HomeMy WebLinkAbout51055_KING, MICHAEL_20070912❑CAMA / ❑ DREDGE & FILL5
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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
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Street Address/ State Road/ Lot #(s)
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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
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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 %
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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
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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