HomeMy WebLinkAbout47849_BAYARD, ROBIN_20070228❑CAMA / DREDGE & FILL
GENE L PERMIT
❑New ❑Modification ❑Complete �ei
As authorized by the State of North Carolina, Departlei
and the Coastal Resources Commission in; area of ervi i
Applicant Name
Address
City State ZIP
Phone # O - cFax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ 0EA ❑ HHF ❑ 11H
❑ PWS: ❑ FC:
ORW: yes / no PNA 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
cubic yards
Boat ramp r�
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
❑ ES ❑ PTS
❑ UBA ❑ N/A
• :���°�� �1-0� 1.
49
Previous permit #
❑Partial Reissue Date previous permit issued
ironment and Natural Resources
al concern pursuant to I SA NCAC
❑ Rules attached.
Crit.Hab. yes / no
SAV: not sure yes no
Sandbags: not sure yes (-00
Moratorium: n/a yes no
Photos: yes no:
l
Waiver Attached: yes no --
A building permit may be required by: v
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City - ZIP ,:- , '2/
Phone # ( ) River Basin • C--
Adj. Wtr. Body (nat�/man /unkn)
Closest Maj. Wtr. Body
(Scale: ,c �-- )
[I See note on back regarding River Basin rules.
,•Y tl.^
Permit Officer's Signature
i-
Issuing Date
Expiration Date
Local Planning Jurisdiction
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 [)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:
❑ Tar - Pamlico River Basin Buffer Rules ❑ 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
Raleigh Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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)
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 08/09/06
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to;
Sh�Aw�� S�c�-► t.
301,21 Moc SW -TT q-'�
0GWbWV1' Y,C, awsk.'U-
A. Signature
X 0 Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
I�FCertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
l MU l 1LCoah4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7005 1,820 0004 6653 1,701
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
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Innerbanks Marine Construction Inc.
(Piers, Sea walls, Boat lifts, Permits)
Nick D'Ambrosia, Vice President
NC license # 55828
Ph/Fx 252-249-1429/252-249-2429 'B
Cell 252-671-7757
Email info@innerbanks.biz
P.O. Box 190, Oriental, NC 28571
www.innerbanks.biz
Adjacent Riparian Property Owner Statement
(TOR A PIERIMOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to Y)J 0 i tC.pAn is
ame of Property Owner
property located at lwac) -
Lot, block, road, etc.
on , in , NC
Waterbody Town and/or county
He has described to me, as shown below, the development he is proposing at that location and I have
no objections to his proposal.
I do not wish to waive the setback requirement.
k I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
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Signature
Print or type name
Telephone number
Date
http://www.innerbanks.biz/arpos-htm
1 /29/2006
<" raAR: COMPLETE THIS SECTION
�0 Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
L—aMOq Yyltm.
P.0.60)CSS-1
OCZ�01ctwl. ru..,2&5"1 >
2. Article Number
(Transfer from service label)
' PS Form 3811, February 2004
A.
X ❑ Agent
❑Addressee_ ,
deceived by (Printed Nam C. D to of D livery
D. Is delivery address different from item 1? )❑ Y'a
If YES, enter delivery address below: ❑ No
3. Service Type
Certified Mail ❑ Express Mail
r
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7005 1820 0004 6653 1695
Domestic Return Receipt
1025V,M4A-154000
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UNITED STATES PO�RLVI �•�}_C�a�"'ssr i�
age ee 7
• Sender: Please print your name, address, and ZIP+4 in this box •
P 0. BOY- no
C0C-SCII-"Ih(.2b5--)1
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
0-1:L� VA -PA 111,
P. G. 6c3k "aloha .
oYMI� r04t,VAC .a06s1 I
A. Signature
X - Agent
l Addressee
B. Received by rinted Name) D t f Deli ry
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
r
Service Type Iiii'Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 70�5 ],820 0�04 6653 168$
1 (Transfer from service label)
` PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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