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HomeMy WebLinkAbout48928_GLOVER, J.B._200705220 GAMA / ❑ DREDGE & FILL U 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 j and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2iRules attached. Applicant Name Address City G`r State-"c. ZIP - Phone # Fax # ( ) Authorized Agent Affected ❑ CW O EW []'PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: 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 SAV: not sure yes (n� -- Sandbags: not sure yes n Moratorium: n/a yes / Tn¢ Photos: yes f no/ Waiver Attached: yes (no A building permit may be required by: 0 Project Location: County C"A f' -`` Street Address/ State Road/ Lot #(s)_ i Subdivision City r'Li ZIP'�i'' Phone # ( ) River Basin Adj. Wtr. Bod 6at /man /unkn) Closest Maj. Wtr. Body (Scale: ) I j - f ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing a etD Expiration Date Local Planning] urisdiction 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/ 1-888ARCOAST 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 PINE KNOLL ASSOCIATION INC PO BOX 905 5192 ATLANTIC BEACH, NC 28512-0905 66-112/531 `BRANCH 02302 + DATE TO THE PAY ORDER OF DOLLARS- _ BUT BRANCH BANKING AND TRUST COMPANY 1-NO-BANK BST BBT.eom FOR 11500005 L9 2116 �1:05 LOLL 2 11:0005 198 35089Site ,:::.....:..........: ....... .................. ��� AG NCDENR ' North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date !�j-- '7-0-7 Applicant Name Mailing Address % o0 3 Sr, /,e.,. S Gc,j i Isrc" oN=C- 27893 I certify that I have authorized (agent) ,d& e to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 6 at (location) 3 /o S- Sco,*y—t /0✓�. i%C`r e,3 C�iu. C.C. 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.nccoastalmanagQment.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper A1JJ AUEIN l KIYAKIAIN YKUYERT Y U W INKK STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to -5 , 13. 6r 1n0Ge.,— 's (Name of Property Owner or Applicant) Mailing address if different from location address / 00 -3 Sokela sl► ezf— , (town, state and zip) ( (Soy 2 7S- � phone numbers you can be reached at;Z S-2_- Z 37 property located at 310S- Sum1.-.4 �✓`. _ , (Lot, Block, Road, etc.) on AoqgA e S!g?uAW, ino.^CliJa!teaQ ; �y , N.C. (Wa rbody) (Town and/o.r 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. initials initials I do not wish to waive the setback requirement. I do wish to waive that setback requirement. -------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) /y e x / �oo ✓� S► 3 N 'S A c. on c.JeSt- S(�� --� � ---- ---- Signature 5U-4an 5U-4an 5- Print or Type Name (71 �)) 033 -i, j1 Telephone Number Date: ✓ f U L ' 1 www.nccoastalmanagementnet/Permits/ADJACENTRiPAR1A NPROPERTYO WNERSTATEMENT. pdf AUJAI:EIN 1 K1YAK1AIN YKVYEKTY 0W1NEK STATEINILIN'l' (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 's (Name of Property Owner or Applicant) Mailing address if different from location address /0 0 3 (town, state and zip) l-,� ) Is �P,,v iv.c . .2 7 8'JY phone numbers you can be reached at 2 S` 2 — 2 3Z S31 property located at 3/OS— Su"A4j iae_ Alp,^e, Aea.Q , (Lot, Block, Road, etc.) on f4� Sm.��t� , in ',Wa✓`tAI eac( L: /�4 , N.C. (Wale 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 (15) from my area of riparian access unless waived by me. initials initials I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be f lled in by individual proposing development) TN s i i 1 iWo N 6--X�f- /� �' S F) rl exi Sf i r i J«-k— o��c or1 eos-f 5id� 01/e oN --------------------------------------------- ------ ------------ ------------------- t Ne�q(nbo-A- S;gN'S �e.AC v ✓ --) Print or Type Name Telephone Number Date: j rG'A www.nccoastalmanagementnet/Permits/ADJACENTRIPARIANPROPERTYOWNERSTA .pdf