HomeMy WebLinkAbout55319_SAYLOR, SCOTT_20100405❑CAMA / ❑ DREDGE & FILL
GENEFWA L PERMIT Previous permit #
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue JDate previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural esources }
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ?,r
Applicant Name
Address?' + f'
City 1 State ZIP
Phone # ( ) '" 1 Fax # O
Authorized Agent
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
Type of Project/ Activitytt`-
Pier
Platf
Fing(
Groi
Bulk
Basir
Boat
Boat
Beac
Othi
Shor
SAV
Sand
Mor;
Phot
Wai)
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City l\? i ZIP
Phone # ( r) `` i / C River Basin _�1 �•.� '. l .
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: -; )
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number
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distance
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dine Length
not sure��:.1101__
no
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torium: n/a yes no
yes noI'
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A building permit may be required by: I ` i t�1 ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
for APPiApplicant Printed Name
��
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
The time period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
Permit Officer's Signature effective date of expiration for this
permit is
Issuing Date Expiration Date
Local PlanningJurisdiction 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 El 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Elizabeth Citv 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
Acclican,:
Date: 1 i"5) �
0
�Wflwc'vlef4
Describe below the HABITAT disturbances for the application. All values should ma
found in your Habitat code sheet.
name, and units of measurement
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp irn acts
amount
Dredge ❑ Fill ❑ Both ❑ Other IV
Iw
l
Dredge ❑ Filf ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge [] Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge �j (-ill ❑ Both [) Olhrr []
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 ❑
RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER STATEME
(FOR APIER/MOORING PILINGSBOATLIFTBOATHOIISE)
MAR 2 6 2010
Y010e0d city DCM
I hereby certify that I own property adjacent to O T s
(Name of Prope ty Owner)
property located at LCy) nUXyI I IC- pbi�l+Rd '
(Lot, Block, Road, etc.)
on Nor+h fl I VC K , in be -a L 01(-i"" , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: g� -211O Mailing Address: n3 Lxo nc)-4Vi I le `PoI'/!a-
oeauka ) 1N C 2-$ S140
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 / boadift / boathouse
must be set back a minimum distance of fifteen feet (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.)
W01
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
1-enV)())(ViIlePoi✓74-Red -
Mailing Address
(oeau&,(� , NC 2'� 51
City/State/Zip
9Iq-99-1-ZI-70
Telep one Number
4'—?bJj ( f
Signature Date
Signature
Print or Type Name
Telephone Number
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOIISE) =' RECEIVED
I hereby certify that I own property adjacent to Co J-" 1 d ,- M4R 2 6 2010
(Name of Prop rty Owner) Morehead City QCM
property located at l L-ey1 ao. \/ I U e 1?0I ✓1+ Rck
(Lot, Block, Road, etc.)
on No 1�+h 8 t \le r , in ��-(U �-�' , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: 119 IS1 —Zl -70 Mailing Address: W 3 LxVI V10XVd I Ile, Pyl'I4-gd '
jPau&,-+, NC 7-90
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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
W5 Levllloxvl'lle
Mailing Address
6eatA
N C
City/State/Zip
q1 9_8-Kl
Z,%a
Teleph e Number
z2m
, 'I/L,— 3
Signature
Date
Signature
Print or Type Name
i q. go
Telephone Number
Date
rMAR_ RECEIVE®
2 6 20i0
'roreh®cpci C►ry DC W
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SCOTT M. SAYLOR 66-7704/2531 5089
FRANCES SPIER SAYLOR
PH. 919-881-2170 j t
5412 PARKWOOD DRIVE DATE t
RALEIGH, NC 27612
PAY TO L i ". / I 1 � $ i /1
THE ORDER Or LL/ . cd
— r_ ^�� hti/I�) Q�' JJ �� DOLLARS
State Employees' Credit Union,,
78Raleigh, North Carolina
MEMO
1:253L7701,9i:08E 3293z,Sill S089