HomeMy WebLinkAbout54665_ROESCH, JIM_20091027gaCAMA / ❑ DREDGE & FILL
GEIVRAL PERMIT
ONew' ❑Modification ❑Complete Reissue
Previous permit #
El Partial Reissue Date previous permit issued
54665 C 11
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
j ❑ Rules attached.
Applicant Name -7i cle f`1 Project Location: County
Address ; '; I ` C 1 E t Street Address/ State Road/ Lot #(s)
City �1(hti LiState�f�ZIPQ
Phone # ( (7'7 ~ Fax # (=j` Subdivision
Authorized Agent t"�rk. 'r/ 1 - City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWs: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Phone # O j River Basin F'
Adj. Wtr. Body !, r f I # (nat /man /unkn)
Closest Maj. Wtr. Body 41
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Agent or'Applicant Printed Name
Signature Pjlse read compliance statement on back of permit
r /'mot.
Application Fee(s) Check #
Permit Officer's Signature
Issuing'Date t Expiration Date
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Local Planning)urisdiction Rover File Name
IN
4
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 CarolinaCoastal 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 (910-796-7215) for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
tsn r,
Noln.r Ca�oiin Depar meat o- Cnyircmn, mt and Niatu;ai Reso ces
Division of Coastal Management
Charles S. jones, Direciol
oq
:Applicant Nam,
Mailang N(ldress---
SOtA_� Plcw'n�1~ /\/J 0-70 90
1 ecrtif-c: that I have authorized (ahent) %r t� ��F` !"? % to act on m<<
behalf, for the Purpose of applying for and obtaining all CANIA Permits necessary, to
install or construct activity)
at (location)Ve
This certification is valid thm (date) q � � �',�
Signature L • �.� -
410 Commerce kvenue, Morehead City, North Carolina 2855'
Phone: '252-808-2808 !PAX: 25'2-247-3330! intemefI- www.iicr,cas.aimanagement.ne�L
u Ecg�at � pcat�reb E Affuracive klbr E.mplayer — V-O' Re;� gW i IM'= Fvai Cons ih„c-r Fier
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• Sender: Please print your name, address, and ZI-1344 M this box •
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■ Complete items 1, 2, and 3. Also complete.
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed to: ,
V-A uo Yr e—
A. S' ature t
4N
aAgent
X "" ,Addre
13; Received bynte ffme) C. D
�ii>/f 1 �' �1 �
D. Is delivery address different from item 1? ❑ Y s
If YES, enter delivery address below: ❑ No
3. Se ice Type
Srtified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2.1
I 7007 0710 0001 5273 2356
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to �. 11 m Roesch-'s
(Name of Property Owner)
property located at - re r �r . Or I C'h 4Tk ( I
! '�I )� (Lot, Block, Road, etc..) J �l
on W �ITI(�f�`� t iY�� ,ln �lY� �if� I / PCL/'7i//CD lam• AC.
(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 pilings/boatlift/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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�ro 05td
L', k l,oC MA-`01-
Signature
Print or Type Name
Telephone Number
Date: 10''//� 7
gAmplol
BROAD CREEK CONSTRUCTION (--i -- 1033
PAYROLL TAXES r , Lo 66-112/531
11 CREEKVIEW CT _./ (,�
MERRITT,NC 28556-9572 2 -7 `�� r
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
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