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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: