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HomeMy WebLinkAbout52634_SHELTON, HENRY & CAROLYN_20080926❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT � revious permit # ❑ ❑ []Partial ❑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 ❑ Rules attached. Applicant Name 11 t� i i i r '� Project Location: County _ I Address "-� ' ! L �; t ! l Street Address/ State Road/ Lot #(s) City_ State ZIP Phone # Fax # O Subdivision Authorized Agent City ZIP_ Affected ❑ CW ❑ EW E'PTA ❑ ES ❑ PTS Phone # (. ) River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body _ (nat /man /unkn) ❑ PWS: ❑FC: ORW: ves / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body — Type of Project/ Activity (Scale:,:) �• Pier (dock) length I Platform(s) HE fil Finger pier(s) I I Groin length number Bulkhead/ Riprap length _ avg distance offshore _ max distance offshore Basin, channel cubic yards Boat ramp — — 11 I--�—� Boathouse/ Beach Bulldozing F Other177 — a Shoreline Length — -- — SAV: not sure yes no .- Sandba s: not sure es no g Y i es no Moratorium: n/a y I Photos: yes no I Waiver Attached: yes no - A building permit may be required by: See note on back regarding River Basin rules. Notes/ Special Conditions or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature 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 ❑ 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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 Sep 11 08 OT68p Dave Desktop VD•11l GVVO lO.JI l-f1A iJ iLYVLIVL LIUV" J1iL 4 VL• 919-778-3101 ADJACENT RIPARIAN PROPERTY OtiN1—ER STATELNEEN'T (FOR A PLERMOORLV G PLUN G&'BOATUFT/B 0.4 THOZ;SE) 1 herebv c--rr-fv chat I awn proper:y adj3cera to _Henry H. & Carolyn J. Shelton's i S (Name of Property- Owner" 1 � 200R 331 Holly Lane property located at _ , (1-ot, Bloch, Road, etc.) Morenead city Newport canal (5oundView) in, N.C. OR . W 'gWaterbodyj (Town andior County) Applicant's phone #: 252-240-2008 wiling Address:. 331 Holly Lane Newport, NC 28570 - lie has described to me, as shown below, the development he is proposing at that location, and, I have no objection to his proposal. I undrrstand that a pierlmooring pilings / boatlift i boathouse must be set back a minimum distance of fifteen feet (I Y) from my area of riparian access unless waived by me. (If you wish to naive the setback, you most inttial the appropriate blank below.) ' I do not wish to waive I do wish to waive that setback requireiuent. I .__.-_---- --------- ------------- —_—_- DESCRIPTTON A -DIOR DRAWING OF PROPOSED DEVELOPMENT: �'C,,a&L (To be filled in by individual proposing development) �i SEw't�0�p (pw c) tWrOO ME?'r7oaect 1 B�risson �S/' aIn Property -- --- N� �!_,�. .eJa'�I S Ltd: .9�1�---------- --.,- `_ t. � (throe n' tioa for Property Owner Applying (Riparian Property Owner Information) p� poi Permit) c o 331 HGUY Lane Newport, NC 28570 City/StatelZip 252-240-2At18 Telephone Number Signature Date G 4 Signature Prin. or Type ware ,a-9 1 1 01 Telephone Number Date ADJACENT RIPARIAN PROPERTYOWNER ST ATENIEIST (FORA PIER/MIOORI-VG PILL'-GS/BO.4TLIFT'BO.4THOLSE) I hereby certify that i o��'n proper �% adjacent to Henry H. 8� Carolyn J. Shelton's _"s (Name of Property Owner) 331 Holly Lane property located at i (Lot, Block, Road, etc.) J Newport on canal (SoundView) in , N.C,Itl, fw (Waterbody) (Town andior County) �� 252-240-2008 �Iailin Address:. 331 Holly Lane Applicant's phone #: g Newport, NC 28570 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 f I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: Ct,0 a� (To be filled in by individual proposing development) i �l tJcw P,I�uq 0EYTi70 cote Brisson �s/' aw-, LiFr 4P�►1A� Property--------------------K_-RZa -r-& _�------- (information for Property Owner Applying (Riparian Property Owner Information) for Permit) 331 Holly Lane Newport, NC 28570 City/State/Zip 252-240-2008 Telephone Number Signature Date `Signature ��6 '1 Print or Type Name Telephone Number Date Ign ► ADJACENT RIPARIAN PROPERTY OWNER ST ATEM NT (FOR.-1 PIER/1-IOORI_YCPILIVGS/BO.-ITLIFTIBOATHOUSE) I hereby certify that I own property adjacent to Henry H. & Carolyn J. Shelton's _s (dame of Property Owner) 331 Holly Lane property located at _ (Lot, Block, Road, etc.) on canal (SoundView) , in Newport (Waterbody) (Town and/or County) Applicant's phone #: 4)4C' Vlailing Address: N.C. 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: CANAL (To be filled in by individual proposing development) �l �l►.�oo (Pwc) New P,1tNq /DD I - IJEYT7v Docr C-0r SN r- -T— r----. - -( � v J':: r s - - -- ----- ------- �U---- -T C' olyal------ --pal---ex-IL-�'----------------------------- (information for Property Owner Applying (Riparian Property Owner Information) for Permit) City/State/Zip Telephone Number Signature Date Signature Print or Type Name Telephone Number Date 4k GEN (R) HENRY H. SHELTON 68-1/510 4150 CAROLYN J. SHELTON 331 HOLLY LANE NEWPORT, NC 28570 ' 2O_o 252-240-2008 U C) Tap r°dehaf $ z a BANK OF AMERICA BANK OF AMERICA VIRGINIA ACH R/T 051000017 in - i:05 L0000 L7i: 004 L 2407 269304 L50 :r