HomeMy WebLinkAbout47265_FOWLER, FRANKLIN_20060922❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT '
Previous permit #
❑New ❑Modification El Complete Reissue El Partial Reissue Date previous pert
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
` `
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City ,, , . ,.� . ,- ,v
State
ZIP
Phone # O
Fax # (
)
Subdivision
Authorized Agent
City ZIP IJ
❑ CW ❑ EW
❑ PTA ❑ ES
ElPTS
Phone # ( ) River Basin �`'� ` - o
Affected ElOEA [I HHF
AEC(s):
❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body fat /man /unkn)
❑ PWS:
❑FC:
,..,
`
Closest Maj. Wtr. Body
ORW: yes / no PNA
yes / no
Crit. Hab. yes / no
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s)
Finger pier(s)
"
Groin length
number
j
Bulkhead/ Riprap length
r I
avg distance offshore
max distance offshore
_
-I-
I�
— j
---
T
-� .T_
.
-_
-j-
-
-
I
-�
h--
-
Basin, channel
cubic yards
Boat ramp
-1--
_
Boathouse/ Boatlift
Beach Ildozin
y /�
Other
-
-
-
i�,I
i
- -
0
x ❑I {i
-
- .
Shoreline Length
gt
SAM not sure yes no
- - ---
_
Sandbags: not sure yes n I
Moratorium: n/a yes Lno'
Photos: yes no
I
Waiver Attached: yes no -
A building permit may be required by:
--- ----
-- - -
-
❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
:
Agent or Applicant Printed Name Pe fficer's Signature
- --. ' SEP 2 2 2006
Signature Please read compliahce statement on back of permit Issuing Date. Expiration Date
Morehead City DCM
Application Fee(s) Check # 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 I) 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:
El 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 (910-796-7215) for more information on how to comply with these buffer 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: Fax: 252-264-3723
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(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,
Orslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to p<')L% l C;-(? is
Name of Property Owner
property located at 1 ', 110.VA h 6 k� VP D (Zy1 iz-, ,
Lot, block, road, etc.
on Y) =S2sE, q3:0C_-g , in �12i'-1.�p1'W0 , NC
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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development) j
I Ir
ne ,pt�cP pie i
STCpS btu V�- S�txc,lo , tC-cl
' Signature T�
Print or type name
, 2 �z
Te ep ohoh ne umber
Date
http://www.innerbanks.biz/arpos.htm 1 /29/2006
Adjacent Riparian Property Owner Statement
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to F_-<t;L-%1 CC? fs
Name of Property Owner
property located at 1 J , 10-,VA Yh 6 10 � : ,
Lot, block, road, etc.
on ezvor_:7 -,in lgg�ap&-PU , NC
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 do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
Description and/or Drawing of Proposed Development
(To be filled in by the individual proposing development)
i
I sins
I
C- � .)
C-
Signature
('J( L_L_iarc car
Print or type name
Telephone number
Date
I
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http://www.innerbanks.biz/arpos.htm 1 /29/2006
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INNERBANKS MARINE CONSTRUCTION, INC.
P.O. BOX 190 PH. 252-249-1429
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