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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: -; ) ■ NINE111 ■1■ ■■ � ■ number :... distance distancemax offshore-■■■ .....■.®.V.. .�■■ ■' ■■ ■ �1 �■■ CM ■■ ■■■■ ■ ■■ �� C�■■■ ■■� �� In .W � cubic yards ■ ./ ■i ■■■■■ wa■ lofts■■■■ Bulldozing1111. ME ■■ �� ■ ■■■ ■■ r r M MEMMIN PIN101_meyes G ■...■■■...■■■■■ dine Length not sure��:.1101__ no .: torium: n/a yes no yes noI' _.. .. �.■■■■■■■■■■■■■ MEN ON Jis: ■�■■■■■■■■: : ■ ■ 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 pA m O DoLk 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