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HomeMy WebLinkAbout53684_WALTON, SHERMAN_20090526DCAMA / 171 DREDGE & FILL r. GENERAL PERMIT [-]New ErMca"ification E]Complete Reissue ElPartial Reissue '51 5368 Previous perm`ij # 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 I 5A NCAC h A Applicant Name Address —l-111')�,,-) City "(zip State Phonefl 7c), Fax # Authorized Age/ Affected [I-EW El 7-PTA r--] ES El PTS AEC(s): 01 OEA El HHF El 1H E] UBA El N/A El PWS: -LIFC: ORW: yes / no PNA yes _/ no Crit.Hab. yes no es. attp, e Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # '-"River Basin C Adj. Wtr. Body WIA (rf;t—/.an /unkn Closest Maj. Wtr. Body Type of Project/ Activity (Scale: Pier (dock) length t Ova I I + Platform(s) Finger pier(s) Ff — Groin length number Bulkhead/ Riprap length_ avg distance offshore — max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes i, I lu Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions 41 7 L A ir; I ior See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature "Please read compliance statement on back opernnit� ,1 U C", Application Fee(s) Check # Permit Officer's Signature Iss 77ath Expiration Date 'f Local Planning Jurisdiction 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, 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 (252-946-648 [)or the Wilmington Regional Office (9 I 0-796-72 15) 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/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax:919-733-1495 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 PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to aoyyy)*/'0 mANnyi's (Name of Property Owner) property located at—) � 1& l i C[ i S (Lot, Block, Road, etc.) on 3 Wrhp -1. I,tIJ , in �' rY�.f l?�1IYk , N.C. (Waterbody) (Town and/or County) Applicant's phone #: a5a'>a4- t 1) 8-Mailing Address: I i-g-cG ITT Sr 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.) I do not wish to waive CJ, I do wish to waive that setback requirement. .(F DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by i g development) --------------------- -1 A -- dc►---------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) v I �-UEGRE17_ sr Mailing Address Signature S "-R AM- N 0- 6t 9 0�"�e�A City/S e/Zip �—� 1 Print or Type Name C� l� &s'a-')a9- �i�� `w -c'Loc �QM Telephone Number Telephone Number Signature +� /t Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERINIOORI_VG PILINGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to S 1' elr- yll`1'V 46- t I-M 's (Name of Property Owner) 6-p L TT— property located at (Lot, Block, Road, etc.) on till\` in S , N.C. Waterbody) Town and/or County) Applicant's phone #: 5�—� a�'' I IiriMailing Address: I TT 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.) 'z I do not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING F PROPOSED DEVELOPMENT: � ,/ (To be filled in by M vtdkbI g dey�lopnzent) �re '91 A \ i vV � Ai ---------------------------------------------------------- ---------------TT------- (Information for Property Owner Applying (Riparian Property Owner Informatlpn) for Permit) Mailing Address Signature ,'t)AY � VA- Y�C of'i City/St e/Zip L - � a9- i�i R Telephone Number Signature ,mAll- y_ 09 Date Ro6t'(zt I). C �AR� Print or Type Name Telephone Number Number Date C rk Ki SHERMAN C. WALTON NCDL KATHERINE L SIGGLER NCDL99815229 188 EGRETT ST. PH. 729-1118 SMYRNA, NC 28579 6790 Pay to the ' a — d Date 66-3p/531 Order of ^ 006 First Citizens firrstc�itizzens.com For ':0 S 3 100 300i:0000 S 7 8p 13 S 3n' 06 790 Rag — '-- Dollars