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Home My WebLink About47825_MOSES, MICHAEL_20070202❑CAMA / ❑ DRECSGE & FILL S 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 SA NCAC O Rules attached. Applicant Name 6SL5 Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) Fax # ( ) Subdivision Authorized Agent City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (at /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 SAV: 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 Applicant Printed Name III Signature ** Please read compliance statement on back of permit" Application Fee(s) Check # (Scale: ) F: See note on back regarding River Basin rules. PermitOffi)cer's Signature Issuing Date i 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, certifythatthis 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 complywith these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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 WA A742 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director retary Date 23 0.111-2� j /�N 2 2 2007 iV►or ahead City QCM Applicant NameG Mailing Address I certify that I have authorized (agent) T4 6 Q QjS ' q P �r Or, Cf ,%tp Fact on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity), GoQU ( OqA�—k� , at (location) L4r� -J&28 C7, !aaN Q Q L;�fLQ> M, This certification is valid thru (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to ` c,o 's (Name of Property e t Mailing address if different from location address`0 S 3S nn-,Q (town, state and zip) ••,vI head phone numbers you can be reached at S0 C(.so - � � � property located at Xv?P- 13 --Z e-11 �' � ef-74- X�� off- e S� (Lot, Block, Road, etc.) on �-P �� in �I�' �`�Z` �o ; , 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. — initials initials 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) sm CAttQ ,.0 ;?-- 7e s,-�-4 r ------------------------------------------------------------------------------- Signature Print or Type Name Telephone Number Date: www nccna�talmanaoeme.nt net/Permits/A D TA C FNTR TPA R TA NPR 0PRRTY(1WNFR.QTATFMFNT —if ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (Bulkheads and Riprap) I hereby certify that I own property adjacent tof._ c J` (Name of Property Owner or Applx¢AO)2 2 2007 A 12 4zz <-- / /2 use 5 Phone number you can be reached at a - %, WEICI City DCM Mailing address if different from location: 0 5_3 9 fe-hs-7 Property located at. (Lot, Block, Road, etc.) on 6A is i ry -,in (Waterbody) (Town an or County) He has described to me as shown below, the development he is proposing at that location, and, T have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) e/-�e 13 -251 Girt7o! /JI ew ------------------------------------------------------------------ Signature ' Print or Type Name Telephone Number Date: nccoas talmanagement.net/Petmits/ADJACENTRTPARIANPROPERTYOWNERSTATEMENTZ.pdf 01'/31/2007 09:22 FAX 252 393 9002 BRASS LANTERN JAN-30-2CO" 1C.,55 c�CI'I:INAC4C�.:I� M �"i+aGE' r{;0!509M- �A TO!30]5(3'-)('nE25 P.c &UTA CUNT RIPARIAN PROPERTY 08VKE, R Sl±1UCMEN-T *p A Fle,"dVIt"C' �fLlli'GSI O�i7 t:lF tJYQ�IT�7t? 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