HomeMy WebLinkAbout54123_General Permit_20090623CAMA / DREDGE & FILL--k I) 10'�.' '
0�7►.NERAL PERMIT Previous permit #
-'NeW ;Modification `_ Complete Reissue ._-iPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resourc
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
City-
_- State ZIP _
Phone # (`)
Fax # O
Authorized Agent
CW ❑EW
El PTA C ES ❑ PTS
Affected
AEC(s): OEA [IHHF
ElIH - UBA ElN/A
PWS:
Ci FC:
ORW: yes / no PNA
yes / no Crit.Hab. yes / no
Type of Project/ Activity
/�/'YO!atr14o
_ -_ ,. - A
Pier (dock) length
Platform
Finger pier(s)_
Groin length __-
number_ --
Bulkhead/ Riprap length
i
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City---------- - - - - ZIP --
Phone # O_ River Basin
Adj. Wtr. Body
Closest Maj. Wtr. Body
(nat_/man /unkn)
(Scale: )
i
CIA C;
avg distance offshore
max distance offshore
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
yes
no
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes
no
Agent or Applicant Printed Name
tzl .
ne knk '
Permit Officer's Signature
r
Signature Please read compliance statement on back of permit
Application Fee(s)
Issuing Date Expiration Date
Check # Local Planning) urisdiction
Rover File Name
11 Ak- .
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 lor�l
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: 9 19-733-1495
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
970-01-01 06.51 3366583021
`cV,V N
F1RL EQUIPMENT
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-,ruelj deef-s
A42 S �J q-e 42 0 �L
Complete Items 1, 2, and 3. Also complete
item 4 it Restricted Delivery Is desired.
Print your name and address on the reverse
Po that we can return the card to you.
As Attach this card to the back of the mailpleca,
ar on the front 'rt space permits.
t. A.nicle Addressed to-
a signet re
X ❑ Agent
❑ Addressee
B. Received by (Printed Name) T�C?abte of DellveryV �
4A
AI
ff)
D. Is delivery addrass different from Rem 17 0 Yea
If YES, enter delivery address glow: ❑ No
3. Service Type
❑ CertiAad Mail ❑ &pass Mall
0 Rppistamd ❑ Retum Receipt for Merchandise
❑ Insured Mali ❑ C.O.D.
4. RestrtW WNen/T (Extra Fee} ❑ Yea
>> 912522473330 P 1/1
4QIoNumber 7008 18DO 0DR3 0309 9948
rrilwAfer from sa vica!Aber) ..
Form 3811, February 2004 Domestic Return Receipt 10259�02-M t$40 i
Complete Items 1, 2, and 3. Also complete A. Signatu
Rem 4 if Restricted DeliveryIs desired. ❑ A^t
* Print your name and address on the reverse
mk4n��_ ,-,;
so that we can return the card to you- B. RBI y Wl
C. Date of Del
"Attach this card to the back of the maiipiece, hYG�I
or on the front If space perm Its. (x — l
. is del very address d t from Rem 17 Oyes
t _ Article Addressed to' If YES, entor delivery address below: ❑ No
3. $ervlce Type
❑ Certified Mail C1 Ewesa Mail
❑ Registen3d ❑ Return Receipt for Merchandise
L) Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
riticleNumher "7008 1830 0003 0309 9931,
Y �nsfar from service !abet}
Form 3811, February 2004 Domestic Return Receipt 102695-02-M-1W
ADJACENT RIPARIAN PROPERTY ON"- AYMEN
t THO LSE)
(FOR A PIER YIDOR%VG PIZL�+"GS/BOLTu,QI.,r A J42 �� sd,641 2 9 2009
I hereby certi`;r that I own proper~y adjacent to S 4e a 1,4ow Sao? -s is
(Name of Property! .� 104 oitr IDQM
property located at 0 O-) n/x e-1 /I 2 D ,
(Lot, Block, Road, etc.)
on �(�2� Sou146 . , in Sl�l 4,-'y e , N.C.
(Waterbody) (Town and/or County)
Applicant's phone #:3.&- g8Y-7333 Mailing Address: ,5�03 C d ZL.,EGE' S T,
LJ;J.Wfd6 aQ0 Al
a-S&q
.ic has ii:;sa.iiCcd to rite, as shoe,-n vctuvv, tl'ic uCvctoF%aia�i"ti tic is pivpvsirig .:., t.,3, v..u..O.t, :.tu, 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) S
///// // / NdIS04 NeCq' /Z M,0
G
------------------------------------------------------------ r----------------------------------
(Information for Property Owner Applying (Riparian Property Owner Information) �(
for Permit)
�503 Gat.ICGE sfi
Mailing Address Signature
(,J r L k�S ,6 0,,-2 0 Al C. a f� I `7
City/State/Zip Print or Type Name
cU (o - 9 ell - '7333
Telephone Number
Signature
Date
3 (e _3 Le -.2- 3 / �
Telephone Number
5---2 cg -a c__; _
Date
fig
ADJACE'tiT RIPARIAN PROPERTY OWNER ST ATE�i ��w riv
FORA P1ER/_yI00R VG PILINGS/BOATLIFTIBO,4THOL-SE) ,O y
I hereby certzlf-r that I own properly adjacent to �j, n4�\ J ) 9 �V
J (Name of Properi� G®hea
C n/x<Sa�l oe� 4 , a City %,PIK
property located at �_ i'y r �
(Lot, Block, Road, etc.)
on C- 0 S Ou•vo in-S,O'A- )-X (jx.L , N.C.
(Waterbody) (Town and/or County)]
Applicant's phone #:�- - `1°�y -133-7 Mailing Address: 0 , `'ie v-
l 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.)
_eFf 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
for Permit)
AI�LSQ,✓ �/�'�'rC ,Q �
Mailing Address
5,f,4 -4lk4 n/. c
City/State/Zip
3 3&- c� VY- V33
Telephone Number
Signature Date
(Riparian Property Owner Information)
�— Signature
r-*h rL 57y12drJ
Print or Type Name
25� ��-S-63s6,
Telephone Number
,.5- /&-0
Date
ANDREW SOOTS OR
SUE SOOTS
503 COLLEGE ST PH 336-667-2544
WILKESBORO, NC 28697
Puy to the Order of
Pdauese a In Orden de
5740
66-30/531
Oq Date 528
Fecha
C�
a l ti� Dollars oeAa
D6lures
First Citizens
Bank
firstcitizens.com
Oil For
Pura A _ L`\� t.7)� f — - "==------
1:0 5 3 L00 3001:000000 3 3 2 2 29110 0 5 740
/>2008 ,dam, Ltd.
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