Loading...
HomeMy WebLinkAbout50156_JONES, PERRY_20080227❑CAMA / ❑ 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 15A NCAC ❑Rules attached. Applicant Name `. `f 1. �`- Project Location: County Address -U, State ZIP - Phone # (. ) Fax # O Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) 1156 Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Win Body Type of Project/ Activity , (Scale: ) Pier (dock) length i L� Platform(s) Finger pier(s) A Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift lk i Beach Bulldozing Other t Shoreline Length SAV: hot sure yes no Sandbags: not sure es no g Y Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions �t .� ,; 0 i � � See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** PermitOfficer's Signature Issuing Date Expiration Date Application Fee(s) Check# 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 (252-9-8 I,) 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/ 1-888ARCOAST 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 FEB-14-2006 17:38 From:DCM +MHD 2522477330 T'o:96383241 F.1,2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (,FORA PILRIMOORINGPIL,lNGSIBOATLIF'T/BOATHOUSE,) I her/ , v certify that I own property adjacent to (Name of Pr4crty Owner) property located at (Lot, B ock, Road, etc.) /- L on N.C. (Wat body} (To -h and/or Cuunty) He has described to me, as shown below, the development he is proposing, at that location, and, I have no obiections to his proposal. I understand that a pier/mooring pilings/boatlift/boathuuse rust he set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. 1 do not wish to waive the setback requirement. J— I do wish to waive that setback requirement. ------------------ —------------- ---------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled iit by individualproposing development) (Applicant Information) M�tilirtgflrltlrea•s � CityLCtatc�/Ztp ,2,5 � 7'elcphorrE Nvnrlaer Dow (Riparian Propertv Owner information) siplature r Print or Type Name Tel �pJ�onc ,Nu,rr ,r Dwe I Z ,/' , a S-Z FEB-14-2008 17:36 From:DCM MHD 2522473330 To:%3e3241 P.2'2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIERIVOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to rr s Name of Property Owner) property located at (Lot, Block. Road, ctc.) Oil c G.-1'2 ?,1 - , ill lb el , N.C. (v terbody) (Town andlor 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/boatlifbboathouse must be set back a miniinuin distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. �. 1 do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT - (To be filled in by individual proposing development) (Applicant Information) �✓ I'\ arian Propert ivner Information) Q O _ U t)�J Mailing Address ,, igrfatru•e Pe, vi-(,/ &o CitylSuria/7.ip 5-7 print 0w, Typ . Name 7'eleplhotie Number Teleplione Nurnher Dace Duty, �'v WILL INDICATE A COPY. 75-53 HROMIC. ABSENCE OF THES 9r9 I` WwRmTHE FRONT OF THE DOCUMENT HAS AMICRO-PRINT AMOUNT BOX AND THERMOCE FEA'fUR _ _ -�, a. I • ,+I 'J= MoneyGram. ® Orders 4 _ _t ; 4: ' i Money ._ _ • �� INTERNATIONAL MONEY ORDER - I T'NLY C f I I`' I -I'��' PAY OTHIS AMOUNT LA PAY 70THE �l � � �,:;:I,:•:�a:..�,;•�:•:'v _ 0 V �.. SS �—I ORDER OF:/ _ '-r,-°':---•''-'i' 'T: T' PAGAR A U1-- '- ' 4 Co ORDEN DE: ; �� T IMPORTANT - SEE BACK BEFORE CASHING CI i + 1 COMPRADOR, FIRMA DEL LIORADOR ,...i- PUR ASER, GNER FOR DRA _ ----- 'V PURC R, BY SIGNING YOU AGREE TO THE SERVICE CHARGE AND OTHER TFRMS ON THE REVERSE r1 1 ��-- I I � •� -i I - MONEY ORDER. AcvvRE 5 /GIFT SUERIDCER FICATE: RECINCENT PORAUP EE OC�AE�RRCLE EL GiRCULO +ar++Ma Pa able Through MONEYGRAM PAYMENT SYSTEMS, WF National Bank South Central Faribault, MN-- V 6846 L457++" 90 _ -- 1:0 9 1900 5 3 31: