HomeMy WebLinkAbout48495_POTTER, DENARD_20070515❑CAMA /1❑ DREDGE & FILL
GENERAL PERMIT
ONew Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the.State of North Carolina, Departm nt of Environment and Natural esources
and the Coastal Resources Commission in an area of Kmronmental concern pursuant to 15A NCAC
Applicant Name ame
Address
f R �U 1 T-��
I
S
City
State ZIP
Phone # Fax # ( )
Authorized Agent
CW
xfw �TA ❑ ES ❑ PTS
Affected
OEA
AEC(s):
ElHHF ❑ IH ❑ UBA ElN/A
❑ PWS:
❑FC:
ORW: yes / 0n6
PNA C/ / no Crit.Hab. yes / no
Type of Project/ Activity
Pier (dock) length ee
Platform(s) / :P0 A 44'
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 Len
SAV: t sure yes no
Sandbags: not sure yes
Moratorium: n/a yes no
Photos: es no
Waiver Attached: ( vesl no
A building permit may beberequired by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Previous permit #
Date previous permit issued
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
48495r
City A°o,PQ O�-j ZIP 2�d�/
Phone # ( /
) River Basin �1>l ,V
Adj. Wtr. Bodyna man unkn
Closest Maj. Wtr. Body
(Scale: )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s)
Issuing Date
Check# Local Planningfurisdiction
Expiration Date
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 [)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/ 1-888ARCOAST
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
1Ai e
WO
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easley, Gwomor Charles S. Jones, Director William G. Ross Jr., Secretary
Date ✓ 2 - 1
11 _
Applicant Nance
m1 aliiug Address
X certify that I have authortzed (agent) _L1fU lr `S' i ►L o act on my
bebalfr for the purpose of aPpiying for and obtaiumg all CAMA Permits pecemany to
instaU or construct (activity) (� —
at (location)
Ll n -7 -,A V
This certii
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX; 252-247-33301 intemet www.nocoasWmanagement.net
An Equal Oppcduraty 1 Afimiaike Action Emploter — 909E Recyd®d 110% Post Consumer Paper
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/ROATHOUSE)
I hereby certify that I own property adjacent to
property located at
on Neuse River , in
(Waterbody)
53 Salter Dr
Denard Potter 's
(Name of Property Owner)
(Lot, Block, Road, etc.)
Arapahoe / Pamlico , N.C.
(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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
- - - ---------------------- - - --------------------------------------------------------------
DESCPTION AND/OR rDRAWING OF PROPOSED DEVELOPMENT:
I (To be filled iA by individual proposing development)
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Signature
Print or Type Name
Telephone Number
Date: LJ 7
R ' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSBOATLIFTBOATIIOUSF.)
I hereby certify that I own property adjacent to
property located at
on Neuse River in
(Waterbody)
Denard Potter is
(Name of Property Owner)
53 Salter Dr
(Lot, Block, Road, etc.)
Arapahoe / Pamlico N.C.
(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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
- - ---------------------- - - - - --------- - - - - -- - - ------------------- ------ ----- - - --- - --- ---- --
DESC PTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled iA by individual proposing development) I
I
-----------------T--------��-�----�-------- --���
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Pnnt or Type Name
�j g r Q c/ J 17'
Telephone Number
Date: `S— —6--
■ Complete items 1, 2, and 3. Also complefe_..:` A
item 4 if Restricted Delivery is desired.
■ Printyour name and addres ttid�"eL'l
so that we can return the card to you. B
■ Attach this card to the back of the mailpiece,
j or on the front if space permits.
1. Article Addressed to:
0-7
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16'n eL�j IC �-7�
2. Article Number
j A Form 9911, Augu
7001. 194
Received by ( Printed"C. Dat&-M E-
>rn11�1�
Is delivery address different from i em 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
)2tertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Mefchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
011 00,25, 8.145
102595-01-M-2509
UNITED STATES POSTAL SERVICE
• Sender: Please print your name, add
NC2
r ss.Mai
f & Feeaid
— P
AY 2007 `,r s
mit No. G-10 ,
P.O. Boas we
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