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HomeMy WebLinkAbout51142_MILKS, SCOTT_2008061011 CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial kise 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 Applicant Name 5" .�• !—` ("rI ✓` `_.s Address 11 L J City �1 C a -- State �- ( ZIP .t `..;-" Phone#(=�C) t�f �t,J' Fax#(v) Authorized Agent ❑ CW ❑ EW ❑ PTA Q ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no . PNA yes / no Crit.Hab. yes / no Previous permit # Date previous permit issued_ ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) l 1 i Subdivision City _ ZIP h " Phone # ( ) River Basin Adj. Wtr. Body ' Vo, ,(nat Iman /unkn) Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■M■■■■■■■■■■■■■■ ■■■■■■■■■■MOON■■■■■■■■■■■■■■■■■■■■■■ - .. • ... - : . . . :. :. • ..■■■■■■= ■■■EEO ■■■MMM■■■■MMOMO■ - ■■■■■■■■■■■■■ ■■■ M■■■■■■■■■■■■■�il�Ni■■■■■■■■■■■MEMO ■■■NMEONO■MOEON®MMO■■■■M■OO■■MOO ■ OOOOO■MOOD■■MOO■■INN ■■■OO■■M ■■■■■■■■■■■■■■■ ■■■MN■■M■■■■■�` n■■■�!■■■■■■■■■■■i�ME■■■E■ME■■■■ /► MIJ�.+■■■■M■OE■■I■■,■ OMEN ■■■M■■E■■O■■ ■■ .MMNI■O■M■ONOM■W!... NO■■..■..■■■■■. ll 0 0 ME ...�.■.......NE M.�,.■...■..■■.■■. ■■■O■■■■■OOO■■ ■■■■%■■■■■■■■■■■ M.!H■N■NENMMENON MEN N ■N■EOM■■O■ Omni OOO■■M■■O■ONO■O ■E!1■■i OE MEN EMEE■■i Novi EE■MMENEE■■■EEO ■■■OLIO..O■■M�O!_��O�IO��iO■■■ONE I��■■■■■�!�■�� Mo ■M■■!i■1IMEMO M■■11■!1NONEOEiuSULM ■■■�I■1■■■NEON �1 ■ ■■NNO�MMMMM■ME . IME0 NN mMoE mmmoo■MOON■■■■■EMM■MMO■■O ■ EME ■■M M■MNON no0 ■■ONE M!! ■ ■■■NO■MONEaO ■■■O■■■■■MO®■MMO■MEO ■■Ma■ ■■ ■■�E,iM MEMO MO M■ ■ IAF- - Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # er it Officer's Signature �-l0-0- IssuingDate r 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 landowners). 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 (252-946-6481) 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 Mail 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 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to,'�_�� 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on , in 1�1 I 0 ��R�� , 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) 1 (S"' ( 3' 3cAT tsi-T Print or Type Name Z '5;�- zo/ '3 l8 Telephone Number Date: `/-— /'2''�) 8 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to__��— is (Name of Property Owner) property located at (Lot, Block, Road, etc.) on � �}.R� , 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/boatliftlboathouse 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) I �� �3(AT L-T--FT AlS zsignature Print or Type Name Telephone Number Date: (-2) / ry 4 .% Nortn Carolina Department of Environment and Natl_lra Division of Coastal Management Iv1chaeI F. as!e, ',re:t1or Charles S. Jones, Director 1)ate Applicant name Resc,.rrces Mailing Address I certify that I have authorized (agent) P5Ni>F � (� to act on my behalf, for the purpose of applying for and obtaining all (',ekNIA Permits necessary to install or construct at (location) This eertificatioa is valid thru (date) A Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-2 7-3330 t Internet: www.ncroastalmanagement.net An Equal Opportunity 1 Affirmative Actior. Employer — 50° o Recycled't Pcst Consumer Paper LAYOUT Page I of 2 Owner Names text ) Dimensions Road Names A Schools Geodet is Monuments Parcel hook-. Railroad Parcels City Limits County IODGIES. KATtILEEN [TRUSTEE WILLIAMS. TfIOMAS A JR &WILLIAMS. IV DORRES. FLINOR 60 -,MUTHMELLZF 11118,1WIL11ILLMINA L GURGANUS. BEN W A MARJORIE PROVO, EDNA-EARLE9 ROWS, DONNA http://gismaps.cravencounty.com/maps/map_print.asp?pid=8-017 -029&minX=2582918.... 4/10/2008 6191 BROAD CREEK CONSTRUCTION 66-112/531 PH.252-745-4252 11 CREEKVIEW CT MERRITT, NC 2B556-9572 •- � .� i �. ;I . � .mac/� � S/Alfz-f52W7 BRANCH BANKING AND TRUST COMPANY 7-00-BANK BOT BBT.com 1:0 5: LO*l �. 2L�:000 5 2 9 2 78 k L9 L Secu�ev - �D/,lh/s