HomeMy WebLinkAbout51093_GILES, WILLIAM_20070918❑CAMA / ❑ DREDGE & FILL WD
=oGENERAL PERMIT Previous permit#
❑New El Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
A r 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
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # O Fax # ( )
Authorized Agent
❑ Cw ❑ EW ❑ PTA
Affected
AEC(s):
❑ 0EA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: `" )
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
A
}
ill
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes . ' AA
Waiver Attached: yes :, no
A building permit may be required by:
Notes/ Special Conditions
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❑
See
note
on
back
regarding
River
Basin
rules.
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
1
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, certifythat 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.
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
A*
North Carolina Depailment of Environment and Natural Resource's
Dhlision of Coastal
Charles 9. Jones, mracior k,--PF2--r G. (:css J,. Serre4ar'.
"late
Z41)7
AnWicant Name e!;�, A
I I I —
certify teas I have authorized (agent) A/ Azle act on M1
behalr. for the purpose of applying for and obtaining all CAI%,T-.-k Permits necessary to
el
install or construct (activity) 11V-5'rX44 KOV6,ogolA z
at f1ocation) Z16 az,&C-
This certification is v I'd thm (date)
Signatnr<:::-�r
400 Commerce Menue, Morehead City, North C.,ifiAna 285.r-:,
Phone: 252-808-28081FX/,: 252-247-33301intemet- wore utccoastalmanagemen' .net
An Equal Cppoftn'tYXAFfff-.ra%�- Axfti Emphrier- 50% Recyded% 10*S Pest Caw-jrrPEu-,-r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOA TLIFTBOA TIIOUSE
I hereby certify that I own property adjacent to Bill Giles Is
(Name of Property Owner)
property located at 216 Quail Rd Lot #2 Bayview Estates
(Lot, Block, Road, etc.)
on Ball Creek in Merritt 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 pihngs/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.
------------ ----__ --7--- ----- ------------------------------------------------ ----------
DESCRIEPT16 AND/OR DRAWING OF PROPOSED DEVELOPI N'r:
RIU (?'19 be filled in by individual proposing development) Q�V
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Print or Type Name
Telephone Number
Date: ZOd
A-DJACENT RIPARIAN RIA N PROPERTY OWNER STATEMENT
(FOR A PIERAMOORING PILINGSIBOA TLIFTIBOA THOUSE)
I hereby certify that I own property adjacent to
Bill Giles is
(Name of Property Owner)
property located at 216 Quail Rd Lot #2 Bayview Estates
(Lot, Block, Road, etc.)
on Ball Creek in Merritt , 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.
Va
I do not wish to waive the setback requirement.
I ado wish to waive that setback requirement.
- - - -------------------------------------------------------------------------------------------------
I<DIES CRIPT16N AND/OR DRAWING OF PROPOSED I<DEV ELOPM�NT:
�I v (Io be filled in by individual proposing development)T�o
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Telephone Nu b2er
Date: 2
BROAD CREEK CONSTRUCTION
Poi. 252-745-4252
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