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HomeMy WebLinkAbout49876_JONES, RICHARD_20071018❑CAMA Y ❑ 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 Address City State ZIP Phone # O Fax # ( ) Authorized Agent El CW ❑ EW ❑ PTA Affected ❑ OEA ❑ HHF ❑ IH AEC(s): ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Type of Project/ Activity ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision CityZIP Phone # (,) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Pier (dock) length Platforms) - t Finger pier(s) - —� — - This facility is located within a Primary Nursery I Groin length Area, and is not for boating use. No slips are - - number permitted for vessels -motorized, sail, or other. — - - Bulkhead/ Riprap length Any kicking or prop wash will be considered a of this permit, and of the CAMA and avg distance offshoi violation Basir Boat Boat Beac Othr Shor SAV: Sand Mor Phot Wai\ max distance offshc 1JbLr HC 1. ,channel - -- � " _; •+ '_ ,..,-... - 1 — -- — Al cubic yards ram louse/ Boatlift i h Bulldozing r V ' i --j =— dine Length --- not sure yes no bags: not sure yes no Ronum: n/a es no y as: yes no er Attarhad- vac nn ., —-I _ A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: See note on back regarding River Basin rules. Permit Officer's Signature it Issuing Date Expiration Date Local PlanningJurisdiction 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 consistentwith 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 complywith 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 Noah Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F• Easley, Governor Charles S. Jones, Director William G• Ross Jr., Secretary Date A � Applicant Na`me� Mailing Address I certify that I have authorized (agent) r V OS, C . to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (location) This certification is valid thru (date) Signature 4 ' . q 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.het An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent toI (Name of Property Owner) property located at 1 D D �R '� (Lot, Block, Road, etc.) on __ O �Jt- n �S Cre-e-K , in D�' i e %Ta Pam � ( Cb , N. C. (Waterbody) (Town and/or 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/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. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Lot 19 bigre Print or Type Name �,7, !s ---,) 2- 3 3 Telephone Number Date: `� ADJACENT RII'ARMN PROPERTY O`NVNER STATEMENT' (FOR A I'9fMZ111 fOORING PZUNG.SlROATLIFTIBOATHOUW I hereby cortify that I own ply StaCC to (Name of Property Owuer) PmPuty located at (Lot Bkwk Read, etc.) on &LOLaW "kJ , in 10,VM bQ , ,N.C. (Waterbody) (Town and/or Cemtty) He has described to me, as shown below, the development he is proposing at flat location, and, I have no objections to his proposal. I understand that a pierhmooring pilings / bouft / boathouse most be set back a minimum distance offifteen feet (15) from cry area IN waived by me. (If you wish to waive the you most initial the v_fm_ below) too j I do not wish to waive DEC 1.7 2007 I do wish to waive that setback rat. Morehead City DCM ESC MUON ANDlOR DIUWING OF PROPOSED DEVEIAPMENT: �%lC� t Mo beftflatin AF ftq"dPWP0Wxg &Wftmet1 hh i OU(I'jl �a4o Ue-I VU'i Dt�c�- v\,6 H m ex4 Inc D\j er W aR-F 1 Y � Jones Date: I � unsc h Lof Z Signature Print or Type Name Telephone Number Page 1 of 1 �OEC 1 7 2007 Morehead City DGM hlfn•/hxnxnsy? 11"A-ralm -r%m miinn/r.ow+m�r�r/mo++filnoAin .ZOA7n,<nO<Q.<OAAA 11IA/'1nn'7 .. ... ly r n h n n S e e b n c.k J o. d e t PRESCOTT BROTHERS INC 4029 ' 141 TARATRL ' GRANTSBORO, NC 28529 .-� . / J% 66-30/531 DATE G1 j 472 PAY TO THE LV ZEA / $ 7 ORDER OF DOLLARS 8 �� -76�,eu,BST CITIZENS BAk www.first ens.com FORA-r., ` ?SL, 00040291P 1:❑531003001:0047L - - -- u- — '��r�r—' vim_: .:,���cuu; — .. .. — . — ■ Complete items 1; 2, and 3. Also complete item 4 if Restricted Delivery is desired. i ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1 1. Article Addressed to: chml�+ UncCh - A. Si ature X Oi Agent ) ❑ Addressee ' B. Re eived by (Pri ted Name) C. Date of Delivery i Q(1(,n 1�c]No i2'i -n`) D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type / f *ertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7006 2150 0005 5858 5449 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt � I. r 102595-02-M-1540 UNITED STATES POSTAL SERVICE Flrst-Class Mail Pt stage & fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Presaott grDtkers, iv C' PO gDX 274 Or'bevLtal, NC2257:L i ■ Complete items 1, 2, dnd 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1, Article Addressed to: rn .OUGi �IUO A LoD3 � A. Sigllatur70 X � l Agent 0 Addressee B. Received by (Pn ed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3, e ice Type ertified Mail ❑ Express Mail Registered ❑ Return Receipt for Merch ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑ Yes 2. Article Number (transfer from service label) 7006 2150 0005 5858 5234 ra rorm .30 1 1, February 2004 Domestic Return Receipt --------------- - UNITED STATES POSTAL SERVICE First -Class Mail PosiaC,e & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • �resGott gYathers, twG po fox g� ori,ewta L, N c�g2