HomeMy WebLinkAbout51152_PEEL, BRIAN_20080722❑CAMA / ❑ DREDGE & FILL, 7L•!�
GENERAL PERMIT Previous permit #
❑New ❑Modification ❑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
EJ Rules attached.
Applicant Name Pro'1ect Location: (-nun
Address
City
Phone # ( —I
—
Authorized Agent
Affected ElCW
AEC(s): ❑ OEA
❑ PWS:
ORW: yes / no
State ZIP 1
Fax # (�``
ElEW ElPTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
ElES ❑ PTS
ElUSA ❑ N/A
Crit.Hab. yes / no
tY
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) - i , River Basin
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Closest Maj. Wtr. Body
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,Agent or Applicant Printed Na
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Si natu e
Issuing Date Expi tionDate
I s f A�.�
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 ❑ 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
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/ I-888-4RCOAST
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
2I ,�
[ hcr�:b} certify tlsai 1 own property �ulja�:ent to L� rl (IP}vL (!. V `C 14
(Game of Properly Oi�,ne.r;
�:srop�-riy located at
(Street Address, Lot, Block, Road, etc.)
iris��fC_�d_._ _ti��-- ,N.t:.
(f4Vaterbody) (Town and/o County)
HeAbe has described to me, as -shown below, the development he/she is proposing at that
location and 'I have no objections to this 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 j
riparian access unless waived by me. I have indicated my intentions by initiating below:
(initials)
(initials)
L�x
I do not agree to. waive the 15' setback requirement.
1 do agree to waive the 15' setback requirement.
a
----------------------------------- ---------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by individual proposing development)
E12,
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---------------------- -- ---- �)1
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i ature
Print or Type Name j
Telephone Number
Date: '9- �f 0 r
ADJAUL'INT 10YAKIAIN FROY RTX OWINV K N 1.A' L+ IVIL{ 1N t
(FOR A PI.URIMOORIAT(,,)'ILINGVIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to'"� �� �►q- —
(Name of Property Owner)
property located at
(Street Address, Lot, Block, Road,, etc.) �+
on
�� terbody) (Town and/ol County)
He/she has -described to me, as -shown below, the development he/she is proposing at that
location and 'I have no objections to this proposal. -I. understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (I T) from my aiea of 1
riparian access unless waived by me. I have indicated my intentions by initialingbelow:
.I do not agree to waive the 15' setback requirement.
(initials)
I do agree to waive the 15' setback requirement.
(initials)
--------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
------------- '�WoqL------ a4------------------------
L
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c,
s
S' afore N
Print or Type Name o
�— d
Telephone Number
Date: d
BAYSDEN BUILDERS 06-07
EARNEST L. BAYSDEN, JR.
252-726-3381
4107 AZALEA DR.
MOREHEAD CITY, NC 28557-6201
1157
DATE I �it\ ���( 66-19/530 NC
v 201
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DOLLARS
Bankof America
ACH R/T 053000196
FOR
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ii' O O i 1 5 7 u '
:D53000 L961: 237000 L L9 ii■
PAY
TO THE
ORDER OF .v-1 %V�
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ALT 5WA
7,�'a
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary
Date -T r a� r^,
Applicant.Name
Mailing Address —2, '
4�
I
I certify that I have authorized (agent) z�—'to act on my
behalf, for the purpose of applying for andbtaia ok cessa ry to
install or cot
at (location)
This certification is valid thru (date) / --j / — /0--lQ O
Signature %„� ?'- ----
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50010 Recycled \ 10% Post Consumer Paper