HomeMy WebLinkAbout47836_EURY, LYNN_20070219a2- -�-7l
❑CAMS►/ DREDGE &FILL
A,Z
GENE L PERMIT
Previous permit#
❑New El Modification El Complete Reissue
El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natur I R
ources
and the Coastal Resources Commission in an area of environmental
concern pursuant o
A NCAC
wq
O Rules attached.
Applicant Name =� �' %
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City� State ZIP
Phone # ( ) Fax # ( )
Subdivision
Authorized Agent
City ZIP
❑ Cw ❑ Ew ❑ PTA ❑ ES ❑ PTS
Phone # ( ) River Basin
Affected
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body -tiat /man /unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale:
Pier (dock) length
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin. channel t
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length I
SAV: not sure yes no — -- - - S-_-
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
oil
Aggnt or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
i
❑ See note on back regarding River Basin rules.
PermitO)ffic`er's Signature
-s4 J
Issuing C10. 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, certifythatthis project is consistentwith 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 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
WA
LWMA
Solo`1rIq
NCDENR ---
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Governor Charles S. Jones, Director William G. Ross lr., Secretary
7-1
art
Date FEB X 1 2007
Applicant Name
Mailing Address
Morehead City DCM
I certify that I have authorized (agent) D ea (Arnto act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity) A re-
at (location) vt �,,J O �OS� � + ce O� Fr0""` S+re6/Q
This certification is valid thru (date) D
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Ann WHAM t r-A V. nrn n,47 01313n 1 —r nA cfnlmnn3namant not
itD.1 1t'l;ti F lliVAR IIk1\ 1'1<ulT'Ict t 1►�►.�i:l�
(FOR; PI ER1,1100RING PILINGS/110A T1.1 F7'/1?O,4 77101 IS l; )
I hereby certify
Mailing address if different from location ad
(town, state and zip)
phone numbers you can be reached
property located at
l0� _ 1.. lam'
-
(Name of 11roprrty Owner or Apl) c
(Lot, Block, Road, etc.)
on �-' J/ �' , 111
(Watafbody) (Town and/or County)
-, N.C.
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/boathotise
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
;gals
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPTNIENT:
(To be filled in by individual proposing development)
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Date:
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(FOR A PIER/MOORING PILINGSIBOATLIFYBOliTIIOUSE
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I hercby certify th it I own property adjacent to --
(Name of Property Owner or Applic
Mailing address if different from location address_
(town, state and zip) /-� C�/�ili� r / 6 Cf_,—
phone numbers you can be reached at 97 , ��� 67 /o
loe
property located at
(Lot, Block, Road, etc.)
on 46//Io9 > >A , in l- --, N.C.
(Wat body) (Town and/or County)
He has described to me, as shown below, the development lie 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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
�u.is
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
.2 r,2 - ;�� r "00-,, rG
Telephone Number
Date:, z
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