HomeMy WebLinkAbout51080_COLLINS, DON_20070913NO
❑CAMA / ❑ DREDGE & FILL _ -14SO
GENERAL PERMIT Previous permit�#
❑New ❑Modification ❑Complete Reissue []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 I SA NCAC
El Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
CityState - ZIP J
him
Phone # ( } Fax # O Subdivision
Authorized Agent �k_ City ZIP
Affected El CW DEW 0 PTA ❑ ES ElPTS Phone # (�) River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
:o = , nat%man /unkn
AEC(s): Adj. Wtr. Body )
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body" C=-
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Agent or A t Printed Name
PP
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
n '77
Issuing Date Expiration Date
Local PlanningJurisdiction 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/ 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 Mail
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
yi J 451 12CE )6 SA 32 09-10-20u7 2 i2
( Aux A ?iER1M00RLVG PI F INGS/BOATLIFTIBOA HOUSE)
I Thereby ceri fy that I own propeav adjacent to �,0 A� tV___.Co 5_ _
(S me of Prnperty Owner or Applicant)
lvlailirig addre:;s if different frcn location address y0/y 1 dS
a
(town, state and zip) 11v arer v c _
phone numbers you car. be reached at T
property locat,:d at Srf'I r
(Lot, S'.cck, Road, en.;
onyl U liG t�.�r Ct° K iti
(Waterbody) ;Town an3ror County)
N. C.
He has described to me, as shown below, the develorr e.,w he is proposing at that location,
and, I have no objections to his-ropcsal. I cuiderstard that a pier/r;o�-Ting pilings/boatlifVLoattrcusc
must be set back a mini.nLm- distance of fifteen feet ;151'rom .try area of riparian access aruess
waived by me.
i do not wish tc waive the setback requirt_nent.
I do wish to waive that setback requirement.
initials
DESC'RIPTION AND/OR DRAWE G OF PROPOSED DEVELO."IN NT:
(To be filled in by individual prod>csing development)
1 �-- =4
��,► �y j,� 1 l c� f r r
r
.. Ar CSC C A^P d
fe .�a►y pr•s�,..r rr�r. 1-r ���� �� d'.y,��.� .r Dcr�.
------------------------------------------ ------------------------ / — --;-----.-.-.-�-- -- --;-- ---------
S+gna;ure
?tint or Typc Marne
Telephone Number
91 J 45, 12tt Oh 45 55 09 10-2CC7 1 it
(1, UM A .PIh'RI NIOURING PILINGS/BOATL.IFTIBOATXOUSE)
r
I hGrety ca:rif}' tha' I uHii ;nt,pc:ly tcI r uuit(. `f_1 C�1_ J �0 1�1'i•vS s
(Jame of Prcperty Owner or Applicant)
Mailing addre:;s if different from :Q, aL:m a"JdrvS ��'�'' egr.-Ar Wick ld��
(town, elate and zip) ee�"'T
phone numberi you canibb-e reached at�.
Property :ocatcd at r We-eAe
:Lo:, Block, Road, etc.)
rn—dp11" 5-_. _ e-ac M-- , ,,, %ti_s /e, ,-,
N.C.
(WRtAthody) (Town..cL'oi Cvuutj)
He has desc; ibet to me, as shown below, tine developmoltt he is proposing at chat location,
and, I kavG, no >1:100tiona to laic propoocl. l tal:a,cailtl hate a pIctilttuurin 71IIRgS/t30^ctl:t'✓bJ`t110USC
must be snt back a minim-irr. c'i�t:,>eP of fiffeC rcet (�5;'f'rvttt il2Y i1:C3 ci riparian► aeeCSS tL21�55
tii'3:VCCl by me,
T tdo no-t Nvish to wain; di;; ,ctbazk mquitement.
�1L I ]r wisla to ti •aavc tis" c otU":,Ii rJCcuirGmczir.
DE.qC'RIPTTONT ANDjOR DRAWINTC OF MOrOSLD DBYELOPIvtEN-r.
("To ve filled m PY individual proposing development)
iAoj r o.&i. s COAOd l l; OF-
%� � r..r.,r Li r- 2"T �v�:c� �a T .•,+.Ivs .o oec��
y...----.------------- - - - -'---------------------•----
Signature
?tint nr Typp Name
--I J - 0
Telephone Number
NORRIS MARINE CONSTRUCTION & LANDSCAPING 772
BILLY M. NORRIS, OWNER LLC
B 252-393-8646 H 252-393-8810
3n NORRIS LANDING RD. �a �y �R j0 ss-3ois32
SWANSBORO, NC 28584 DATE �""
TO THE
PAY /R� / I s Zoe
ORDER OF / 'Z Z-
f/vs DOLLARS
oolnRST CITIZENS BANK
www.firsteitizens.com
FOR
n500 7 7 2 &ol j:O 5 3 L00 300i:00 3 4 L 2 2 9 2 2 L 1ii2