HomeMy WebLinkAbout54643_TOMA, SAMEH_20090922-ZZ�iSB
❑CAMA / ❑ DREDGE & FILL
-.
GENERAL PERMIT
❑New ❑Modification' El Complete Reissue
Q
/' "Previous permit#
El Partial Reissue 4 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
Project Location: County
Address t 1 i
1 i` 11
Street Address/ State Road/ Lot #(s)
City �- t State
Phone # CAD) 73 -Fax # ( )
Subdivision
Authorized Agent .� f ii:j',% /
CityZIP
"
❑ Cw ❑ Ew ❑ PTA ❑ ES ❑ PTS
Phone # 2 River Basin
Affected
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
Adj. Wtr. Body .0 ( �- t ;t ,(nat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity t:
(Scale: �� )
Pier
Platf
Fing(
Groi
Bulk'
Basir
Boat
Boat
Beac
Othe
Shor
SAV:
Sand
Mor,
Phot
Wain
i length
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avg distance offshore
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max distance offshore
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cubic yards
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dine Length
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not sure no
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yes
yes
Is: no
tr Attached: yes no
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A building permit may be required by: T41
Notes/ Special Conditions
The time period requirement for this
authorized development is suspended
until December 31, 2010, pursuant to
- _ the "Permit Extension Act of 2009." -
Agent or Applicant Printed Naine
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
:er's Signature
Expiration Date
inQ lutisdiction v
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 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: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
May 29 09 12:44p Tim Grimes
(252) 247-6332 p.4
ADJACENT RIPARIAN PROPER BO'OWNER ATL /BO TFIOUSEMj NT
(FOR A PIE"f00.R1NG PIL
Y,�F -'
I bereby certify that I own property adjacent to �Hof Pr
(Fame of Property Ow VVV
property located at
211c�� (t/tsiq �'` P 11 2009
(Lot, Block, Road, etc -)In
on (Town and/or County)
(WatCe'r � Y)
Applicant's phone #:
Mailing Address: CA 2..� IA 1C- S
, low, the development he is proposing at that location, and, 1
He has described to meas shown beier/moontIg
have no objections to his proposal. I underst en fe t 15t a �) from my area of riparian accessunless
must be set back a minimum distance of fifteen
waivcd by me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
Y I do wish to waive that setback reguirenzent- ------------
-----------------------------------------
DESCRIPTION AND/OR DRA
WING OF PROPOSED DEVELOPMENT:
(To he filed in by individual proposing development)
----------------
(Information for Property
for Permit)
Mailing Address
C, �, c , 2
City/Sta IZip
Telep1 ❑e ��� �I
g o�
Datc
Signature
-------------------------------------------- ------------------
Owner Information)
Owner Applying (_EZiparian Property
City DCM
/ Signature
��print or Type Name
Tele
Ph One Dumb
--`� Date
MAY-29-2009 13:41 252 247 6332 96i
P.04
May Ly U1 IL:44P i im urimes
(L5L) L4(-UJJL p.4
ADJACENT RIPARIAN PROPERTY OWNER STATE
pIF�00_KING PILINGS/BOATLIFT/BOATHOUSE
(FORA
� - 's .'
I hereby certify that I own property adjacent toy
(Name of Property /Qwner) i� l 1UQQ �:t
property located at
n
(Lot, Block, Road, etc_) /
r _ , rl.C. ®��El�
on Z1 t , in �-�' (Town and/or County)
(),Vater body)
,applicant's phone -M:72cl
Mailing Address: _
A 12 t ! L'- L-
He has described to me, as shown below, the development he is proposing at that location, and, I
eibed t to his proposal. I understand that a pier/mooring pilings I boattift / boathouse
have no objections P Pften area o f rMarian access unless
must be set back a ou w wish to wai e the setbackfee, must,intial the appropriate blank
waivcd by me. (If
below.)
,!do not wish to waive
1� I do wish to waive that setback requirement.
------------------------------------------——
-----
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing develoPrnent)
(Information for Property Owner ApplYing
for Permit)
Mailing Address
City/Sta /Zip
Telep ne
n
Datc
Signature
(
L 1LL L"' �Jr--
E
Telephone Dumber
Date
1 `LJ i�)qk
MAY-29-2009 13:41 252 24? 6332 =% P.04
OUTER BANKS
AAAAMNE Q:IKS
4STMJC"ON
1501 First Amenue, Mondund Cyr, KC 28557 DOCKS- SEMALLS - ROATMG, Q i is
(252) 240-2525 afar 7TCre TWMFer BbaZW
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FIRST CITIZENS BANK
firstcitizens.com
3735
OUTER BANKS MARINE CONSTRUCTION, INC
66-30/531
1501 FIRST AVE
137
MOREHEAD CITY, NC 28557
9/11/2009
s
(252) 240-2525
A
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0
PAY TO
ORDER OFE D.E.N.RR
**200.00
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m
0
Two Hundred and 00/100************************************************************** DOLLARS
D.E.N.R.
si
N
MEMO
W
ii'00373So 1:053L003001:00L3L2LEI 2L27
Monday, September 21, 2009 8:11 AM Tim Grimes (252) 247-8332
FAX
ATTN. heather
Fax Number 247-3330
Phone Number
FROM Tim Grimes
Fax Number (252) 247-6332
Phone Number
SUBJECT
Number of Pages 2
Monday, September 21, 2009 8:11 AM Tim Grimes (252) 247-6332
p.02
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