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HomeMy WebLinkAbout47007_MONCOURTOIS, CHRIS_20061030❑CAMA / ❑ DREDGE & FALL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issu 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 ❑ Rules attached. j Applicant Name Project Location: County_ Address Street Address/ State Road/ Lot #(s) City State ZIP / Phone # ( ) Fax # () Subdivision Authorized Agent City ZIP 1 l Affected ❑ CW ❑ EW ❑ 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 1 number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel + cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length?r SAM not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no, Waiver Attached: ye J0 A building permit may be required by: Notes/ Special Conditions (Scale: ) T _ See note on back regarding River Basin rules. r�, '' >r'� V w AgentoirplicantPn Names Permit Officer's Signature UtY F head DExpirationDate Signature Please read compliance statement o c o permit Issuing ate Application Fee(s) Check # Local Planningf urisdiction 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, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: El Tar - Pamlico River Basin Buffer Rules ❑ Other: E 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 (252-946-648 [)or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 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) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 RIVED ADJACENT RIPARIAN PROPERTY OWNER STATKMIR*7006 ?_ / C3 (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) U tJ oreh "d CitpCAM I hereby certify that I own properly adjacent to —� 'e Ca r s (Name of Property Owner) property located at AV/0 "'i % OAly- (Lot, Block, Road, etc.) trr/�iiTeo�JK iQ%►'� /i iV� �` T-2 N.C. e�— , on C.Qee% in 2Ae (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/boatliftiboathouse 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) �'►, , .e, A ---------------------------sA°�e------------------------------------ ---- ---------- Signature Print or Type Nam � Ad- 393- /0�3� Telephone Number Date: /'Oh �� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at //0p &%; %-e- O,¢,& TIP;G4-5 Xje//,Q A4, C (Lot, Block, Road, etc.) on CRe.e.e , in .S7/e 7e e , N.C. (Waterbody) own 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 r' aixess unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. OCT 2 5 - - - - - - - ----------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP 1�'Tr' �►�/ ®(�M (To be filled in by individual proposing development) 'e,g(' F< �0- 3ignavire // U h � - 7 Lam. h Print or Type Name ,,26-2- .393— / 711 Telephone Number Date: 3/,2 ,�'7 fi 6� (�/44 /' i!'-!- e ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to �' k j �,p,Q; /d%iu d,8&e ''il 's (Name of Property Owner) property located at %Lo lz4i 7e (Lot, Block, Road, etc.) Z,41r e -k / e on C eK in e e , N.C. (Waterbody) (To n 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. I do not wish to waive the setback requirement. X I do wish to waive that setback requirement. O C T 2 5 zUVb DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEL EN (To be filled in by individual proposing development) rQ ®40 city oom o —---------------------------- ------------ ------ -- ------ Signature Print or Type Name Telephone Number Date: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 2AA • 11746el'e A14N caar-T%S 's (Name of Property Owner) property located at loo Glib/ / Te D,44 57e--11,4 //L , C . , (Lot, Block, Road, etc.) z,/4;72 oils Div llkgwb on C,Qee , in STD �.Q ��.e/G,e�� , N.C. (Water ody) (T wn 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. I do not wish to waive the setback requirement. I "IN I do wish to waive that setback requirement. IMF ______K I__2-_-.-2006 DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Morehead City Dom as�d S�o,ee �N 4are --------- -- ----- - --------------- Print or Type Name Telephone Number Date: /0 33 �f>4 CHRISTOPHER R. MONCOURTOIS TERRIE D. MONCOURTOIS 160 WHITE OAK BLUFFS 252.393-6693 STELLA, NC 28582 66-7404/531 7981 1010011250 7d C;-6