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HomeMy WebLinkAbout40751_BAYLISS, TOM_20050203CAMA / ` 7 DREDGE & FILL M GENERAL PERMIT Previous permit # DNew liModification -]Complete Reissue ClPartial 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 0 Rules attached. Applicant Name Project Location: County Address _ _ / La Street Address/ State Road/ Lot #(s) City rIV e..G _% State ZIP b Z -------- --- ----------------- Phone # F 6 O Fax # ( ) Subdivision 'a C Authorized Agent }6 / City ZIP CW & EW K� PTA - ES PTS Phone # (- -) ---- -- _ River Basin Affected ;, OEA ElHHF ❑ IH - UBA - N/A AEC(s): - PWS: CFC: Adj. Wtr. Body __-- ----- (nat /man /unkn) ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body---''�------------ — -- Type of Project/ Activity Pier (dock) length _ -- Platform s Finger pier(s) - - --- 4 Groin length number Bulkhead/ Riprap length avg distance offshore___` I max distance offshore i. Basin, channel -- cubic yards_ Boat ramp Boathouse/ Boatlift1 Beach Bulldozing Other - -_---- -_-- Shoreline Length " v SAM not sure yes (nod Sandbags: not sure yes o, Moratorium: n/a yes 1n9 Photos: yes no Waiver Attached: yes ` no A building permit may be required by: Notes/ Special Conditions Agent or'Appiicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # (Scale: ) I Y yiV i ? i-- -- r `'See note on back regarding River Basin rules. Permit Officer's Signature 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 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: —F 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 / 1-888ARCOAST 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.nccoastaimanagement.net Revised 10/05/01 FOLEY & FOLEY CONTRACTORS, INC. 1122 MATERIAL ACCOUNT (252)636-2515 1810 OLD AIRPORT RD. _ 66-112/531 NEW BERN, NC 26562 DATE 01901 PAY ' / /� /'► THE O $ ORDER OF-- t �---------- U ' _ \ �r-----d! �1 - -- - --- (C� -- - — - ---- — DOLLARS 8 qbv- qe)A,A� BMT �j BANKING AND TRUST COMPANY / _ d-?'ANCN BERN, MTH CAROLINA �'M L FOR II110OL12211' i:05310L120:5290052L5911' �-� r�� SS+i4l�1 ilI1R"�� _••••••���' •T...�i-�is�-'i; i�l .. i-S .::':o i1 ,r`:I::.. iY.v1hW)dtiS:iN,WIG1C-W.!W. LSia1T': i.[ [::;. i'1 : : il'{...tt :.LS.:kW'..N is -.:.. ins :. LS :. ..�-.-LS:.R.-n. i-.c i�-f .. iJ 11 �. [ ...,-- i [... ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PIiINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to (Name of pr perty owner) property located at a't I (Lot, block, road, etc.) on I 2LIL (�� i . in New Bern/ Craven , N.C. (Water body) (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 understand that a pier/mooring pilings/boathfl/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTnoN ANDioR DRAWING OF PROPOSED DEVELOPMENT-WFZ1-- (to be flUed in by individual proposing development) Vow Flo �, lU Foley & Foley Contractors, Inc. Phone#: (252) 636-2515 Fax#,. (252) 636-3127 U1r 1lfiL W Mr / Print or ype Name Telephone Number and Date / —05 --0- AD3ACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A FIER/MOOJUNG PILINGSBOATLMTBOATHOIISE) I hereby certify that I own property adjacent to _K" (Name of pr perty owner) property located at 0 a lit _�_,._____��-- (Lot, block, road, etc.) on1„11 _ , in New Bern/ Craven , N.C. (Water body) (Town and/or county) He bas 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 pier/mooring piiings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requiremen t- r% I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMEN' - 6;f (to befilled filled in by individual proposing development) mow 12'. ' /, o Foley & Foley COntraciors, ruc. 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