HomeMy WebLinkAbout51097_BROWN, ART_20070921❑ CAMA ❑ DREDGE & FILL lk � ZI 7/,5 1'� ? 51 09 -~
GENERAL PERMIT Previous permit #
❑New. ❑Modification El Complete Reissue El Partial Reissue Date previous 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 Project Location: County
Address
City
Phone # ( )_
Authorized Agent
Affected ❑ CW
AEC(s): ❑ OEA
❑ PWS:_
ORW: yes / no
State ' `' ZIP
Fax # ( )
❑ EW ❑ PTA
❑ HHF ❑ IH
❑ FC:
PNA yes / no
❑ ES ❑ PTS
❑ U BA ❑ N/A
Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body '(nat /man /unkn�
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name f"
�.
p i
Signature Please read[codpliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature 1
Issuing Date Expiration Date F
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, certifythat 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/ I-888-4RCOAST
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
ISLAND MARINE CONSTRUCUM
1286 ISLAND ROAD
To: HARKERS ISLAND, NC 28681
252-728-3419
From:
Re: Authorization Letter
authorize
toact as my agent for the sole p se of
btaining/sing p=r2ts to perform work at
er v
AUG 2 4 2007
4y-P `oc -�' I)C lik S 3 2--
MOrIaheact City DCM
Sincerely,
Signature �f
Print Name
ISLAND MARINE CO NSTR UCTION, LLC
CUSTOM DOCKS & DECKS
SEAWALLS, BOATLIFTS, ROCK GROINS,
WOOD, VINYL & COMPOSITES
FREE ESTIMATES
THOMAS LAWRENCE OFFICE {252} 728-
1286ISAND RD 34�9
CELL {252} 725-0132
IIARKI?RS ISLAND N.C.28531 CELL {252} 241-1394
island in arineconst@yahoo.com
7Z-e- '3 V /9 7 z5-0/3 'L
CERTIFIED MAIL — RETLTKN, RECEIPT REQUESTED
DI-% ISIO� 01- COAST_ NT-�NAGEINiE T
ADJACE\T RIPARIAN PROPERTY- R NOTIFICATIONA-VAnT-R
FORM
?dame of indi-vidual applying for
Address of property: '/ o Z�2, tie k- `J h
(lot or street f street or road)
—liq ve
(city 3.
I hereby certify that I own property adjacent to the above referenced ptoperty. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
CI have no objections to this proposal.
if you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, C
boathouse, lift
must be set back a minimum distance of 15' from my area of riparian acces ;ess
waived by me. (If you wish to waive the setback, you must initial the appropriate,41
below.) 4 2001
Moret7esa Cit
�. I do wish to waive the 15' setback requirement.
Y DCM
I do not wish to waive the 15' setback requirement.
4
Signature ate
Print Name
z sz- e-/1/l i3aX
Telephone Nurnber With area Code
r]
6 Ve 'J
w ; 0L Jeor
04L'"Jiz-
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DINISION OF COAST.0 IIANAGE-vfENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIO'.NVAT�TR
FORM
Name of indis-idual applying for permit: _ �d`CiG-1 •c/
Address of property:
Got or str-t ..4, street or road)
Hficle16, /- 0"a
(city &'County)
po rt c�v�.2 -.3if�— ? {A
I hereby certify that I own property adjacent to the above referenced property. The
individual applying for this permit has described to me (as shown on the attached
drawing) the development they are proposing. A description or drawing, with
dimensions, should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of this notice. No response is considered the same as no
objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift or sandbags
must be set back a minimum distance of 15' from my area of riparian a nless
waived by me. (If you wish to waive the setback, you must initial the
below.)
AUG 2 4 2001
x I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement. M°rehead City L) CIW
Signature Date
Print Name
v
Telephoue Kumber With Area Code
A,iNGELA M WYCHE
510 JOYNER DR
HAVELOCK, NC 28532 1 239
Date ��,� 80-568/1012
Pay W the _
Order of C �`
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EXPENSE CODE
�/' UMB Bank Dollars
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For 51�j97C�
101 20568II: L239u- --""
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