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HomeMy WebLinkAbout56344_ROUTT, JOHN_20100823' ❑AMA / ❑DREDGE &FILL GENERAL PERMIT �7 Previous permit# { New LIModification ❑Complete Reissue ❑Partial Reissue /i Date previous permit issued j 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_ Address _ City Phone # ( )_ Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no ES ❑ PTS ❑ USA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn� Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) I Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore. a Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other - J7 n — _ f A w .6 - I 1 3 � I Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A buildingre permit may be required b : y Notes/ Special Conditions El See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature fs , X . Issuing Date Expiration Date Application Fee(s) Check # 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 Iandowner(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 (910-796-7215) for more information on how to complywith 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/ 1-888-4RCOAST 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) Revised 08/09/06 2010,-08-23 09:49 .S •, `� 7 3?3v P 1/3 /,,) 4��-:A'5--4 P I -1° 11mTfIC' 11 2010,- 08- 23 04: 44 I 'hezeby Certify that I own rropzrty adjacent to P 2/3 QV2me cr Yropvrtj 0-ti-a z- or PIkant.) ylaalie� adclras4 if: difietc zt: fraui laciAtioz� �uldAess�• Itoo C,6.0 /LI-_-., (t(>1i+n, state: r-d Ap) -�I� i� 21(Z. phone rittiK►ae-xs you o= ce =cW at.�� l � ...�-� � or) Ci property lncatLd al 0 CLz/. ��._-. (Lot, [34pck, Road, ctc.) on c�G 1 c� u ..r� 1. �._. �tl / (� L. CA 12- L- E-7- 57 - N .0 ' (Waterbodj) ('.lawn an&6r County) He has dPScrigGd tQ mz . as sh-owa below, tn.e devel0pxnertt he is eropnsin9 at tr-at location, and, I have no objections tQ his proposal. Xunderstand that a piezIiilooriug pitings/boatlift/boathouse must be set back a rainim,tun distance of fifteen feet (5) from.:ny area of riparian access unless waived by me. I do not wish to waive the setback requirement. W;izls I do wish to waive that setback regWtes'ter_t. bWa[s --- —---- ------- -------------- D-C, S cTjnjoN ,AIN DIOR DRAINING OF PROPOSED DEVEILOPNIENI T (To be filled in by individual proposing development) t r Gg Print or Type name 5 Talcphone Num-be; Dam w.nccomta]mutogea=t.ncJPermialADJ-:r.Tv".WPA214�1PY0.PEP YO*%N R.STA: Z u.v.y� 2010-08-23 04:44 1 "UiCA ('11*lC/LfVV1[1lYtr! t�.ueu��►�vrai�+eA ciu•��x�.� •-�•� r 1 nereby certify that I own property adjacent to 6wly P 3/3 (Name of Property OwIler or Applicant) Ma,iliag address if differmrt front location (town, state and zip) phone nuinber.s you caa be reached at. % `�� o prnl7erty locat:ci i:t y // D, �.•Gt��D.�,c"2r CrA /aC- � /�ly� k2 E F' ��-,..—., (Lo4 Block,.toad, etc.) on oG Uc C vUt,N in CA %�� CA t? T' GZ N.C. ,., (W aterbody, (Town and/or CottRty) fie has described to me, as shown below, the development he is proposing at that locauzon, and, l bave no objections to his proposal. I understand that a piezJrmooring pilings/boatlift/boathouse must be set back a minimum, distance of fifteen feet (15) from my area of riparian access witless waived by me- _ I do not wish to waive the setback requitement. initials I do wish to waive that setback requirement initials Dl~;SCRII''S'ION AND/OR DRAWING OF PROPOSED )DEVELOPMENT: (To be filled in by individual proposing deV&Pmeret) Ll ` Y —_fIf ---------------- ---- - '-- 0.--- _ .•(: u�' It t �'• - (�?Z Print or Type Namt Telephone Number Date: .� t�MF��I i.D� w'ww_n=O;Uta M&m..Menc.MUPenmimfAl)Jt.CEN'ri,IPARW4PROPEMOWNERST JOHN W. ROUTT, JR. ��Q �66-7704/2531 3315 THE1ww-----\ LIC.5703027 CGofYen Circle 804 FEDELON TRAIL PH. 734-4722 / GOLDSBORO, NC 27530 DATE J v CLUB kft'tc e PAY TO \V�—� J THE ORDER OF J� L^ �K G (� DOLLARS 'emu State Employees' Credit Union® Goldsboro, North Carolina r , 2 , \/ GLt.t� �'S'C'p�'��Fc�S' MEMO I (O _ - -- � --- - t: 25317 70491:08606 2704C3E, LS SPEGNIrvtEupv ;applicant: Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp im act amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge Fill ❑ Both ❑ Other ❑ 9 �aO Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑