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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, _,_..� _-