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HomeMy WebLinkAbout34030_COLLETTE, RICHARD_20030515CJCAMA / C DREDGE & FILL GENERAL PERMIT ❑New '❑Modification ❑Complete Reissue ❑Partial Reissue 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 Applicant Name Address City Phone # ( ) Authorized Agent Affected ❑ CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State ZIP Fax # ( ) F� Previous ermit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City EW ❑ PTA ❑ ES ❑ PTS Phone # ❑ HHF ❑ IH ❑ FC: [IUBA ElN/A Adj. Wtr. Body__— PNA yes / no Crit. Hab. yes / no Closest Mal. Wtr. Body Type of Project/ Activity Pier ( Z4. r Platfo Finge Groin Bulkl Basin Boat Boatl Bead Othe Shor SAM Sand Mora Phot Waiv --- ZIP ---- River Basin /man /unkn) (Scale: •• •• •• WN i • i ,�. • I ■■■IWEE ' r MENp t■■■11. ■ ►■■■■1� ■�■■■�■� �rl.:...:..=2FA■■■■■r ■■■■■■M �I ■■■■■�•- ■o ■■■■■■■■■■■■■;■i M W■■ ■ � ■■ �amEi ■■ N■■■■■■! MI-MEE■ W1 .,. ■■■■ ■■M-N ,�vr�rc.■u�■■■■■■►�■��� .. ■■■■■ Eta Ilr'�■l1'■■��IP■� ■■■N K IAHE ■■Wiiw E PAI■■MIN 1""■■Wr■®`/■■■ME -I ' ■■■■EEK.��'�.�`�M■■■■ E.... ME.. MEEME � ■ SEMP �■., v J ■■■■■■■� ■u. A building permit may be required by: ( ; Notes/ Special Conditions ` k ,, i Ag nt or f,pplicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # See note on back regarding River Basin rules. Permit Officer's Signature Issuing Date Expiration Date 3 Local Planningf urisdiction Rover le 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, 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 howto 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 / 1-888-4RCOAST 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 RICHARD A COLLETTE 1326 JOYCE V COLLETTE 261 CORE SOUND LOOP RD ATLANTIC, NC 28511 66-152/531 CLS 252-225-0745 DATE PAY TO THE ORDER OF a -, WACHOVU Wachovia Bank, N.A. Winterville, NC 28590 -� FOR &Xl 1:0531015291: 5469 1B4453�' 1326 �1� R�• i OT i Srs�+�r, lar Si- I, SO r Tr, t t } t5111FYEf f t 1 J w s CANAL UARVIS t CREEK dock CO p s. el o '�tr ground lsspa/ ,+OOA � � `�r a td' � �= 3 ane /d9ad .� rerffps •_ t: s. low i q � Lro The ratio of precision does rOf exceed rrr-c�r of elosure ADJACENT RIPA.RLA•N PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATZIFTIBOATHOUSE) I hereby certify that I own property adjacent to �(��Ctrt1 + �c". �'��tL 's (Name of Property Omer) prom..-y located at 3 Y 7 Sty QUA k -0 r tip- �c v� � t , r� (' ') 1� 17 1(_1 (Lot; Block Road, etc.) _ �H�l��sr r�� on _ i r e- 'Are( i+5 7U O—, in �5 T KPI(T" C6Pa.i40rt N.C. (Waterbody) (Town and/or County) He has described to me, as sLhown below, the deve!opment he is propos: G_ th. L location, and, I have no objections to his proposal. I understand tha_ a pie n'rnoQrinc piiin�s boa lif--/boathouse must be se: back a minimum distance of Fl�een fw: (5*) from my area or rpanian access unless waived by me. I do not wish to waiv-- the setback requirement. I do wish to waive t::at setback recuirement. ----------------- cANA! CAP DESCRIPTI - _ 9 M LC7n5� r L, c (k s • •' r3, 76 1 r / / U. j O\ 4 4ob�c �Qr�Pr,CLIc�vlLpr e �r � �,e4 . t s h •a ` 4 ° L � p n C � , e.r. Isvrl •< f, s. � C ` l D�� Ck , • �l �s9 ,�f�o rd 7,8169r 4 r Q �� � C 1 r` sv • r 4 `r Rl Ati c c At \ o�� A ors i�Q w D ° •o rs r6 . a o S4e cfgT- 3�-(,1 5�-:>-/-2t)C)3 Richard & Joyce Collette 261 Core Sound Loop Rd. Atlantic, NC 28511 S iQnature 1l1l Print or TYLd Name Telzchone 1,umbe: T f. Z9 LU O J Date: q / -�- i �, to S%1--,9,l/7 ✓�'� puG 2 o zo03 MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: PERMIT # LOCATION: FIELD REP. PHONE: ��� DATE REPORTEDLY COMPLETE: DATE OF INSPECTION < Q 1) �Ie measured dimensions of the development differ from those indicated in the permit and workplat? _vc ern r-:--i- 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES/NO [circle one] , COMMENT: 3) FUTURE M RING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES O circle one]. COMMENT: