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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 - � --- ----------------- avg distance offshore -T- max distance offshore �— --- -- - - - - - --.- � -- - . i � gt Y i I I 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) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---- ---------------------------------------------------------------------- 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) ))� L"V L rnC-JL) Signature Print or Type Name a5a TS - 3-1 &S' Teleph ne Number Date: 3 - SS - QLP 77 avv6z-o- jo 1.0 -!- rl - j K.cp�y'l5-53 SENCF OF THESE FEATURES: �t 00 ISSUING AGE 00 PAY TO THE --------- ORDER OF NU GOOD 0, OVER 0' 'HASEP, SIGN FOR DRAWER AC,ASER,�YIIGI'Nr yoU AGREE TO THE7AE R EVERSESIN in co CD jCATE� RECIPIENT ()0 pa 08 Thm R/DRAWER COMPANY, WF thonal Baok ISSUEINC- South conys, TRAVELERS EXPRESS WN Farlbilult, cj00 S a 31: LBo. C:, ?1-, 2 3 B8 13 11' 90 Now= 1:0q I WIIIIIIIII HAS I MICRO -PRINT AMOUNT BOX AND THE FRONT OF THE - Me At i MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] UU PERMITTEE' S NAME: Le, �a� 01 way n PERMIT # y 51 a c LOCATION: Oc-fqI-A,V Pence Roan FIELD REP. Comte t% �eau`�ovt /V C ag's p 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: