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Home My WebLink About54179_WHITFIELD, SCOT_20090630Cl CAMA / ❑ DREDGE & FILL �/ s r► GENERAL PERMIT J`v Previous permit # cj ❑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 r'j ` �, —; . F 1'} Project Location: County Address f {, ^ Y`,: Street Address/ State Road/ Lot #(s) City State ZIP Phone # Fax # O Subdivision Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body - - . 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Signature Please read compliance statement on back of permit ` 2 Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date 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 Iandowner(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:919-733-1495 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to ca+ Li ct l� IS (Name of Property Owner) property located at Block, Road, etc.) on �ROf�n aEck , in CRiLAM2yl CU0..Nb► , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 2S 2.- 2 y? - 3 L 1 Mailing Address: 3/Z Rv M',V Uo d d .,�A /✓E[./yorf. AIC, 2f570 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 appro riate blank below.) I do not wish to waive APR 2 2009 1� I do wish to waive that setback requirement. - - - -- - - - - ------------------------------------------------------------ V.DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEad City DCM (To be filled in by individual proposing development) -------------------------------------------------------- (Information for Property Owner Applying for Permit) 312 o L Newoo 2, Mailing Address I4e Wpor+ ,C. 28570 City/Stat /Zip 52.- 247- 369 Telep one Number 2 l 9 Signature Date (Riparian Property Owner Information) Signature ��MO�.I� G • CzICrS�3L� Print or Type Name Telephone Number - -- 0.9 Date r ' CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Individual applying for Permit: Scoff Wklli'ftE Address of Property: 312 t�ol��tQi.»o �R qPG Z 1Q(�y (Lot or Street #, Street or Road, City& County)UUM mailing address if different telephone number you can be reached at 252- 2 47- 3694 hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have oL jections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Avenue, Morehead City, NC, 28557 or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no ..M WAIVER SECTION understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 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.) 4- M , I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. ) � cif3 Si nature Date CA*- Print Name Telephone T Telephone Number With Area Code