HomeMy WebLinkAbout47164_GULL HARBOUR YACHT CLUB_20070125GCAMA / 11 DREDGE & FILL
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
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
❑ Rules attached.
Applicant Name —' Project Location: County
,� tr j` 1 �sa�1.� Street Address/ State Road/ Lot # s
Address .-� �» <x �- L.x:.. O
City j�V State ZIP `•� {'�
Phone # (" ) l 7 4,, Fax # (� )
Authorized Agent �s' • t v
❑ CW ❑ EW ❑ PTA [I ES ❑ PTS
Affected AEC(s): ❑ OEA ❑ HHF 1-1IH ElUBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger piers)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp / �, 1 -1( '
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
o j
Waiver Attached: yes
--
A building permit may be required by:
Notes/ Special Conditions
i
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body /-' (nat /man /unkn)
Closest Maj. Wtr. Body
4 li i
I
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
410
Application Fee(s) Check #
N
(Scale: A_/ i )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature - r
Isuiing Date Expiration Date
Local Planning jurisdiction Rover File Name
1M
FOR
DATE _ / IME �•�
OF
2 CJ 1 LEIS
PHONE
AREA CODE NUMBER EXTENSION
❑ FAX
❑ MOBILE
AREA CODE NUMBER TIME TO CALL
TELEPHONED
PLEASE CALL
CAME TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
MESSAGE L{ . `> f.,- I 'e-
SIGNED
m 3002P
MADE 1
MADE IN U.S.A.
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM WILLIAM F. ROCHE
GULL HARBOR
105 LAUREL LANE
� EWF ��9324
Name of individual applying for the permit: o (' ( L,
r
Address of property:�2
(Lot or street#, street of road) �^�G
U cl\ 'WJcj
I hereby certify the I own property adjacent to the above referenced property. The
Individual applying for this permit has described to me (as shown on the a �R 12
drawing) the development they are proposing. A description or drawing, wit
dimensions, should be provided whit this letter. IF 0
4-1 have no objections to this proposal JAN 0 3 Z007
If you have objections to what is being proposed, please write the Division o oist'al -d 01ty DCM
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.) �I
V
I do wish to waive the 15' setback requirement
I do not wish to waive the 15" setback requirements
Signature / Date
Pint Name r�
Telephone number with area code
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER
FORM WILLIAM F. ROCHE
GULL HARBOR
105 LAUREL LANE
N70F . (
Name of individual applying for the permit: N�28�70-9324
�Y- ,��- h cu (/ �c C;
Address of property: h� rz r i gsc 6J • 1% �� r i� ; C- J V N
(Lot or street#, street of road)
(
I hereby certify the I own property adjacent to the above reference r Wert The
Individual applying for this permit has described to me (as shown
drawing) the development they are proposing. A description or dr
dimensions, should be provided whit this letter.
<�:�\I have no objections to this proposal
JAPE k) 1) 0LY
If you have objections to what is being proposed, please write the IdiiWOWAgity 6EM
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of the notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
Waiver Section
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or
sandbags must be set back a minimum distance of 15' From my area of riparian
access unless waived by me. (If you wish to waive the setback, y u must ust initial the
appropriate blank below.)
1 I do wish to waive the 15' setback requirement
I do not wish to waive the 15 setback requirements
ignatu a Date
PrinVName
Telephone number with area code
(Between Sheet Piling)
LAUNCH RAMP PLAN VIEW j
Existing Piling !�
Ramp Section
3500#Concrete Morehead City CM
2,-1 �,• a; �.. 6
e
#5 Rebar-12' c.c.
N
-L 90° Corner
P-4'
BY: USN. NO.
W. F. ROCHE GHYC-1
DATE: REV. NO. SHEET NO.
10-20-06 1 2 1 - 4
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