HomeMy WebLinkAbout32918_BOWMAN, CLARK_20021114CAMA / DREDGE & FILL C,
GENERAL PERMIT � 'aril
Previous permit #
i-JNew Modification 'Complete Reissue CPartial 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
J Rules attached.
Applicant Name (to Z 60wMo"
Address I'll Rl,,+f It,rco 1) vt
City__ AlFwTri
State 41 ZIP 79 S7tP
Phone#(=) 2Y0-Cv15t
Fax #( )
Authorized Agent 'k`,. f'
--
Affected ❑ CW ❑ EW
p PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA G HHF
❑ !H ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: �es// no PNA
yes / 66 Crit. Hab. yes / nc
Project Location: County ,, . rr ,
Street Address/ State Road/ Lot #(s)
, U
Subdivision
City Ahc r4, t — ZIP 7t7i'
Phone # ( ) River Basin ^`�' -I rP
Adj. Wtr. Body__ / (nat /man'/unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity ah 4 �, j t S 3 �� r =u - a
(Scale:
Pier (dock) length
Platform(s)
Finger pier(s
Groin length
numbe
Bulkhead/ Ri
avg dist
max dis
Basin, chann
Rip
cubic y
Boat ramp
Boathouse/ E
Beach Bulldc
Other -
Shoreline Le
SAM ,
Sandbags: t
Moratorium',
Photos:
Waiver Atta<
r
14
i I
i
lengthtL
ance offshore u
tance offshore _ _r.... _- -- .. i h �L VI-1
trds
oatlift !v:,+
—
zing
igth l t
of sure yes no
I I _
of sure yes no
_J
n/a yes no � I j i
yes no
hed• vac n,, I I
A building permit may be required by: r jP, r �C. (t1kl4fr n Q f h rt
Notes/ Special Conditions t// /` I; w ,, k ry c+. + /4-6 � < plait- f 1,
/ P ` A- ..� relit 41-1N_
Agent or Applicant_ Printed Name
Signature ** Please read compliance statement on back of permit
V11.t-cy ti'I(s
ADDlication Fee(s) Check #
❑ See note on back regarding River Basin rules.
, It
Permit Officer's Signature
.. , y f Z r./y (j
Issuing Date Expiration Date
(4, 4y> : f (c 7 C 114 ?c,4
Local Planning Jurisdiction Rover File Name
I
A building permit may be required by: r jP, r �C. (t1kl4fr n Q f h rt
Notes/ Special Conditions t// /` I; w ,, k ry c+. + /4-6 � < plait- f 1,
/ P ` A- ..� relit 41-1N_
Agent or Applicant_ Printed Name
Signature ** Please read compliance statement on back of permit
V11.t-cy ti'I(s
ADDlication Fee(s) Check #
❑ See note on back regarding River Basin rules.
, It
Permit Officer's Signature
.. , y f Z r./y (j
Issuing Date Expiration Date
(4, 4y> : f (c 7 C 114 ?c,4
Local Planning Jurisdiction Rover File Name
I
10
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 (910-395-3900) 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:
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-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)
www.nccoastalmanagement.net
Revised 10/05/01
CLARK BOWMAN L��-3Z66-85/531 5276
JENNY BOWMAN 057407355088
BOX 864 PH. 919-550-0438 nnT'e ,,,///
PAY TO THI_
_ KBC
Centura
RBC Cenlura Hank
Glaylon, NC 27520
NIFM(
1:0 5 3 1008 501:0 5 7 40 7 3 508
PREMIER
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DOLLARS 15) w ��
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Postage
$
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Certified Fee
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Return Receipt Fee
(Endorsement Required)
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Restricted Delivery Fee
(Endorsement Required)
Total Postage & Fees
VSPS
$
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Sent To
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Street, Apt. No.; ,�
or PO Box No.
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State, ZIP+ 4
PS Form :11 January 2001
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UNITED STATES POSTAL SERVICE Fftt-Class Mail -t•
111111 PostageLISPS & Fees laid
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
■►
. ZENDER: COMPLETE THIS SECTION _I►
■ Complete items 1, 2, and 3. Also complete WS�—na.'•❑ Agentitem 4 if Restricted Delivery is desired.■ Print your name and address on the reverse C. Date ofDef very
so that we can return the card to you. Pri d e)
■ Attach this card to the back of the mailpiece,
or on the front if space permits. ❑ Yes /
D. Is delivery address different from item 1?
1. Article Addressed to: If YES, enter delivery address below: ❑ No
t':�"" J 14 2002 6 61(A &Y d yl
700
e Type �/��� N C
rtified Mail ❑ Express Mail
gistered ❑ Return Receipt for MerchandiseL
ured Mail ❑ C.O.D. C) ;?
� 4. Restricted Delivery? (Extra Fee) ❑Yes FIRST
OCHORIZON�.iW- Artiple Number p 517 8 0 3 7 6 2
(Transfer from service,,,. 7 D 0 2 0 4 6 0 p 2 2 HOME LOANS
PS Form 3811, August 2001
Domestic Return Receipt 102595-02-M-1540
1t�!_t'riirur IT '•��'�+.`1 x' l tiV i R ���'. i,�'�i t�t*Y i
(FOR A PIERIUNCOVERED BOAT IF0
I hereby certify that I own property adjac: nt to L—. QICLY. lie.1�'��(4� 's
aue of Property 0 nee)
property Iacated at
-�r... (Lot, Block, Road, etc.)
on
(ii aterbody) (Town and, or Cou )
k_ He has described to me, as shown below, the deve!opr�ent he is proposir; at that
location, and, I have no objtions to his proposal. I understand r�fiat a pier/uncoverer' boat lift
must be set back a minimum distance or Ctfteen feet (I5') from my urea of riparian acc.: ss unless
waived by me. !
I do not wish to waive the setback requirement
I do wish to waive that setback requirement.
ri..r-------------------------------------------------------------------------------------------- ----------------
DESCRIMON A-ND/OR DRAW
OF PROP05Ell� DES ELOP'�IEr T:
(To be filed in bv indiyiuc! p,�pcsng �erei�pment)
i
I
W'\�-v2vz-' z:cl CA- -V -�V sc
C�
---------------------------------t--------------------------------------------------------- ..--------
Sign'aturV !
Print or T �2 Name
z 3 �73 -325-6
eleph e Numb r
Date:
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property:
S( ( /3/LA-A-
(Lot or Street #, Street or Road, City & County)
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 aive 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
r
!�,] 1� C l NT RjJeAIUt 2N P x,0---)I� DNrat' x � tii�N� � A., �'.F�i
F: t (FOR A PIERIUNCOVERBD BOAT 4IFI)
I hereby certify that I own property adjacent to JL� 's
(-.N aie of Property O vner)
--
property located at Lccl�'S1: �✓l� _ -✓—r .--
(Lot, Block, Road, etc.)
on in N.C.
(Water —body) (Towu and,,or ount
He has described to me, as shown below, the deve!opr;ient he is proposiv at LFat
location, and, I have no objections to his proposal. I understlnd �Iiat a pier/uncovere�'. boat lift
must be set back a minimum distance of fifteen fe~t (I5') from my !area of riparian accr-ss unless
waived by me.
. ! t" ' 1 1 A'?010..E
I do not wish to waive the setback requirement.
-- .
I do wish to waive that setback requirement.
DESCRIPTION AN-D/OR DRAW -LNG OF PROPOSED DEVELOP'NIEST:
("To be fined in vy in-dividual p,—.pcsng dr:ef�pment)
-----�-- ,------- . - --
Signature W))Aw C.
Print or Ty-jy° Name
Telephone Ntrn
D ter �c.1 a, R 2-00 ),
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