HomeMy WebLinkAbout47031_HANIFAN, JERRY_20061117❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previou permit#
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date p vious 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 conc n pursuant to 15A NCAC
\ ❑ Rules attached.
Applicant Name
`
Address
City
State ZIP
Phone # ()
Fax # ()
,f. ,' �
Authorized Agent
.}
6 , t ;
❑ CW
ElEW
❑ PTA ❑ ES ❑ PTS
Affected
AEC(s): ❑ OEA
ElHHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no
PNA
yes / no Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity ,
2 3 /Y%,3 �%� (Scale: )
Pier (dock) length
Platform(s) I
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length�-
avg distance offshore
max distance offshore
Basin, channel
i I
I
I
cubic yards
Boat ramp
x
Boathouse/gath
I
I
I
�
I
.
I
I I
Beach Bulldozing
Other
I
Shoreline Length
SAM not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
-
on back regarding River Basin rules.
.11
-
— -
i '
❑ See note
Agent or Applicant Printed Name t: Permit Officer's Signature
Si nature "Please read compliance state i � sluing Date' Expiration Date
g p �� ����ty DCM
ApplicationFee(s) Check# Local Planning Jurisdiction RoverFile•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:
F-1 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
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
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)
Morehead City District
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/OS
• A' � '�
��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael E. Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary
Date 10 -,15'' b 6
Applicant Name
Mailing Address
rlllua
t-1 �- ac'r 3 ��` s's7
. More o 2006
h,7C Cf f
y �cM
I certify that I have authorized (agent) `�forc V`-'c� to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) b b cil-I -}- P11> i—C)IN'Or (L I T—T—
at (location) A a 5 Q�V M%VjE Ti• `1) -D 0-
This certification is valid
Signature
(date) Ja- 3 1 ' r3 6
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper
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USPS COMPLETECOMPLETETHIS ,
C�'r�l' 6 E.B 2 C706 PI`�t � L1I 11 q Pe . G-10
■ Complete items 1, 2, and 3. Also complete Sig ur
address, and ZIP+ ' n this box • item 4 if Restricted Delivery is desired. ❑ Agent
• Sender: Please print your name, ■ Print your name and address on the reverse P-ATTrressee
so that we Can return the Card to you. B. Rece ed by (P nted Name) C� [�atg of Wwery
zj' ■ Attach this card to the back of the mailpiece, L co
L� Uj � l a uv or on the front if space permits.
D. Is delivery address different from item 1? ❑ Yes
PYM4�3"-t W j n 1. Article Addressed to: If YES, enter delivery address below: ❑ No
7— ��� d— I 3. Service Type
Y \0(Lo ❑ Certified Mail ❑ Express Mail
` 1 ❑ Registered ❑ Return Receipt for Merchandise
-7 0 ❑ Insured Mail ❑ C.O.D.
1 I I I
4. RestrctedDelivery? (Extra Fee) ❑ Yes
IidJI!{iddi! lid!!`!I itl1!!j!!p!1!1!!JJ!!J
2. Article Number 7005 1160 0003 1592 2297
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
GERl1rItU MF
(Domestic Mail Only; Nt
o1-
RALEIGRAG '`?79316'
r-=1
Postage
$ W.39
m
Certified Fee
0557
$2.40
O
O
Return Receipt Fee
fJ5 Postmark
Here
$1.35
(Endorsement Required)
$ I , (10
O Restricted Delivery Fee
_p
(Endorsement Required)
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Total Postage & Fees
02/03/2006
$ $4.64
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Sent To
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------------------------------- --------------------------------------------------
Street, Apt. No.;
or PO BOX No.-- 20 D
- -- - --
City, State, ZIP+4 /+`
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------ - - -- ----------------
PS Form :rr June 2002
U.S. Postal Service,.
r�CERTIFIED
MAILT. RECEIPT
0-'
fU
(Domestic MaH Only;
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IiORENE CITYANC 2$5�7
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Postage
$ $0,39
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Certified Fee
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0557
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Return Receipt Fee
U5
Postmark
-
(Endorsement Required)
Here
O
Restricted Delivery Feep,170
—D
(Endorsement Required)
r-i
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Total Postage & Fees
$ #4�64
02/03/2006
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Sent To � 1 \
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-----------------
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Street, Apt. No.; -------------------------------------------------
orPOBoxNo.
City, State, ZlP+4-----------------------------------------�-----
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-----------------
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PS Form :00 June 2002
back � LIL mry C P-MA
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OCT 3 0 20!0E Diii -
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Morehead City pCM
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/tiyAIVER
Name of Individual applying for Permit:
Address of Property:
c t'N ll4 c_ Qg ss7z
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual f
applying for this permit -.has described to me as shown on the attached drawing the developtrtnt
they are proposing. A description or drawing, with dimensions, should be provided with thl
letter.
I have no objections to this proposal.
If you have objections ,to what is being proposed, please write the Division of! Coastal
Management, Hestron Plaza II, 151-B; Hwy. 24, Morehead City, 'NC, 28557 or call (Z 2 8b8
2808 within 10 days of receipt of this notice. No response is considered the same as no obie-coon
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, 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 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
zf
S' natu Date
Print Name /O S
Vim._ _ s� - /;7q �
Telephone Number With Area Code
Q�;- aqt, _ aqoQN
THE NT' OF THE DOCUMENT
' HAS A
ISSFROUING AGENT MM , c PRINT AMOUNT BOX AND THE RM(X'HROMIC. ABSENCE OF ESE ILL WILL INDICATE A COPY.
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PAY TO THE
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IMPORigNT . SEf BACK •
BEFORE CASHING
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PURCHASER, By SIGNING FOR DRAWE
YOU AGREE TO THE SERVICE COMPRADOR, FIRMA p
HARGE ANO OTHfR TERMS ON >HBRADORSIDf
MONEY ORDER: ADDRESS /
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Far(bault, MN MONf YGRAMPAYMENT SYSTEMS, INC.
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