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HomeMy WebLinkAbout53607_THOMAS, BELL_20090416❑LAMA / ❑ DREDGE & FILL 41 GENERAL PERMIT \k\ pe rmit ermit # II.Ww ❑Modification El 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 j c .{ L Address City \ ft 1l'1 _State ZIP Phone # (') f Fax # ( ) Authorized Agent ElCW ElEW ❑ PTA El ES ❑ PTS Affected fected ElOEA ElHHF ElIH ❑ UBA El N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City \� ) ZIP- Phone # ( ) River Basin Adj. Wtr. Body_, (nat /man /unkn) Closest Maj. Wtr. Body f r Type of Project/ Activity i (Scale: ) Pier (dock) length Platf Groi Othe Shor SAV: Sand Phot Waiver Attached. yes no A building permit may be required by: Notes/ Special Conditions ❑ See note on back regarding River Basin rules. orm(s) � - —� r pier(s) _ n length I number head/ Riprap length avg distance offshore max distance offshore I channel cubic yards I ramp - i--- -- -- - — � - -- —i-- - —� - = --- 1 house/ Boatlift I I I I i h Bulldozing � I i eline Length i I i not sure yes no I bags: not sure yes no atorium: n/a yes ,no os: yes no I Agent or Applicant Printed NarVe Signature Pleas a ompliance statement on back of permit wr -' Appl"icafion Fee(s) Check # f; Permit Officer's Signature Issuing Date Expiration Date Local PIanrtingJurisdiction fiver, i�lel�ame Agent or Applicant Printed NarVe Signature Pleas a ompliance statement on back of permit wr -' Appl"icafion Fee(s) Check # f; Permit Officer's Signature Issuing Date Expiration Date Local PIanrtingJurisdiction fiver, i�lel�ame 446 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 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 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 r 49 0 0 &E, a 5;;::4- I lGili! L Q01lI!�epar inelli of Cnvi,on-ment and IKytural RoSOI!rGAc ivlichze! F Easley, Governor hwies S. Jonas, Diractor William G. Ross Jr., SecreL,r Date -q - Ct —aC� — Applicant Naaue l LIL- l P b M)AS Mailing Address �$ oi D G l)E55tD � D C- a'-7 '-�t certiiv that lime a$i�tlan�;-izc;a (agent)�U Vim- t act �:� Rxa7 behalf, fa;i- tlae purpose Of appiyiiac for and obtaining all CA1� Permits necessary to install or construct (acth'at.y) S1!5-4:�LJ A LL --- at (lcacatioaa) _ a 14 `1 This certification is v aal-ad thru (date) �ininaitaii'c ADJACENT RIPARIAN PROPERTY OWNER STAMMI— ;Y (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to l L"t- —r He t S , (Name of Property Owner or Applicant) Mailing address if different from location address (town, state and zip) _4 2 U-sf11 FZ y(�; phone numbers you can be reached a�—�� ! `f141-0- property located at a `� y ��-� V,$ CJ �� �D a (Lot, Block, Road, etc.) on _M� C1 64 T 6 Aq 1 , in P'C L-A fJT l C, i3 C C 1- 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. I do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) oprLt-1 -- ------------------ ( Signature tSTJ H6—wRdti�� Diu s v�4 W Pe L L Print o Type Na J-4 2&3fS- Telephone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE) r I hereby certify that I own property adjacent to B LLL —rl4 t Ym (�E 's (Name of Property Owner or Applicant Mailing address if different from location address r1 S'a b 6 u S P.h (town, state and zip) P ) L L5 g Li F-oy G P Cphone numbers you can be reached roperty located at ot I ( . QL/ b a lb q'7 L (Lot, Block, Road, etc.) on 00.yt5p Q 6 J+-r 8 A-y << , inol LANT(c BC4-1 , C, 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. tlals I do wish to waive that setback requirement. initials ---------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) PIS �C�61_ S—i ) Signature RliCLRp 1kRPIE Print or Type Name -736 07e6 � Telephone Number rto-.14 C R & j GROUP P . O. Box 1885 Morehead City, NC 28557 252-726 1253 LD Pto the order o k A, Q oaf �13,4 8 66-112/531 I I BRANCH BANKING AND Tl,,, COMPANY 4 1-00-BANK BaT SBT.com 4 Ila NIP 000013t-J31'm I:053101'1211:0005297687923ii-