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HomeMy WebLinkAbout47120_MORGAN, RALPH_20061219❑ CAMA / O DREbGE & FILL GENERAL PERMIT ❑New ❑Modification El Complete Reissue ❑Partial Reissue 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 SA NCAC_ Previous permit # Date previous permit issued ElRules attached. Applicant Name (( 1(} LProject Location: County__ Address Street Address/ State Road/ Lot #(s) City State ZIP _ Phone # (_) Fax # O Subdivision Authorized Agent City ZIP Affected CW El EW 0 PTA DES ❑ PTS Phone # ( ) River Basin AEC(s): OEA EHHF ❑ lH ❑ 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/ Riiprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other w Shoreline Length SAM not sure yes no --- Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or u (Scale: ) ❑ See note on back regarding River Basin rules. Permit Officer's Signature Signature "Please read compliance stateme ( y D ng Date Expiration Date Application Fee(s) Check # 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 L j 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 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/ 1-888ARCOAST 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 Dec 12 00 00:20p Robert Overby 252-443-4205 p.1 ANQ LANDSC FAX NO, :252393OG46 Dec. 12 2cjaG 09.29p� P2 ADJACENT RIPARIAN PROPERTY 0VVnR STATEMENT < {FOR A pr.ERIMOORIJVG prI,,IAGSIBOATLIFTIBOATHOUSE) I Flereby car;ify t: at I ow:j property aciacezit to (Name of Property Owner or Appucmu) Maitinp., zddre:ss if clifferer-t frcm i;it:ati�rt address �� � ,�'�.;,�� to x n, VAte and zip) ph01le- numbers - � you can t �e reac;ed at Property iocat(-.d at DEC 14 2006 Loi, Biota, Road, etc) tit. �� M e d C _ in C'RP� cry C.� Or hea (Towu sadJor cour()) He hiu described to me, as shown belox, ,ha develo)7tlterrt he i.s rr; . t and, I have r10 ,7bjections to his proposal. I undets axtcl that a ierirno�l err rr:us; be set back a minus crni distance oI a4 I' p�s.ng a. th t;oca:ier,, fift_, r, f:et r' S P o P�n'slbaat?i%tlEipaChausr- "lai�ad by ne. ) from my area of riparian access unless do tLDt wish :o waive the setback requirement. o Ida wish to waive that setback requirement. DESCRPx'rUNANrifQR...-------------- -- -- DTiA1V1NG OFPRb CASED------- --- DEVELOPA.1ENT: _-- fTo frlCed in by individualpsoposing develvpmenr) - -__.- be F� s�a�T�p ----------- r - ( �e 4/ Print or Typc Nam }S«2 t114y1' 0 S �/ 1'elephane Nur> "Wµ nth-u..,O...... Date: /.,.! "•�� � mrrrnnrr>rm„rclaTSJAfFtJTRtDaY'�NPRrID�{}y �^-�•�`�U' r7wt�'fiA.Ma 7'�fts„n. -a r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGS/BOATLI'FT/BOATHOUSE) il I hereby czrrify that I own property adjacent to /',i'��✓�''T (Name of Property Owner or Applicant) Mailing address if different from location address 5 0 ,�F Cc u - - f=� c, r /� S t'.. (town, state and zip) phone numbers you can be reached at X / _j -. property located at� (Lot, Block, Road, etc.) I a's�4, * on��c N.C. (Waterbody) (Town and/or County) O He has described to me, as shown below, the development he is proposing at that loon, and, I have no Objections to his proposal. I understand that a pier/mooring piling s/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. initials I do wish to waive that setback requirement. initials --------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------ �i=� ------- - -y- -- ----- - _ f------------ --- ----------------� Signature bi_/ Print or Type Name Telephone Number Date: d w nccnastalmanaormrntnet/Permits/AT)IACT.NTRrPARTANPROPPRTynWNRRRTAT'FMRN'T`niP 4214 66-30l531 `Gloria 1Ki Organ 324 508 S. 4th Street Smithfield, NG 27577� ^ — Ph;919-934-3646 DATE .-. - PAY TO THE A(j� .- / Y G_� -- — - -- - - --- - ORDER OF--__--�� C. Look for: prest, not cash. Micro Print sVgnature lint, gray tYpr and Iincwrosk. First Qtizcns Bank logo on back. I(not endo �. CITIZENs BANK w . rs itizens.com M' 1:0531003001:003249400668i�' 01%21