HomeMy WebLinkAbout54699_SHERMAN, JOHN_20091023ACAMA / ❑ DREDGE & FILL 4��Do -Z& -og
GENrR,AL PERMIT h
[]New" ❑Modification ❑Complete Reissue ❑Partial Reissue
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_
Applicant Name "ram } �l t'1•t` m
Address
City '.J(� / State j �J- ZIP ) '�
Phone # (� ,-tG Fax # (_)
Authorized Agent
Affected ❑,CW qEW UPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Type of Project/ Activity.
Pier
Platf
Fingr
Groi
Bulk
Basir
Boat
Boat
Beac
Othr
Shor
SAV:
Sand
Mor;
Phot
Wain
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
j
Subdivision --- ---
City Y I �- � ZIP
Phone #fr-River Basin
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A building permit may be required by:
Notes/ Special Conditions
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.
The time period requirement for this
development is suspended until 12-31-
-'-'�2010, pursuant to Senate Bill 831. The
PermitOfficer's Signature effective date of expiration for this
`rl 1
.;i-( ,f permit is
Issuing'Date Expiration Date
Local Planningf urisdiction fiver 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, certifythat 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
Nosh Carolina Department of Environment and 11,11iatu rani Resources
Division to-4 Coastal Manalgernent
Michael F. Etasley, Governor Chlarles s. Jones, Diractor William G. Ross Jr., Secret iry
0 C1--
ApplicantNaime
Mailing Address IC
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I certify that I have aut1b, . ed (agent
behalf, for the purpose Of aPPlYing for and obtabihag all CAIVIA Permits nece,5527 to
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• +- •..ii , E x I I U F V FEKv l3 Y ATE1'F�
i hereby certify that i own property adjacent to
(Dame of Property Owner or Applicant)
Mailing address if different from location address 1607 c l '( c� brl q
(town, state and zip) AcsTe., -U—k QC a1?ss)
phone numbers you can be reached at
property located at Oto
(Lot, Block, Road, etc.)
on C-f�_,in f'�Ib WFr f" -qb c )T"l Cd f ' �l�.C.
(vVaterbody) (Town and/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 understand that a pier/mooring pilings/boatlift/boathouse
__mustbe set back a minunum distance of fifteen feet (15D from my area of riparian access unless
waived by me.
�.1-� � i &i \;,isle to waive the setback rt uirerner.t.
initials
initials I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
LD (To be filled in by individual proposing development)
�TL
a
C L 'd�
Print or Type Narne
Telephone Number
I hereby certify that I own property adjacent to
(Name of Property Owner or Applicant)
1\�aihng address if different from location address ,% C Z.
(town, state and zip)1t 6; ' df45;a,1- (::I f Y IL ---
phone numbers you can be reached at � '
property located at
(Lot, Block, Road, etc.)
on Cis �� , in I FH Cj� .C.
(Waterbody) (Town and/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 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.
I do not wish to waive the setback requirement.
initials
I do wish to waive that setback requirement.
DESCRIPTION AINID/QR DRAIA N'G OF PROPOSED DEVELOPMENT:
((To befllled�in byin d�iv�idua=p�lo.sing development)
L
e L-
-)Q�-� V-yN QsIz-,
Print or T)Te ?varne
Tele-ohone Number
2-n-c- - Q�
SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-247-5585
3212 ARENDELL ST.
MOREHEAD CITY, NC 28557
DATE
TO THE �1 c
ORDER OF
DOLLARS
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