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HomeMy WebLinkAbout48171_FRAZIER, GEORGE_20070326. t ❑CAMA / ❑ DREDGE & FILL ENERAL 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 I SA NCAC l0-0 7 /sx . t Previous per it # Date previo s per Applicant Name �r ✓e-F (if 2 Project Location: County issued I ,- Address C i ()/• /06C Street Address/ State Road/ Lot #(s) CiStateiIjf ZIP.),-7 481.7 1 c Phone # ( ) ! ' V L ��. (- Fax # ( ) Subdivision -� %' �.34 J City ZIP. 1j C Authorized Agent V F� %►'t (a� ❑ CW ❑12W 4EgTTA ❑ ES ❑ PTS Phone # ( ) River Basinl- Affected ❑ OEA AEC(s): ❑ HHF ❑ IH ❑ UBA ❑ N/A _t. , Adj. Wtr. Body ( '!. , r i &t /man /unkn) ❑ PWS: ❑ FC: [ Closest Maj. Wtr. Body - ' ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier (dock) length Platform(s) 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 Shoreline Length (Scale: ) 1 ---�/_ -- -I err SAV: not sure yes no - _ — _ Sandbags: not sure yes i Moratorium: n/a yes Photos: yes Waiver Attached: yes no A building permit may be required by: !J �r► ❑ See note on back regarding River Basin rules. Notes/ Special Conditions (^�U0'J or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Permit Officer's Signature Issuing Dater Expiration Date Application Fee(s) Check# Local Planning Jurisdiction Rover File Name ft .j 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 howto complywith 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 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 t ` s 02,101/07 06:22pm P. 002 02./01!2007 09:41 2527266079 DEAh4BARPZ-S PAGE DI I MJACRNT RIPARIAN PROPERTY OWNER STATTEMU.'a I /Z 0 k4-) _ b FiCTC 'y certify that I own property Adjaotnt iv DE ri�lt5's 1 (Name of t'roper•ly Owner? p located at 0 5 �ll (Lot, Bloch, Road, etc,) I I Ms erbody) ('Town and/or County) , 4;tt descn, as sho%�rt,hetow, the development he is prpposing at Ihat location; and, I e no`ohjections to his proposal, L ...-___-•----•---------------------------------------------------- ------CRIPTIOV AND/OR DRAWING OF PROPOSED DEVELOPmrN'T (To be filled in by individual propoSiag development) { I FF �6 pz - LY1 r0/2 �I tjT .3.7" 3 L. 0 4 D G_ b; c `l'n'LQS ------------------------------------------ ------------------------------------------- - I , Signature Print or Type Name Telephone flumhe: Date: l -- t7 Z�z�z AM rJZ49 '41 'ia I :herel propeidy iocatc on �/ a I. Wa and, I ve n( Y10 9 ,`� CENT RIPARIAN PROPERTY OWNER STATEMENT certify that I own property adjacent to 'S (Name of Property Owner) at r7 0 5 -Sqt2fS-&--T I (Lot, Block, Road, etc.) qcfs- V - i-n , C, �CT n &L N. C. rbody) (Town and/or County) n e as showP,below, the development he is prqposing at thitJocation;� objections to his proposal. ---------------------- *-! . IPTION AND/OR DRAWING OF PROPOSED. DEVELO (To be filled in by individual proposing development) 40 V IF-- ) %_4 / 11 / Kar y-'N 0 \"-a < C :f-7 �-) 0 G� t? I' C Y* YL P5 -------------------------------- ----------------------------------------------------------- - &rgnaiure 0 Print r Type Name Telephone Number Date: --T NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Date ` i• 2 / . o Applicant Name Mailing Address Charles S. Jones, Director William G. Ross Jr., Secretary C . Z'i''51 G O I certify that I have authorized (agent) fC'n A L c k T ��6ci�,�'I to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) d:f;i-F- IJT"- �S ' at (location) F) �) 5 1-- r El '14"'EL This certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 11 o% Post consumer Paper MUD BUCKET DREDGING, INC. PH. 252-241-1504 507 HEDRICK BLVD. MOREHEAD CITY, NC 28557 PAY L TO THE ORDER OF_N vv iZ 2206 66-112/531 q/ BRANCH 01201 DATE _ " 16 " C:> BRANCH BANKING A COMPANY I V 1-800-BANK BBT BBendT.com 7 FOR II.0022'o- 1:053L011211:000529321834LII' Y --