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HomeMy WebLinkAbout30532_WAZETER, BOB_20020102CAMA / DREDGE & FILL N .532�,. 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 15A NCAC `; Rules attached. Applicant Name �,,Jo Project Location: County_ Address t �: r - . f ~'r Street Address/ State Road/ Lot #(s) city State_ AC ZIP ;. _ Phone # (_'_") :x -_ Fax # (,) Subdivision z.c • t r',. = 'l� Authorized Agent �::;L"Jl� r( ,F` - City ZIP Affected❑ CW DEW [*TA ❑ ES ❑ PTS Phone # O River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body / "', G, ' (nat /man /unkn� ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body ��'%t ! Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) - - -- - — i s Finger pier(s) __ Groin length i .— _ — .._ _ - _ - - _.�•. — i J - ___ number Bulkhead/ Riprap length - - avg distance offshore max distance offshore i 1 Basin, channel L 1 cubic yards _ _. � f` _ Boat ramp a Boathouse/ Boatlift i �� Beach Bulldozing Other `i Shoreline Length SAM not sure yes no -- _. --_ _---- _ -------_—�_—' - _ Sandbags: not sure yes no I - Moratorium: n/a yes no �t Photos Waiver .Attached: es no � I' Y Y--- — — -- --- I- A building permit may be required by: See note on back regarding River Basin rules. Notes/ Special Conditions i ` -- C, ,'� / /' , •' _ .. i I f Agent or Applicant Printed Name Permit Officer's Signature Signature Please read compliance statement on back of permit Issuing Date Expiration Date f f 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, certifythat 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: [e euse 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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 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 910-395-3900 Fax: 910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 10/05/01 I ® S e c u r i t e n h a n c e d d o c u m e n t. S e e. h a c k f o r d e t a i l PRESCOTT BROTHERS INC ,h 3Q532— 161$ 141 TARA TRL ARAPAHOE,= 28510 66-30/531 DATE 471 . r TO THE ORDER OF DOLLARS D=.. — FIRST CITIZENS-, BAD A jvK - FIrt-CilIn— Bank 6 Truu C mparry � Bayboro, N.C. 28515 _ FOR-- 11100 L6 LBil@ �:0 5 3 LOO 300�:004 7 L LO 2 54 29a' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORMG PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to &��> f 'VA- ET, � (Name of Property Owner) property located at 70 J6 (1d/''J Z b'1' (Lot, Block, Road, etc.) on ' /Lr z axe , in N.C. aterbody) (Town and/or ounty) 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ZA- d,i,edre Z j l4' IW,v,k Gd C-.t y / �i SiC4ature Print or Type Name Telephone Number Date: '/ g,11 / ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to 13�( 3 tL° 2-E7�� (Name of Property Owner) property located at 0 02/3'L NZ (Lot, Block, Road, etc.) on !SMfteg- in J �- 4 a-z- N.C. aterb y) (Town and/or Coun 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) D,. S40 d ee 0S'o Signature Print or Type Name Telephone Number Date: N) .a , ; �' `> > � C, 41