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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 03Vurv13Nn N30N3S 0liVMUDA 01 318VNn - bnla V SV 31OV83AI130 ION ❑ is /u38WON N3(ls ON ❑ N a3H1.0l MONX ION 031dW31IV ❑ SS3a00V IN31313jf1SNl ❑ �L` I 0O d U O'd \Q- G-Sb096000 G9sHz `IOL.T E999 h000 029T 500z. y �•�� 3G^G 71. �.133 CS -f, � ct v 0 aTe-n-rpt Ac, 4 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) i i 1 , a PYG(2 . � i `gi pq ,S iT7j5!C ;CS CCU ; J l ' _ y _ L�rirTt-►ls SI-� { - \ -. 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 {���tp �y aMy �r(,+rr�ttH y�mH,arw.V }} } umrF nx. !tr.ii4tt7i1w 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 • 7 aK �cto & c2v&v--mak, ✓I( . 0�!;� i