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HomeMy WebLinkAbout54695_SINGLETON, STEVE_20091014CAMA / ❑ DREDGE & FILL f� Oak GL'NE"L PERMIT Previous permit# ❑New ❑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 Address City - State ZIP Phone # ( ) Fax # O Authorized Agent Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length Platf Fing Groin Bulk Basir Boat Boat Beac Othr Shor SAV, Sand More Phot Wain ❑ ES ❑ PTS ❑ URA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ! .1 .x ZIP Phone # River Basin Adj. Wtr. Body (nat /man /unknj Closest Maj. Wtr. Body (Scale: I-/ ) o rm(s) er pier(s) length number i read/ Riprap length f ` avg distance offshore max distance offshore ,channel cubic yards ramp _ louse/ Boatlift � I i Bulldozing r I - (line Length r ? _, not sure yes no gags: not sure yes no torium: n/a yes no I 3s: yes no _ er Attached: yes no li A building permit may be required by: fr ' [Barring a major shoreline change due ,-i I +y; to a storm or other significant event, Notes/ Special Conditions r -° the alignment of this structure must be approved by a DCM Rep. within 120 days of the onset of construction. Agent 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 A building permit may be required by: fr ' [Barring a major shoreline change due ,-i I +y; to a storm or other significant event, Notes/ Special Conditions r -° the alignment of this structure must be approved by a DCM Rep. within 120 days of the onset of construction. Agent 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, certifythatthis 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 howto complywith 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/ I-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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATH�O—USE) I hereby certify that I own property adjacent to (Name of Property Owner or Applicant) Mailing address if different from location address z'_ _ l� t'`"}— �✓' . (town, state and zip) - A142 y✓jeo ✓ �`. �- C• Z� phone numbers you can be reached at property located at / (Lot; Block, Road, etc.) r on i�AK ^K— , in /"'2 �.✓ e,� C�c r �--<</ N.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. initials initials I do not wish\to waive the setback requirement. I do wish to waive that setback requirement. DESC IPTION AND/OR DRAWING OF PROPOSED DEVELOPAENT: (To be filled in by individual proposing development 51 „6�l ReP. ---------------------------- S ignatu; Print or Type e Telephone Number A ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE//) I hereby certify that I own property adjacent to SY�ye— j�-S` F 's (Name of Property Owner or Applicant) Mailing address if different from location address 1Y (town, state and zip)_ phone numbers you can be reached at / 2 S Z property located at `` 'C-- (Lot; Block, Road etc.) on 04*a - Car•+ , in Y� e wy/t� �{-✓ N.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. initials ------------------------------------------------------------------------------------------------------------------. DESC PTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) I nt I✓�5�5 � Pek%, u,h 7 /WJ; n 3ignaLurc ll Print or Type Name Telephone Number � �p 5v') prople NCO North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easiwy, Governor Charles S. Jones, Director William G. Ross Jr., Secretar} Date �/ o --/ 2 ^ eg? Applicant Name S�'e ��— Si it �`•��a•-k� Mailing Address �Z J t 7 Alet✓fe zt NFL, 2�5-? - I certify that I have authorized (agent) f''G` sys� /� to act on my behalf; for the purpose of applying for and obtaining all CANIA permits necessary to install or construct (activity) 1?0 (---1= , '.4 at (location) This certification is valid t6ru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28083 FAX: 252-247-33301Internet; WWw.nccoaskaimanagt�ment.net 6 n "Al lnnn t. uiihi l d ffmn nflva AMInn Rmnlnv�r _ 10% RarvchNi 1 1t1^/, Prlpt nncumAr pannr RANDY C, :RAGA n....._ CHERRY" "` 1 779549 140 JUNIUS pN2 9 ?�4NEWPo T8576 650 66-7684/2531 �Yto the 'f l OP[�F►Its- A Date —ice L • �� P.O, WEYCOCREDITNNIONBOX2N663, EW BERN Dollars PHONE: 28561 .J For 1:253 i 76846i; 7000744 ,a 3 4 19110 0 6 5 pip :r