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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 &N;l 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 t "0la on BRU BRANCH BANKING AND TRUST COMPANY /6, 1-80o-BANK BBT BBT.com 1 10911' 1:0 5 3 10 1 12 11:000 5 29 4 84 WI