The URL can be used to link to this page

Home My WebLink About56094_SASSER, PATRICK_20100805L 1 qAMA / ❑ DREDGE & FILL ��1�'✓ �»- r, GENERAL PERMIT V1 � Previous permit# ONevv ❑Modification ❑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 15A NCAC '� 4. 1 2 0 Rules attached. Applicant Name-}r� t �(;;.�� t Project Location: County_ {;a i 1 Address , �,� r,•• d� �. +l� Street Address/ State Road/ Lot #(s) City ( W11 3 En State &k, zip :27SI4 (vn-j'rtr.c cnS"td V')r, , Phone # (� 1 -73g --5Abj) Fax # ( ) Subdivision Authorized Agent Affected D CW 71 EW D PTA AEC(s): ❑ OEA ElHHF ElIH ❑ PWS: ❑ FC: ORW: yes / no PNA yes} no Type of Project/ Activity -P. # r f i Pier (dock) len h '- /k 4i ' X 217 Platfo Finge Bulkl- Basin Boat Boad Beacl Othe Shore SAV: Sandi Mora Phot, Waiv [IES ❑ PTS ElUBA ElN/A Crit.Hab. yes / no City ^,ta.r CA zip jJ �tL2 Phone # (J& )��q 00 River Basin N Adj. Wtr. Body k G �t (nat /'man /unkn) Closest Maj. Wtr. Body t11? trjeloc 1 "lr ll (Scale: ; {it/ ar ) r A building permit may be required by: Ct`to l i I n{ Notes/ Special Conditions -!GPrd UU !�, fogy% `�I. I7ra > Agent or Applicant Printed Name Signature Please read compliance statement on back of permit ** Application Fee(s) Check #� ❑ See note on back regarding River Basin rules. � f r]i Y\e,'f rermitunicer sLnnature - ci 1 1 o 4 L 1 12. Issuing Dat4 1 Ex iratio Date 11t� Local Planning Jurisdiction Rover File Name 4. a 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 (910-796-7215) 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/ 1-888-4RCOAST 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 v PATRICK H. SASSER, JR. 66-85/531 4175 LYNDIA B. SASSER NCDL 5157506 2852103 111 PINERIDGE LANE 919-735-8175 + DATE �Y � is GOLDSBORO, NC 27534 PAY TO THE r�r`, ORDER OF V 1. _`!1 s F (a0c) 7�c DOLLAR 8 - RBC BanW' pRF„H7FR RBC B—k(USA) CHEC e _ pp � � V MEMO I 1/� GOCLLt,� b'5a 1, M-a _ ;��-- �-� NP L— ':os3loo'Bsol:o?s3o9s'-.3lBlll 4 L75 Adjacent Riparian Property Owner Statement y Adjacent Riparian Property Owner Statement Page 1 of 1 (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to ��1'h��k ��-Ser s Name of Property Owner property located at �� r t 1, t-�ye , z. (' S44 Lot, block, road, etc. on CD-)-p— in GCc'S-6111� NC Waterbody Town an 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 do not wish to waive the setback requirement. I do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development) IMaa.st{ �x�s�„c Ex�s�•�aG �i�2 �1'w'�E T `� x �q.'r2sv It WE2 F Fxo� g w Z .I 3 � & - ) 4 �W& Signature Print or type name Telephone number Date http://www.innerba.nlcs.biz/arpos.htm 5/28/2010 Adjacent. Riparian Property Owner Statement Adjacent Riparian Property Owner Statement Page 1 of 1 (FOR A PIE,R/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to [—CT- �-k 1�-- - �Ser 's � � .L�1�sr�cr�5� �J 1�UG� Name of Property Owner ` property located at j �Z 0 S44 B C S e� 6C e , Lot, block, road, etc. on in , NC Waterbody Town an 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 do not wish to waive the setback requirement. I do wish to waive the setback requirement. Description and/or Drawing of Proposed Development (To be filled in by the individual proposing development)�k MnWSH I. �zrSr..rG EXr ST•a (� ICIER. �41 Wi6E F x /0 Nqu " Forc 9EFWM- FROM s �pnNGril �(Fii iJ W 1J M 3 Signature AZ l YE^J M t I -LEA, Print or type name S i Telephone number Date o-)2z��a http://www.innerba.nlcs.biz/arpos.htm 5/28/2010 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Patrick Sasser Date: 8/23/10 Permit #: 56094C 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 impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Open Water Dredge 0 Fill ❑ Both ❑ Other � 650 650 Low Marsh Dredge ❑ Fill ❑ Both ❑ Other O 730 730 High Marsh Dredge ❑ Fill ❑ Both ❑ Other OO 320 320 High ground Dredge El Fill [I Both ❑ Other CHI 50 50 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 ❑ Page I of Ias zit R arian Property owner Statement 1 Adjacent IbParian Property Owner Statement (FUR A PIERIMOORING PZUINGS/BOATLIFT/BOATROUSE) tpreby-certify that 1. own property adjacent to _Lo Name of PropertY Owuet �:Operty located at I ! r-N4-C�.c SW 6"Ue l,ot, block, road, otc. NC Waterbody Town an or county has described to me, as stiown below, the development he is proposing at that tocatioaa and T have cibjections to his proposal. Y of wish to waive the setback requirement. wish to waive the setback requirement. -ription and/or Drawing of Proposed )Development � � �>�rs � cla.�-• ��d c� �c k , c�,�� .t: be filled in by the individual proposing development) 4—wo Mrtask� yy Rio rw +c[`..-�'�.�0�-h Pe..t'MRr+ ._ .. (_�.. x o AMR ROM^ t qO W ._. 4ryry' .` 4 Rif -1M17--1.l Aid lZ { F3A K14n) ( ").0 h- �1Q 5 P-A- b0.CA11-1 -'vigrtature ?xznt or type name elephone number Rate �'. ��>,//www.inncrbaulcs.bx�larpos.l�.tm 5/28/2010