HomeMy WebLinkAbout40719_CLARK, MARY_200501197CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
LNew !Modification ]Complete Reissue ClPartial Reissue Date permit ermit issued
P
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 Rules attached.
Applicant Name { t 'j �{. i �� 'r ��- Project Location: County
Address j .' >>�. 1��/ J.�r� Street Address/ State Road/ Lot #(s)
City �� ' 1 ` i : s i <� State ',i ZIPI�213�/)L- -
Phone # ( ) --7`�� 7 Fax # O Subdivision
Authorized Agent City_ ZIP
Affected ❑ Cw :1 Ew L7 PTA ❑ ES ❑ PTS Phone # (_ _) _ River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body _ (nat /man /unkn)
❑ PWS: ❑FC:
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)
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
SAM not sure yes
no -
Sandbags: not sure yes
Moratorium: n/a yes
i
Cn9'
Photos: yes
na
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
(Scale:
L_ See note on back regarding River Basin rules.
r ,g
Permit Officer's Signature
)I
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
Lv/-D/�8
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 (910-395-3900) 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.nccoastalmanagement.net
Revised 10/05/01
TLrq n ri l y_c_nn_— - - _. - -
3509
BLUE WATER MARINE
CONSTRUCTION INC.
PO BOX 93 66-112/531
MOREHEAD CrrY, NC 28557-0093 DATE 02301
PAYTO THE
ORDER OF
Z"moo DOLLARS
BBU
BRANCH BANKING AND TRUST COMPANY
REH AD CITY NO TH CAROLINA
FOR
0003S0911' 1:0S3101120:S2L4986S92,i'
;C l ?nn4 TIE 1 n : o AN NC n 1 v Or COASTAL MGMIN" Fj^-"` P, 03
N g 9� 1 P 1!S�a $.1 i PR OPg1 RTY O WN��,+3'pi STArY"A 1M.g'iNi
i iierC,l)y crrtiiy iilat i own property adjacent to 5!
Name 4Daop2sty Owaacaj..
prof—y'-rty locatcd at L
(trot, Block, itoad, etc.)
(Waicubod (Town and/or County) -�
-lie has described to nee as shown below, the development he is proposing at that location,
and, I have no obj3 'k'tions to his proposal.
DESCRIl"TION AND/0_R DRAWING OF PROPOSED DEVFLOPMENT
(To he -filled in by uulividrral proposing developrimew)
ic,01'q&e
q / 60:;�
/le
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�CeaVY eK-. K>
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Signature -
1 a�IK o�ki�
Print or Type Name
Telex lone NUMbCr
OCT-12-2004 TUE 10:30 At! NO D I V or C,'0ASTAI- MGMNT FAX NO4 P, 03
R]PA-10,04AN 1"-ROPERTY 0WINTIR STATEMENT
I flurcoy cvdity fliat 1 own property adjacent to V L Z 0 z,
Mirni of Owtierl
projN,-rty lccitcd at
(Lot, Block, Road, etc,)
---
(,vva1c1bo(1Y)r (Town and/or County)
He has describcd to me as shown below, the development he is proposing at that location,
and, I have no objel.,fions to his proposal.
14NCRU"TION AND/0'R DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by hidividual proposing de velopment)
e r�laGe �x !�S / 1 ��l /�JcC �,� � .�
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Slglla(LlfC
C C-t aF�
Print or Type Name
2,5 2 - 72 -L�L2-2
Telephone Nuilibor
'late: