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HomeMy WebLinkAbout51535_MERRITT, RALPH_20071130❑ 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 Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # () Fax # (�) Subdivision Authorized Agent City ZIP Affected ❑ Cw ❑ Ew ❑ PTA ❑ Es ❑ PTS Phone # () River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab, yes / no Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) Pier Platform(s) ■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit 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 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 ?�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 Officik�2;2-946-648 I )%r 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/ I-888-4RCOAST 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 Page 1 of 1 k11 2 ti t .r4; ft :{ . • '~ �+ �'X't v` >x 7i,U17 '..rypJ3 Q11 J�{p, 1 1(t+if}I.4iJkCfR�3C RX t f 1 ti .i ,V'.• i� �y� � f y X 1 i4 3 Zi F ` 4yy/ F" T RD 'T 4 it ' IN id. J7'Z- r� ••viy. ')x �'' "ter -...� s �t'FFAlAr7Yxi'25 2716TLLIPLCSPi`iIWTIL7 � TLfiP SAS. >: TLU?LL,1,tr,Cr, � e TC'1 , R t - Prive-m fZ � \ A 5-011 -M tiKE i'Lx1J'irS P4'14NT RD : 5•011 -Opl 7L11'iL5po:V1,gD + iy Sc�t.E VO: fS. �t +i ♦� t �•. fy �rl � F� � a. `rkAvtL Tint Ee Doc Ic Lac, ne,j http://gismaps.cravencounty.com/output/craven_GISMAPS3704788266.png 8/27/2007 11 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to �a 1� l� r; 4 d s Is (Name of Property Owner) property located at '?—o'Z R, f , (Lot, Block, Road, etc.) on M"- c Q j IN c t Ic- , in C r wv e, , 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) �f i vaAe �e� �cac�c,cc a�ProK�,r,w�t y low FPef ,r` lei-�5i-e, —T1c .r. n wx - r k,&- D o perk-x 1" -N Art, -COX �ol r t e S rj"D 6I— E�&9 �9 T��.� le ) 2, P t` j ee, C J t +k..c c rye k OTProxie, ecxr�i�e ---------------------------------------------------------------------- -------------------- c Signature Print or Type Name -� Sa—�,2 3-46 1 (- Telephone Number Date: t ) - 2 -- n 7 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTIBOATIIOUSE) I hereby certify that I own property adjacent to �a l ti }�� ; 1 s 's (Name of Property Owner) property located at 2-o'j (o TP n f a , (Lot, Block, Road, etc.) on Nl �c �� e (It c. e S` , in C' P wv 6, , 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) Pei vc-4e per ��c�c (� ��Pro��n4 t (>/ low -Fee'- �n 3i4^ e'yy -e4-%91 h , w ;1` l -fie e. �- -rr n 'n 4-kc P e re 4-y V , -I e eo ..' 0— -" �j- p t�- V&el ���..,h.e� �y 1G�ct.e �F -r—te, {, b i "f'e�..�, le � 2G, � p ►� j i ee � � l e� ►'��c. lc � G.,�.� e X -1'c ,-.d. � � � -�-� � ��e k - --- ------'L9 . --------------------------------------------------- - - - -- -- --------------------------- `� �� d� - nature / .�- g �yN 1CwtPLc= Print or Type Name Telephone Number Date: ,��_;r SAL k S -'s ' 11 S PROPOSAL NO. �+ �± L'� SHEET NO. I� C a 3 -7 YJ 4v n b er f— t l DATE PROPOSAL SUBMITTED TO: /V e w P Dr T_ /ve WORK TO BE PERFORMED AT: NAME ADDRESS PHONE NO. ADDRESS DATE OF PLANS ARCHITECT We hereby propose to furnish the materials and perform the labor necessary for the completion of s7 (l I 11 5 4 8 5 All material is guaranteed to be as specified, nd the above wor to be performed in accordancg with the drawings and specifications submittqg for above work, and completed in substantial workmanlike manner for the sum of 13,600 ` &poi price b b A c c>J ►1 %�7 d�� f' / r S bri e.2 k I A � o r Dollars ($ qi'? DD w14e-6 ) with payments to be made as follows: l41► p o b m P e o ✓� Respectfully submitted Llez / � )[ _ Any alteration or deviation from above specifications involving extra costs f will be executed only upon written order, and will become an extra charge Per over and above the estimate. All agreements contingent upon strikes, ac- cidents, or delays beyond our control. Note - This proposal may be withdrawn by us if not accepted within —/-Q_days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. T Signature Date Signature :.D8118 PAL alone MADE IN MEXICO RALPH MERRILL Nc 1863176 Ph 252-728-2674 312 Craven Ave Beaufort, NC 28516 4275 66-21/530 BRANCH 77615 A�307,00-7 D40 ate Pay the I�C �� ,- / R 200 orderr of 1!�/ 01)..ws /o' S — — - _ Dollars t o..,,.. WACHOVIA Wachovia Bank, N.A. wachovia.com /i 53�� For [i Set A i.c,�.r,, af�_ r —------- i:0530002L9j:L054636L673?S"' 4275