HomeMy WebLinkAbout45126_SWAIN, LELAND_20060427❑ CAMA / ❑ DREDGE i FILL
GENERAL PERMIT
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
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 I SA NCAC
Applicant Name_
Address
State ZIP
Phone # (`)� ` / Fax # ( )
Authorized Agent
Affected ElCW b EW V PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ElIH ❑ UBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
d7-off, /,CGS
Previous permit #
Date previous permit issuedY
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
Pier (dock) length
Platf
(Scale: )
orm s
r pier(s)
n length
number
head/ Riprap length
channel
cubic yards
ramp
h Bulldozing
elineLen h
not sure es no I
I
bags: not sure yes no
ratorium: n/a yes no
os: yes no /
- - -- -
I
- �
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avg distance offshore -T-
max distance offshore
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- - - - --.- � -- -
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Y
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Agent or Applicant Printed Name ' Per • �lf Signature
Morehead C� Y j
Signature "Please read compliance statement on back of permit" Issuing D e ;Expiration Date
Application Fee(s) Check # Local Planningjurisdicffon Rover File Name
Agent or Applicant Printed Name ' Per • �lf Signature
Morehead C� Y j
Signature "Please read compliance statement on back of permit" Issuing D e ;Expiration Date
Application Fee(s) Check # Local Planningjurisdicffon 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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
El Tar - Pamlico River Basin Buffer Rules ❑ Other:
D 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 Elizabeth City District
Mailing Address: 1367 U.S. 17 South
1638 Mail Service Center Elizabeth City, NC 27909
Raleigh, NC 27699-1638 252-264-3901
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
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 06/29/05
DOCKS • SEAWALLS
BOAT LIFTS
John Willis
Owner
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• (FOR A Pu ER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to f}-n1 /� Lg)e e 741
property located at J- 7 � z4zv
(Name of Property Owner)
A14 --
(Street Address, Lot, Block, Road, etc.)
on J�� , in 0��i(�
(Waterbody) (Town and/or County)
APR 2- 200�
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this proposal. I understand that M]P City ,, _
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of
M
riparian access unless waived by me. I have indicated my intentions by initia
I do not agree to waive the I5 setback requirement.
(initials) - -
I do agree to waive the 15' setback requirement. APR 2 1 2006
(initials)
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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66-
Signa e
x Aw, vva tt-w
Print or Type Name
6U a5Q- r7�--2�70
Telephone Number
7C Date: 3130100
T--
DCM
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to is
property located at
(Name of Property Owner)
(Street Address, Lot, Block, Road, etc.)
on , in , N.C.
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections to this 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. I have indicated my intentions by initialing below: '
I do not agree to waive the 15' setback requirement.
(initials) APR 2 I Z006
I do agree to waive the 15' setback requirement.
(initials) Morehead City DCM
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
a5a TS - 3-1 &S'
Teleph ne Number
Date: 3 - SS - QLP
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MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
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PERMITTEE' S NAME: Le, �a� 01 way n PERMIT # y 51 a c
LOCATION: Oc-fqI-A,V Pence Roan FIELD REP. Comte t%
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PHONE: DATE REPORTEDLY CONTLEI E: f
DATE OF INSPECTION 7
1) Do the _ sured dimensions of the development differ from those indicated in the permit and workplat?
YES/�iQ circle one].
COMMENT:
2) SEDIMENTATION EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? 6TVNO [circle one]
COMMENT: /✓,
3) FUTURE MONTMORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [circle one].
COMMENT: