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HomeMy WebLinkAbout48458_BLAIN, ANNA_20070413❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New El 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 15A NCAC_ i� n,- /6 -c� 7 and Previous permit # Date previous permit issued ❑ Rules attached. Applicant Name j-A ` Project Location: County Address - `' `? }.k>- <.- Street Address/ State Road/ Lot #(s) City �``' ;m ` State ZIP Phone # O 'i' .7 Fax # O Subdivision Authorized Agent City ZIP ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # () River Basin Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑ FC: Closest Maj. Wtr. Body 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 cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no, Sandbags: not sure yes Moratorium: n/a yes Photos: yes r Waiver Attached: yes no, A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature Please read compliance statement on back of permit" Application Fee(s) Check # (Scale: See note on back regarding River Basin rules. f � f Permit Officer's Signature Issuing Date Expiration Date byj3b1A. 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 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: ❑ 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 MAR-29-2007 09:51 From:,NC DIV COASTAL MGMNT 2522473330 To:2526336588 P.1/2 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLI,b'TIBOATIIOUSE) T llcruby certify that I own property adjacent to (Name.. of Properly Owner or Applicaid) Mailing address if different from locativil address 90_D o O„e 6,ee A— (town, state and zip) Bel 1,1 phone numbers you can be reached property loca(ed at bffo G o-ose _ (Lot, Block, Road, etc.) on t re I IJ�JI�..... , ir,. (lf ,e ��j = , N.C. (Waterbody) (Tuwn andfor County) Ile has described to me, as shown below, the development he. is proposing at that location, and, I have no objections to his proposal. I understand that a picrhnooring pilings/boatlift/boathouse rnu5t be set back a nunitnurn distance of fifteen feet (15) from my area of riparian access unless waived by me. I do not wish to waive the setback requirement, iuitials 1 do wish to waive that setback requirement. initials --------------------------------------------------------------------------------------------------------•---------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVFLOPMENT: . . (To be filled in by individual proposing development) --------------------------- --- - - ---------------------- r J ` SignaturC Print or Type None ZZk Telephone Numb& Dace;._- .� ��r� Sig, MRR-29-2007 09:V Frorr,,:NC DIV COASTAL MGMNT 2522473330 To:2526336588 P.2%2 ADJACL4NI' Itil'AItIAN I'ItOYERTY OWNER STATEMENT (FOR A PIERIAWORING PILINGS111 IATI,I FTIROATHOUSE) I hereby certify that I own property adjacent. to (None of Property Owner or Applir..W) Mailing, address if different from location address %a© 9&aw- ChQQ. /L (town, state and zip) Q1 tj 'rrk � 1. @q -1 phone numbers you can be reached at. 2 q' 3 IV? , property located at (Lot, Block, Road, etc_) (� on —T—�C/Vg R i Vje� ---, in �� Ct r Ct"� N.C. (Waterbody) Cl own an(Vor County) He has described to nee, m shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlifAoathouse rnusi. bC sct hack a rninitnum distance of fifteen feet (1.5) from my area of riparian access unless waived by me. T do not wish to waive the setback requirement. initials I do wish to waive that setback requirement. initials ------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing developrnen[) -------------------------------------------------------- --- - - - -------- --------- _ -- Sion\atu]re Pwil or Type Name �_ Tcicphane Numbbe�r Dote: ✓ ` -- f R,ICkA`C� + Avlvka Qiq.v ?00G e Lv,.c K RBI. RICHARD D BLAIR UAW ANNA G BLAIR 2721 700 Goose Creek Road New Bem, NC 28562 ���3-0�7 66-21/530 BRANCH 77620 nilriu� ,VliDE/JP, $ ctolOO WACHOVIA Wachovia Bank. N A IS _Fol_-_ -- - wachowa.con �-'^'( (/�� • "_-'t��rl".`^��`v� hT IM S 3000 2 L 91: L0 3 60 4 3 L L 788 4,1' 2 7 2 1