Loading...
HomeMy WebLinkAbout34018_BEAN, PHYLLIS_20030604174-CAMA / D DREDGE & FILL S ; GENERAL PERMIT Previous permit # ❑New EModification ❑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 t4yii1•-f bl�vr• Address / o to w e J t%4 ,, City Neyien+ State d( ZIP " Phone # () " 2( - Fax # {`) Authorized Agent�'� Affected ❑ CW ❑ EW El PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Project Location: County 11014 y c r Street Address/ State Road/ Lot #(s) 41 `ice �u it f": Subdivision City N/,�w'6 ►, 4 ZIP 7 "'? G Phone # ( "�j ) �� ���� River Basin"/'" Adj. Wtr. Body f'' �` �� �` (n`at /man /unkn) Closest Maj. Wtr. Body (C Type of Project/ Activity bjit N N ' [ u (Scale: Al t^�J Pier (dock) length Platform(s)-i—f-- Finger pier(s) Groin length i I ' number I Bulkhead/ Riprap length _ avg distance offshore �_ - - — l max distance offshore �, i .- -._.� + — _ JJ L-4i fi_ — — t Basin, channel cubic yards Boat ramp Boathouse/ �oatjift I Beach Bulldozing i Other - — - Shoreline Length {_ I SAM not sure yes no I I I Sandbags: not sure yes no l• ! Moratorium: n/a yes no i Photos: yes no Waiver Attached: yes no -- A buildingpermit may be required b : 1 p y q y ` rc + C; See note on back regarding River Basin rules. Notes/ Special Conditions ! ' I t r f t ' yNf r /tit u , i h "' �ip� %t p � V- i Agent or Applicant Printed Name Signature Please read compliance statement on back of permit a� M KC C0 gv, reN•4+, Application Fee(s) Check # � rt f� Permit Officer's Signature Issuing Date Expiration Date _(0fcsV914 Local Planning Jurisdiction Rover File Name a 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 ❑ 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 (910-395-3900) for more information on how to complywith 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: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax: 919-733-1495 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-13 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) www.nccoastalmanagement.net Revised 10/05/01 JOHN W. BEAN 028015 57 6256 280155874 PHYLLIS F. BEAN 309 SOMERSET WAY PH. 252-726-9653 NEWPORT, NC 28570 DATE PAY TO THE 1. \ �'�N $ \� •GV ORDER ROOF_ DOLLA p, R5 RBC Centura ROC Centura Bank Morehead City, NBC 28557 MEM11C7rd�0 i:0 5 3 L008 501:0 280 1 5 58 w FsrF" 74no 6 2 56 Kai oil vid-1114 DRINDRUDIC DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: Address of Property: (Lot or Street #, Street or Road, City & I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. -- I do not wish to waive the 15' setback requirement. I - I -�' I A - � /- k� 'S`ignature Date 1�1-r-C C Print Name 4g,, (��/ 1),' 6 aZ, 64�3 726 6 (,JAy) Telephone Number With Area Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA THO USE) I hereby certify that I own property adjacent to S���r W �?h����� : 3�ac� 's (Name of Property Owner) property located at I.o� `� �� , (Lot, Block, Road, etc.) on `Iw , in INC. (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. 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 growsitw development) r I i -� I- l 1W '— I !—! --I - ---- _ II i _ --------------------------------------------------- Si ature Print or Type Name t) Telephone Number Date: 9/ /Vd 1 , DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit: \ Address of Property: Q,� (Lot or Street Street or Road, City & Cou ty) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. Nuve no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature Date Print Name Telephone Number With Area Code ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGS/BOA TLIFTBOA THO USE) I hereby certify that I own property adjacent to \mx V_ 's (Name of Proper Owner) property located at ��� �-1 �-c� , ��CC� �, ao4 (Lot, Block, Road, etc.) on in 1`\T Z�v' � ,NC. (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. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. ---------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: 1- be riltea lit DV U&U&UWXALaaevetvpmenq ILI Ir US - j ------------------------------- -------------------- _J� Signature Print or Type Name r Telephone Number Date: � / � J J