HomeMy WebLinkAbout51517_GAMBLE, WILLIAM_20070925OCAMA / ❑ DREDGE & FILL
^' GENERAL PERMIT
❑New ❑Modification []Complete Reissue ElPartial 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 15A NCAC_
T
Previous permit #
Date previous permit issued
❑ Rules a
Applicant Name :O I" Project Location: County
Address 1, Street Address/ State Road/ Lot #(s)
City
State ZIP +
Phone # (.: , ;)
Fax # O
Authorized Agent
❑ CW
❑ EW ❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
❑ HHF ElIH ElUBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or /tpplicarrt Printed Name
Signature Please read compl ance statement on back of permit *
d�'-
Application Fee(s) Check #
Permit Officer's Signature `
f
Issuing Date Expiration Date
Local Planning Jurisdiction Rover Fife 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
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
North al'O'I'na, Department of Environment and Nate al Resources
Division Gf Crustal Mainagement
+rid.ael FF. Cllaa laS S. JDPes, L11ret tO g!iant =.. Rozs Jr_ Sssrelwi
Date _& 7,
Appliumt Name
Mailing Address
1, certify twat I have wat%oiized {agent;3 to act nn sty
behalf, for the pur>, me of applying for and
iustAl or construct (activity)
at (Ioeation)
ing an CAMPvr its necessary to
This ccrtiftcatiasa is valici tLaru (chic) ..•a _�✓�_•
Signature _
408 Commerce Aveaw, Morehead C(ty, North Carcina 28557
Phone: 252-80&-2808 � FAX 252-247-33301 Internet: www.nccoasWmanegement.rei
A. Equal C ity 1lt kmoft maw Envloyet —5o% Reeydw % io% Post Cornmumer Paper
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOA TLIFTBOA TMOUSE)
I hereby certify that I own property adjacent to
Bill Gamble
(Name of Property Owner)
I
property located at Lot #14 Fulshire
(Lot, Block, Road, etc.)
on Adam's in Craven County N.C.
(Water ody) (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 (l T) 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.
- ------------------------------------------------------- --------------------------------- ----------
DES RIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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--------------- I ------------------------------- �J._ +Cr , - - -- -- ---------------------
Signa re
� u C, C�l'l�J11�
Print or Type Name
Telephone Number
Date: D l t Lo
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA TLIFTIBOA THO USE)
I hereby certify that I own property adjacent to
property located at
Lot #14 Fulshire
Bill Gamble
(Name of Property Owner)
(Lot, Block, Road, etc.)
's
on Adam's ;n Craven County , N.C.
(Water ody) (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/boatliftiboathouse
must be set back_a_minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
_>S I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------
DESJRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
L-�C,A ele RoL�n
Print or Type Name
(3 )s") - � - S-0 a 3
Telephone Number
Date: /- A/
BPOAD CAEEK CONSTRUCTION
PH. 252-745-4252
11 CREEMEW CT
MERR!TT, NC 28556-9572
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