HomeMy WebLinkAbout38867_NEWTON, TIMOTHY_20040617❑CAMA`/ C DREDGE & FILL
GENERAL PERMIT Previous permit #
❑New -.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
❑ Rules attached.
Applicant Name T;r"Ic 41-tAn Project Location: County
Address i c )f o tee4e ''�'F _ Street Address/ State Road/ Lot #(s)
City .\4 4-rc, `I State ZIP T
Phone # ( a) �!2 2 - '10 Fax # ( ) Subdivision a N e
Authorized Agent 11, City ZIP
CW E EW El PTA El ES ❑ PTS Phone # ( ) River Basin
Affected ❑ OEA ElHHF ❑ IH ❑ UBA -1 N/A
AEC(s): Adj. Wtr. Body ,(nat /man /unkn)
❑ PWS: ❑ FC: i
Closest Maj. Wtr. Body
ORW: yes / no PNA yes /!`no Crit. Hab. yes / no
Type of Project/ Activity
kAJ�,, JCc k . (Scale: /V GN'E )
Pier (dock) lent h
Platf
Bulk
Baslr
Boat
Boat
Beac
Oth(
Shor
SAM
Sand
Mor
Phot
Waiv
o
F i nge
Groi
n
Bulk
Baslr
Boat
Boat
Beac
Oth(
Shor
SAM
Sand
Mor
Phot
Waiv
C�
rm(s) i
J
r pier(s) --
I !
length -,— --'r-
I j
number ( I ! !
Iavdl distanceoffshore Riprap length
max distance offshore
-� - 7.
,channel
cubic yards j_ !
i
ramp
al i
1
louse/ Boatlift
J
j
i Bulldozing
,. -- 1- - -
t f r
-- --
!
eline Length
not sure yes no� -�
bags: not sure yes
atorium: n/a yes rb� ! _ -
os: yes n
er Attached: yes no - -
A building permit maybe required by: 1 p AI J E See note on back regarding River Basin rules.
Notes/ Special Conditions d f vE ro4ac k a j(-p) 4 G-
1 /- )
,(; fFr, ci„f I �vPlw -� p1 Cvr� -,ro Itrt ,+P, M.'F r•
-N 4U
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
-RIJ If
Permit Officer's Signature
I - . 7
Issuing Date Expiration Date
Local Planning Jurisdiction
Rover File Name
A building permit maybe required by: 1 p AI J E See note on back regarding River Basin rules.
Notes/ Special Conditions d f vE ro4ac k a j(-p) 4 G-
1 /- )
,(; fFr, ci„f I �vPlw -� p1 Cvr� -,ro Itrt ,+P, M.'F r•
-N 4U
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #
-RIJ If
Permit Officer's Signature
I - . 7
Issuing Date Expiration Date
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, certifythatthis project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar- Pamlico River Basin Buffer Rules L_] 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
Fax: 919-733-1495
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)
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
01
HOLD DOCUMENT UP TO THE LIGHT TO VIEW TRUE WATERMARK i j HOLD DOCUMENT UP TO THE LIGHT TO VIEW TRUE WATERMARK
1028105 382677646 10-86/220
Pay To The Order Of Date
06/18/2004
Dollars
*ONE HUNDRED DOLLARS AND 00 CENTS
Sender
Add s
21
For
WACH
hiW(jilted Payment SystPnis ln,. Fil-j!, Not Good For More Than $1,000.00
1 (1 G , arik (New York State): Buffalo. N.Y.
111350927111 ll:022000aEal: E8003E12E7764E5ll'
I
ADJACENT �AN PROPERTY O` VNE STATEMENT
(FOR A PIERIMO'ORING PIL.INGSIBOATLIFT/BOATHOUSE)
I hereby certify that I oWn property adjacent totN�DT.f�iape yame of M caner)
�7-1' _---- ---- ---- —
property located at Road, etc.)
(Lot, Block,
�AL , N.C.
on C����� -"'^ in _ 'Town and/or County)
(Waterbody)
He naS describer) to n'e, as shown below, the development he is proposing at that location,
sa1, I understand that a pier/mooring
and, I have no objections to his p.cl�o
pi3ings✓'tx}atllft�txyathouse must be't bsck a minimurn distance of fifteen feet (15') from my area
of riparian access unless waived by me.
i do not wish to waive the setback requirement.
JUN 1 5 1004
1 dg wish to waive that setback requirement. Morehe
I)LSCRlKl-'ION AND/OAR DRANVING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-C--�--,a
o Ler
WA Li-
k
---------•-- - �.1-------- --------------------------------------------•------------
Si atur _)
Print or T pe Name
Telephone Number
Date'.--
(FOR
(F+7R A PrERiMoORrNG PILING SlaOA nIFTIBa THOUSEI
hereby certify that l awn prvper!y adjacent to �J�r' '•e ?�a�te
owner)
( jai Pr®p'
Property located at
(Lot, Black, Road, etc.? ' N.C.
oil (TOwn ttndfor Co+anty)
(�aterbodyl
the development he is proposing at that location,
understand that a Pier/mooring
He has dx.s�cribed to f1e= � shown beic�w, from m�' wrea
and, 1 have no ohjeCtions to his proposal. i
piltngs�boa tliftlboathtx0 must be set back a minimum distance of `fifteen feet (1S`)
of riparian aCCesS unless waivcsi by me,
Q na1 wish to waive the setback regLliI`CMCnt.
�� l wish co waive that setback requirelnent.
---DESCRrP'Tl0`l ANSDIOR DRAWING OF PRO
p'CSSED pE �'Ei.�3PMENT:
(TO beTilecl in by inclividuOl PrOPasing devetopn►�+te7
v� � IV1��
q� (;4.•
'�lb
-- T
JL
..........
"t,J A l-l_, —� `"'�• - ,r/� ./�7 ��-��% -- _ Print or Type Name
Telephone Number
L z .v D
Date, _,_..� _-