HomeMy WebLinkAbout54151_WRIGHT, JOHN_20090617❑ CPtMA / ❑ DREDGE & FILL
GENERAL PERMIT �' Previous permit #
❑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 I SA NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address
City
State ZIP
Phone # O
Fax # O
Authorized Agent
❑ CW
❑ EW ❑ PTA C? ES ❑ PTS
Affected
AEC(s): [IOEA
ElHHF ElIH ❑i UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signatu ,e y
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
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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 howto complywith 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
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North Carolina Department of Environment and Natural Rescx,rc:(',s
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Diredor Wi)liar7i G Ross Jr- `i,quet q
Date
Applicant Name
P .
Mailing Address
eaa City DCM
` f
I certify that I have authorized (agent)Bv9k 5✓I Q+nr�Q�to act on my
behalf, for the purpose of applying for and obtaining
obtaining fall LAMA Permits necessary to
install or construct (activity) OCr �na
at (10cation) ----CjaA4 ers 'n-oye-
This certificatiau is vali hru (date) C)
Signahire
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone; 252-808-28081 FAX, 252-247-33301 Internet; www.nccoastalmanagement.net
4� Frn-ai nnnnrbiniq.l Affirm-nf(vn CoNnn Rmninvpr—Rfl% RPtwilA I IA% Pn--I t nngnmAr Pnnnr
1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER A100RING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to67L-
(Name of Property Owner)
property located at � �� �(� A—,
Q' (Lot, Block, Road, etc.)
on / fir` i 8�ii'"� in %�A2'/`'j 1 C. �G �� , N.C.
(Waterbody) (Town and/o unty)
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.
o wish to waive that setback requirement.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) .ad City DCM
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-------------------------------------------------------
(Applicant Information)
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Mail- Address
City/Stale ip
Telephone Number -7 2 5 w?
Date
Print or Type Name
Telephone Number
Date (0 / 7-09P
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114areheaC, C
Jty DCAj
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER YIOORING PILINGSBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Dko , 's�f�/J•"'� S44
(Name of Pro erty Owner) r/
property located at �17 / ` Q/
C:A. A/G.
(Lot, Block, Road, etc.)
on Z (!f C&tA� in �C.� �� .C.
(Waterbody) (Town and/or C ty)
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 beset 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. J U N 1 6 200�
I do wish to waive that setback requirement. Morehead Qty DGIVI
--------- 4si"!_'--------------------------------------------------------------------------------------o -- - jS
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: I
(To be filled in by individual proposing development)
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(Applicant Information) (Riparian Property Owner Information)
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Mailing Address Signature
l�r
CitylState/Zip Print.o e Namet�
02---1 �17
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Telephone Number ✓ Telephone Number
Date 4/2 Date o / J
John H. Wright
4709 Park Dr.
Morehead City, NC 28557-2�67
V
73,
More,heeq City i)(;m
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