HomeMy WebLinkAbout51881_PAVLANTOS, SPYLO_20071127❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
[]New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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
Address
State ZIP
Phone # () Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Previous permit #
Date previous permit issued
Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: f) )
Pier (dock) length
Platform(s) t
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore ?
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
i
i
_
I
i
f
Shoreline Length \ 1
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by: ❑ See note on back regarding River Basin rules.
_i
Notes/ Special Conditions '
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
Issuing Date Expiration Date
� ' f�i9 S rstip
Local Planning Jurisdiction Rover rile Name
Application Fee(s) Check #
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 ❑ 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 (252-946-648 I) 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 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
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
,,� -^ � Nov 2
Date KXX' � _ mil' ��� 00
M®reheiad pity D CM
Applicant Name lP lL�
Mailing Address jUl (4 Jo-, �RCr—x- ,
Sh(rcc/� LK
I certify that I have authorized (agent) �k) to act on my
�n�s E `Joys Na-c';,�e C.onSt. Lam(
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (location) '10-1 C. 'K)C 1O OCA0 � reS , O.0 .
This
Signature
(date)
D
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Intemet: www riccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recyded 110% Post Consumer Paper
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to p4t4y o 5 is
"(Name of Property Owner)
property located at /2o4d
(Lot, Block, Road, etc.)
on AldiS�, in �Kiyff Std� , 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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
t/ I do wish to waive that setback requirement. 1 ��`li*" ICI. TVT
---------- ---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) .2 O ZUU
Morehead City DCM
Signature
Print or Type Name
z'�1--.'v6,- ,1-
Telephone Number
Date:
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
c� T)Qo laritc�J
I hereby certify that I own property adjacent to &yaw's
(Nanie of Property Owner)
property located at \07)
(Lot, Block, Road, etc.)
1 A
on a'nj Q"JQ� [�jo4,� � , in 119 Q ��lc�� , N.C.
ater ody) (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. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wish to waive
i! I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
NOV 2 0 2007
Morehead City DCM
Signature
Ce ym,-r /.-
Print or Type Name
Telephone Number
Date:
Dennis & Sons Marine Construction LLC
Ph 252-504-6329
109 Seahorse Drive
Beaufort, NC 28516
1109
66-112/531
hBRANCH 02201
II' pau toert4t
Faalutes
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BRANCH BANKING AND TRUST COMPANY /6,
1-80o-BANK BBT BBT.com
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