HomeMy WebLinkAbout51573_SHEPPARD, JOHN & BEAUFORT CONSORT LLC._20071010❑CAMA /9 DREDGE & FILL jC>' j �' aj/ �I�73
GENERAL PERMIT �7 Previous permit #
❑New ❑Modification ❑Complete Reissue ❑P rtial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Enviro ment and Natural Resources
and the Coastal Resources Commission r�area of ironmental c cern pursuant to 15A NCAC
► l� 5P ❑ Rules attached.
Applicant Name -� 1` I j Project Location: County
Address
City
Phone # O'-
Authorized Agent
State ZIP
Fax # (� }
❑ CW ❑ EW ❑ PTA
Affected
[IOEA ❑ HHF ❑ fH
AEC(s);
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (`) River Basin
Adj. Wtr. Body gnat lman /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature /
Issuing Date 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
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 [)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
OUG 2Y E!UUV lb: JU
Aug 24 07 01:54p BCC
ZibL'/4b4UUU
252-7454253
p.2
(Vr
toith Carolina D.,pat tm en` of Environmeat and NaWral Resources
4 C •` I &Reti t
t}iviatot. o pasta, anagerra
mict.aei F. Easlwf, Govemot Charles.& Jones, DIreetor William G. Ross J!*., Secrelary
August 24 2007
Applicant Naruc
1 -.idl iig Address
Beaufort Consort LLC
PO Box 181
Oriental, NC 28571
Broad Creek Construction to act on my
I certify that I have authorized (agent)
behalf, for the purpose of applying for and obta4nIna all CAA4A Permits necessary to
install or construct (activity) Concrete Dock
at (location)
This
Signature
Lot #11 Fork Point
August 24, 2008
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX- 252-247-33301 Internet: www.neroastaimanagement.net
kn r-MIA 1 r„nnjl,wirv% Affi m ti,w drlinn F�01-0r _'M:V/ pu-„AQd 1 i o). Pncf r..nmnmor Parar
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTIBOATNOUSE)
I hereby certify that I own property adjacent to
Beaufort Consort LLC Is
(Name of Property Owner)
property e located at Lot # 11 Fork Point
(Lot, Block, Road, etc.)
on Broad Creek in Pamlico County 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.
— x_ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
--------------------- --------------------------------------------------------------
I<D1ESCRICPON AND/OR DRAWING OF PROPOSED D EVIEILOPMENT:
(To befilled in by individual proposing development) I
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Signature
e:�"�/_-= S. 2ocowert-G
Print or Type Name
252- - z ief -
Telephone Number
Date: g Z-7 O�
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Aug 24 07 01:54p BCC
252-745-4253 p.3
ADJACENT RIPA R AN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA TLIFTIBOA THO USE)
I hereby certify that I own property adjacent to Beaufort Consort LAC ,S
(Name of Property owner)
property located at Lot # 11 Fork Point
(Lot, Block, Road, etc_)
on Broad Creek ;m Pamlico County ;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/boathfUboathouse
must be set back a minimum distance of fifteen feet (l S') from my area of riparian access unless
waived by me.
l do not wish to waive the setback requirement.
I do wish to waive that setback requirement,
- -------------1--------------__ — _-------------------------------- -
DESCRIFTION AND/OR DRAWING OF PROPOSED DEVELOPN LENT.
(To be filled in by individual proposing development) 1 j
I
L
JL
;Signa
rint�vr WNan)rL-
-7
Telephone Number
Date: W
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOA TLIFTBOA THO USE)
I hereby certify that I own property adjacent to Beaufort Consort LLC
I
(Name of Property Owner)
property located at Lot # 11 Fork Point
(Lot, Block, Road, etc.)
on Broad Creek in Pamlico County
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 piiings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (IS) 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.
---------------------- - - -
---------------- ----------------------------------------
DDIESCRI ION ANDD/OR DDRAWING O.F h'D?OPOSD?DD DEVELOPMENT:
i (To be filled in by individual proposing development) I �
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-------� - -}----°--1---- —----
----
Signature
/�y f
Print or Type Name
Telephone Number
Date: p
l
E
5579
BROAD CREEK CONSTRUCTION 66-112/531
PH.252-745-4252 BRANCH01901
t I CREEKVIEW CT
%4ERRITT, NC 28556-9572
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