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HomeMy WebLinkAbout40367_BAILEY, ROBERT_20050128FJCAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New C 1Modification _iComplete Reissue LPartlal 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 Applicant Name _ Address City State _ ZIP Phone # ( ) Fax # ( ) Authorized Agent L CW --1 EW DPTA Affected AEC(s): ❑ OEA U HHF ❑ IH C-' 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 Boathouse/ Boatlift Beach Bulldozing Other ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no r n q Previous permit # Date previous permit issued Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City Phone # Adj. Wtr. Body Closest Maj. Wtr. Body— i Shoreline Length SAV: not sure yes no - - Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no 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 # 4.. F Rules attached. ZIP River Basin (nat Iman /unkn (Scale: ) See note on back regarding River Basin rules. Permit Officer's Signature 0 r /zk:'/as Issuing Date Expiration Date A I 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: _1 Tar - Pamlico River Basin Buffer Rules Other: D 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 BROAD CREEK CONSTRUCTION 2634 PH. 252-745-4252 11 CREEKVIEW CT I66-112MI B MERRITT, NC 28556 1 /eg I 01901 $ '20o BRANCH BANKING AND TRUST COMPANY NEW BERN, NORjH CAROLINA �� 9L 0Ij3 1012 11. 1600 2634 12/17/2004 08:48 2527454253 BROAD CREEK CONSTRUC PAGE 01 BROAD CREEK CONSTI?UCTION-, WC. It Creekview Court N.C. General ContracrorS Lice rse #45686 Merritt, NC 28556 Office: (252) 745-4252 Email: flaw@coastalnet-com Fax: (252) 745.4253 Home: (252) 249-0523 .-C p- 0t5-P 12/17/2004 08:48 2527454253 BROAD CREEK CONSTRUC PAGE 02 I hereby certify that I own property adjacent to —2d 4. 'S (Name of Property Owner) property located at —R L) (Lot, 331ock, Road, etc.) on e, Q-r Pt'o r— , in _ Ck 1M �,� D • , N.C. (Waterbody) (Town and/or County) He has de= --bed to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR ]DRAWING OF PROPOSED DEVELOPMENT (To be fined in by indivfdual proposing development) IN Prins: or Xype Name Teln,?hone Number Date;— / 'e)T z 12/17/2004 08:48 2527454253 BROAD CREEK CONSTRUC PAGE 03 I hereby certify that I own property adjacent to IS (Name of Propert Owner) property located at . (Lot, Block, Road, et.c.) ' on _hLau twoe in — A�dZ N.C. (Waterbody) (Town and/or)tounty) He has described to me as shown below, the development he is proposutg at that location, and, I have no objections to his proposal. DESCP-HM0N-AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be fitted in by individual proposing development) 1 1 e 3p� I i I 1 1 1 , 1 1 rLL-e.,& e. Signature Print or Type Name —,I.'-9 00SY9 Telephone Number Darr: nL CJl%u2,00*