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HomeMy WebLinkAbout51055_KING, MICHAEL_20070912❑CAMA / ❑ DREDGE & FILL5 i GENERAL' PERMIT Previous permit # New ❑Modification ❑Complete Reissue ❑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 i 5A NCAC - [PRules attached. A licant Name �, �r'' pp t-.' �-' r' 't Project Location: County Address`-) , 0 0 x , ' , L, L Street Address/ State Road/ Lot #(s) City I . :'. \J ' State ZIP��L _. Phone # (tea)" - (i: ? Fax # O Subdivision Authorized Agent ,em City ZIP ❑ CW ❑ Ew ePTA ❑ Es ❑ PTS Phone # O� _T River Basin Affected AEC(s): ElOEA ❑ 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 ■■�I■■■■■■■■■■■■■■■�■■ - �`NM■ I ONE ■■E/MI■■■■ E■■■OEM■■■mMEMs■Ep '.. '. '.. . ■C■■EM ■RLINEM M�1tlM■■ ■■■■ii■i■■■■■■■■■��■■■■■■■■■e■■■■■■■ ■■■■1■■■■■■■■■■■M■■11■■E EmmaM ■■■� ■MOM pEMMMMM■M■■■omM Mwieimi ■■■■.'■■w■M■■■■■■■n■■■M INNOMMINSOMENM■m■■■■■■E�0ME 1■■��■ ■■n■■■■■■■■■■�■■■■MINE■■■mrmi■■%■.■M.■■■ NNE ■■■..■ ■■■...■■■■.■■■............NAMEN ;m.- EMMEIMM■■EEME■■E■■■MMEMEMO■Emm ■E■I/■■■E■■■■■E■■■■■ ■■■R■■.. ■aa�il■■■■IaE■■■■■■E■■■■■■■�■M■ ■■Mmmosomom ■E ■■■■■itli�i■■■i�E■■■■M■■M■M■■■■■E■MME • MN■EM■■■■■■■■■■■■■■MEMO■■■E■■M■■M■M NMI JI=■■A■M■■■■E� �■■■■■■■■■■■MiMN■■ MEN ■ ■MEMO■■■:■EMM■OMM■■OM■■■■■■■■■■' Agent or Applicant Printed Name Permit Officer's Signature Signature Please read compliance statement on back of permit Application Fee(s) Check # 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: ❑ 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/ 1-888-4RCOAST 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 v ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to /ale-Ifp�L L Allm!' 's (Name of Property Owner) property located at Mr/ AIMS (Lot, Block, Road, etc.) 2S Z -3q3 24S' 3Y2--0(03� on CA/144 DPF OfF- %Z MWm 4L"AFeefA zw2LT N.C. (Waterbody) (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 / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) k _ I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 4 `EP 6 2007 Morehead City DC ------------------------------------------------------------------------------------------------------------------- Signature 4. Print or Type Name 2- J—Z y ?., S � S` g' Telephone Number Date: ?e49;� -"d % e r1 M� h i s 7e U er c 17 G O-e)w e �ev CA114,4 % r/�-r� 4t- �77u� Xe. �t A`E P %/lVt � � 2 LE MOre.hPad CitV ACM 0 CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Ai Name of individual applying for the permit: / JCCfi,&C_ L L k/Ir, & Address of property: ID47i r W1E 0/1-1- (Lot or street#, street of road) Mailing address: <A/1 16 (City & County) Phone number you can be reached I hereby certify the 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 devel ent they are proposing. A description or drawing, with dimensions, should be provi whit 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 the 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 riprap access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) -I do wish to waive the 15' setback requirement not wish to waive the 15" setback requirements Signatgre Date tan iffr Print Name Telephone number with area code k� SEP F 2007 DCM www.nccoastalmanaLement.net/Permits/P,iDarianSetbackWaiver.Ddf SEP cit I/ ocy, SEP-10-2007 07:10 AM MICHAEL L KING 252 393 7788 P.- ,a �jt- 1 Y� �XC� vet► Onl {Ifilt..uM � cto l � , 17 17 ,� �' r - �. f -. Pt`vp�n' v�ioa �k gyp' 0 ?fo a . y "Af /, 1"AV PsAA!ie -^— 0 i MICHAEL L. KING LELA P. KING PH. 252-393-1317 .66-30/531 517 NEFTUNE DR 'Date CAPE CARTERET, NC 28584 Pay to the Order of /y/1- $ -Dollars N/ 4, fABRST CITIZENS BANK www.firstcitzens.com For �/4!'U%/� �P/- - - - ---- - -- - ";r 1:0 S 3 L0030Di:0034 1 ? ? 78 6 7 Sill 03092