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
,:::.....:..........: ....... ..................
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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