HomeMy WebLinkAbout47332_WIGGS, BILL_20061204Jop
❑LAMA / ❑ DREDGE & FILL'
GENERAL PERMIT Previous perm #
❑New ❑Modification El Complete Reissue ❑Partial Reissue Date previou 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_A') ,
Address--.,,-.
fV,. ( ; .
City
State ZIP
Phone # (^)
Fax # ( )
Authorized Agent
Affected L CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): 1-1 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' i t_
-/ .
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes (no
Sandbags: not sure yes �no
Moratorium: n/a yes tno
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City . ZIP
Phone # (,) River Basin .
Adj. Wtr. Body (nat /man /unk
Closest Maj. Wtr. Body
(Scale: )
See note on back regarding River Basin rules.
Agent or Applicant Printed Name a
UEE-----4 ZOO Permit Officer's Signature
Signature Please read compliance statement on b1Vl ad City DOW Expiration Date
- *ition Fee(s) Check # Local PlanningJurisdiction 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
n Tar - Pamlico River Basin Buffer Rules 0 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
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,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05�
I
NOV. 6.2006 2:11PM FAY. OTOLARYNGOLOGY
NO, 860 P. 1
NOV. 6.2006 2:12PM FAY. OTOLARYNGOLOGY
& 860 P. 2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I HERBY CERTIFY THAT I OWN PROPERTY ADJACN'ET TO
(NAME OF PROPERTY OWNER)
PROPERTY LOCATED AT____l 3 grr
(LOT, BLOCK, ROAD, ETC.)
ON ��
IN ,NC
(WATERBODY) (TOWNAND/OR COUNTi�
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATHON AND, I LAVE NO OBJEACTIONS TO HIS
PROPOS ..
r
DESCRIPTION A.ND'OR DRAWING OF PROPOSED
DEV'ELOPM ENT 70 Bs MLED EtIVIDu r
C '
signatke
ti
L
�6��r print or type name
Z o2 8 5�1�
Telephone number
ao
DATE
W
1N
11/06NOV. 6.2006 2:12PM FAY, OTOLARYNGOLOGY
NO
V. 6, 20 06 1 j ; a5AM FHT. VIULnni iruvwu 1
NNO.860 PP. 3'2 .
ADJACENT RIPPROPER y OWNER. STATEMENT
1 ('c to �w
J BERBY• CERTIFY THAT I OWN p�OPFRTY ADJA.CNET TO (ram or MOPEMY OWNM
pR-OpL;�RTY LOCATED AT C 0 3 g1e, C-
rr.oT_ BLOCK ROAD, �)
BE HAs DF-SCRIBED TO MB ks SSHOWNBBMOB ACTIONS TO HAS"MENT H� 15
PROPOSING AT THAT LOCATITON AI` [A%
o s ye f Ni^-'� 6e 1�- lam" r` s
14R-
'OR DRAWINGS Off' PROPOSED
Dg,SCRxPTION .AND �
DEVELOPMENT �iBY� L
y (�G
Nk- - �-
Loci,
WW Wi
,Dw4� F . R•%.uy;aD'
print or type name
434 39 -75--
Telephoane number
DA 11 �500�
SEP. 11.2006 1:12PM
FAY. OTOLARYNGOLOGY
NO.323 P. 1/2
2-4 �
d.
SEP 1 1 2006
"oreh
T3 City D
Cluj
�-�-- c,j G- G- S `�- 3 �-3 - is 7
I:T
SEP. 11. 2006 1 ; 13PM
Y
FAY, OTOLARYNGOLOGY
NO.323 P. 2/2
AEG �
1 ?r)nF
F r 1 -
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�\Aorehead City DCM 1
I 14ERBY CERTrFY THAT I OWN PROPERTY ADJACNET TO L•L W t W
(NAME OF PROPERTY OWNER)
PROPERTY LOCATED AT 8 3
(LOT, BLOCK, ROAD, ETC.)
ON c'A'Tt /C t ,NC
(WATERBODY) (TOWN AND/OR COUNTY)
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPIYIENT
S
PROPOSING AT THAT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS 1 �
PROPOSAL.. /V
------------------------------------
DESCRIPTION AND' OR DRAWING OF PROPOSED r/
DEVELOPMENT 90 BE FILLED IN BY n7DIVIDUAL PROPOSING DEVELOPMr3NT) 0 . e- (1 s� p i ��`` �
b� k a �G
1PkAPCGr&.At
�k rfA
i s aPp; o x
_q �tL,
9}f o v'! XxXX>
/ 6
7
J
signature
print or type name
Telephone number
DATE
ERIC PAKE JR 2671
PH.252-728-2389
NCDL 5742051
135 PAKE RD 66-1246/531
BEAUFORT,NC 28516 %
DATE
PAY
TO THE
ORDER OF L
lLy-7 ClC!,
DOLLARS
` / 1,1161 Morehead City, NC 28557 %—� �j
FOR 6! LL 1( �� t I� c/���
11200267Lii' COS31124661: 000324330
i. I
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
U-
PERMITTEE' S NAME: W ! PERMIT # �t 733,�, C
LOCATION: �$�jj�F��ZI �o`� (1� i\� FIELD REP. C�n►���1
C Mgr,
PHONE: 010) � -Dyo:5-
DATE OF INSPECTION "/ - Io--0 /
DATE REPORTEDLY COMPLETE: 04 a
1) Do themeasureddimensions of the development differ from those indicated in the permit and workplat?
YES(�`Y" [circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? O [circle one]
COMMENT:
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? Y O circle one].
COMMENT: