HomeMy WebLinkAbout42723_HARDY, ROBERT_20050830Y7
I -i CAMA / C1 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
Previous pe it #
Date previo s permit issued
7 rf
Applicant Name 1r°' f Project Location: County_
Address i� h ✓��'� (`' r
Street Address/ State Road/ Lot #(s)
;Rules attached.
i-
Civ' �' State ZIP S f
Phone # ( ) �� % ( Eax # ( ) Subdivision ' " + V' �' ai -f 9
Authorized Agent City ZIP_
Affected CW -7 EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
❑ OEA ElHHF ❑ IH ElUBA El N/A l� /r k
AEC(s): Adj. Wtr. Body ��� �'"'�' naL /man /unkn)
r PWS: Cl FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore_
max distance offshore
Basin, channel
{
cubic yards
Boat ramp I
Boathouse/ Boatlift
j�
Beach Bulldozing
Other
Shoreline Length
SAM not sure yes to
Sandbags: not sure yes ;no
Moratorium: n/a yes no;
Photos: yes no i =�
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
t
❑ See note on back regarding River Basin rules.
t
rernil vtricer s signature
IssuinglssuingDae " 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
F ] Tar - Pamlico River Basin Buffer Rules FI Other:
I Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Ma: ,agement 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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERAWOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to f e- HAY -A 's
(Name of Property O ner)
property located at I, 0 3, W/11Iaw �aw�s r�l/y/siZ)ry 9' ew
(Lot, Block, Road, etc.)
on uTPi1P_rS Crz&k , in 66u itiErf , N.C.
(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 un, piers ring
pilings/boatlift/boathouse must be set back a minimum distance o f f1S,') from:my� ea
of riparian access unless waived by me.
I do not wish to waive the setback requirement. AUG 9 2QQ
t/ I slQ wish to waive that setback requirement. Morehead City DCIVI
------------------------------------------------------------------------------------------------------------------
DESCRIPTION AN-D/OR DRAWING OF PROPOSED DEVELOP`IE T:
(To be filled in bY indii.-idual proposing development)
JS
NcN/ FlcmlG �� �jL/st/h� boa �iT f
r � fruNl�s i'oR li r. , �~-- ��rsfr►-� of a c
N�Nt f r-I Fi S
ram, p(AaDy -----2 R,}VJ`s
--- -------------------------------------------------------L-------------------------------------------------------
Signature
S,"L G�.1 VVill/A.W1 LET /�A1��Si �✓'.
Print or Type Dame
4` (
Telephone Number
Date: 1605
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERAVOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to IGyVt-p— is
(Name of Property Ow er)
property located at Lot 3 , 011,1t�t C RO.W is � W hilsl'
T (Lot, Block, Road, etc.) �—
on �vvrner_S Cv , in uf -rj— , N.C.
(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/boadift/boathouse must be set back a minimum distance of fiftee r; m area
of riparian access unless waived by me. .
I do not wish to waive the setback requirement. AUG 1 9 2005
I do wish to `naive that setback requirement.
DESCRIPTION ANDiOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposir.; developmenr)
p�C/S7 I n� T' oGl�f h� �OCK
04ioj
BARD c� QI1-Il465 Fob T LIFT
tiI�W o30 . ,
- —
i
_____
Signature
H oWeA �o,7eS
Print or Type Name
Z�-.�3.
Tel: phone Number
Date: Ayc , 1 1 1 7-0 0 �
ROBERT G ; IARDY
DIANE H HARDY
161 LANDS CITY NC 28557
MORENEAD
Pay to the N(rD�1�
Order of
3478
q 80-56811012
Date I I 2,00
X� Dollars °�:�,I,e
t)nitedl A ounSank
1 Warsa +ssouri
EXPENSE CODE
ci
For b� �,t
e:3t,78++'7�LOS3700
►:1OL�0563L
,,.IiN "ANIi s�