body_ nat man Lunkn) Closest Maj. Wtr. Body-------. Type of Project/ Activity (Scale: J i-- Pier (dock) length Platform(s) 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 -4- 4 ------ 4- L ti Shoreline Length SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions (77� I T6 l wev I it I Prsee note on back regarding River Basin rules. 61 0' Agent or Applicant Printed Name Signature PI read compliance statement on back of permit" Application Check # x �e.�,tO�k.r's(Signgtu4 Issuing Date Expiration Date If Local Planning Jurisdiction Rover File Name V 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: [►J/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 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 UWEDSTI� ES I � POSTA SERV/CE® 91117618248 PAY TO ADORE: 5 CO.D.NO.OR USED FOR SEE REVERSE Wkf?PJfrfJV4' 2 1; CHECKWRITER IMPRINT AREA 339 � NEGOTIABLE 9 l4 ?6 l8 248 so 00 PC it t 2. �i�/// - Y 1N THE U.S. AND POSSE ` ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/UNCOVERED BOAT LIFT) jD" k I hereby certify that I own property adjacent to. _ 9s (Name of Property wner) property located at D (Lot, Block, Road, etc.) on �,� .,,,/ l��� in P NC. (Waterbody) (Town and/or ounty) 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/uncovered boat lift must be set back at a minimum of fifteen (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) mot, Signature Print or Type Name Telephone Number � Date t f to I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIUNCOVERED BOAT LIFT) I hereby certify that I own property adjacent to 9s (Name of Property O ner) property located at (Lot, Block, Road, 9 on J in (Waterbody) (Town and/or C unty) 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/uncovered boat lift must be set back at a minimum of fifteen (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) Y � d �D' I VCJ -ew VAN S I ram'_. l� it ,�,.— Signature 1`6fit or Type Name T^ } \h "c CS Telephone NL mber Date I l�