Loading...
HomeMy WebLinkAbout52313_NY, ANTHONY_20080625❑LAMA PEI DREDGE & FILL M� 52 e31. .. �/ GENERAL PERMIT Previous permit # ❑N'ew ❑Modification El Complete Reissue El 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 # () Fax # () Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City iZIP Phone # ( ) River Basin Adj. Wtr. Body ' c `r` (nat /man /unkn) Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■�■■■■■■■■■tf!■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■A�1 �iil ���t ■rl ■�■■■■■■■■■■■■■ ■■■■■■■■■■■`■■NI■■t■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■��■■■■r::\■■■■■■■■■■■■■■ ■■ EMMEMEMINEEMP-P.20-90 lilt■■■■��\■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ •:. ■■■■I...■■■.■..■...■■■.■........■...■.. ■■■■ .■..■.■.........■.....■...■■... v i Agent or Applicant Pr-fnted Name J Signature Please read compliance statement on back of permit Permit Officer'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, certifythat this project is consistentwith 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 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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 Dock Addition 5' X 6' ift Appendix A Adjacent Riparian Property Owners Statement (for a bulkhead, dock/mooring pilings) I hereby certify that I own property adjacent to �o,-, eY✓ s (Name of6roperty ownc property located at (Lot, Block, Road, etc.) on ��h�� I c� � � � �Ct,l V �It ;min ,,-r/ NC (Waterbo y) (TownAnd/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 dock/mooring pilings 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 drawing of proposed development: (To be filled in by individual proposing development) PP PIDl plc& err, 'e-� I g�� (I Print name L 01 cc C 7 Address A-2 W J Date 7 C)S Telephone number Appendix A Certified Mail — Return Receipt Requested Division of Coastal Management Adjacent Riparian Property Owner Notification/Waiver Form Name of individual applying for permit: 64 f Address of Property: g 0 CJ Co VC,_ C��� v V (Lot or Street #, Street or Road, City & Co ty) I hereby certify that I own property adjacent to the referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Manage- ment, 400 Commerce Ave, Morehead City, NC 28557, or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by certified mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below. I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature I Date J c { me,S Print name Telephone Number with Area Code Address or Lot # in Fairfield Harbour A-3 Appendix A Certified Mail — Return Receipt Requested Division of Coastal Management Adjacent Riparian Property Owner Notification/Waiver Form Name of individual applying for permit: � Address of Property: 6 1 C6 t Z4 (�0 h tLtk oat4_1' oY_q 4 tLJ beC k/C {CV4e L (Lot or`Street #, Street or Road, City & ounty) I hereby certify that I own property adjacent to the referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this I have no objections to this proposal. If you have ob ection to what is being proposed, please write the Division of Coastal Manage- ment, 400 Com Ave, Morehead City, NC 28557, or call (252) 808-2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by certified mail. Waiver Section I understand that a pier, dock, mooring pilings, breakwater, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you w to waive the setback, you must initial the appropriate blank below. I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. A sm Signature' Date Print name 24�3 2 . 67k) . 7qa 7 C A x L CJ . Telephone Number with Area Code Address or Lot # in Fairfield Harbour A-3 Appendix A Adjacent Riparian Property Owners Statement (for a bulkhead, dock/mooring pilings) Al hereby certify that I own property adjacent to ,��1yot,1 y �1 c� °s (� 1 (Name of property owner) property located at I 0 � co('a l L)k. � -}1-- (Lot, Block, Road, etc.) on 3�Agj-&6f 60 BU A Uoqo, NC (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 dock/mooring pilings 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 drawing of proposed development: (To be filled in by inclividual proposing development) Ir Print name Date qU, aQ. 14L �r Address A-2 6 70 . '78 i -c- Telephone number %d6v ANTHONY NG TERRY P. NG NCDL 3301107 3871633 Ph 252-353-8905 3807 Sterling Trace Dr WintervW NC 2 Pay to the ' Order o� - — WACHOVTA Wachovia Bank, N.A. wachovizc For 1:0530002191:1066098SS2S4Sii' S366 .. BRANCH S, -o } 0D �. B f _ Dollars t :.,;� •'�' 3� ft q