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:
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Date:
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Signature
Print or Type Name
Telephone Number
Page 1 of 1
�OEC 1 7 2007
Morehead City DGM
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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 ��
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www.first ens.com FORA-r.,
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00040291P 1:❑531003001:0047L
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■ 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
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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 •
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