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HomeMy WebLinkAbout44709_GRIFFIN, ALBERT SIDNEY_20060322❑CAMA / '❑ 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 I SA NCAC 1 Previous permit # Date previous permit issued ❑ Rules attached. Applicant Name i-.( c 4 , . Project Location: County T Address- j( [ _tA-�_ S Street Address/ State Road/ Lot #(s) City l State ZIP -- Phone # ( ) / c Fax # ( ) Subdivision [ 'ti ; Authorized Agent —" " City ZIP - CW ❑ EW 'Q PTA ❑ ES ❑ PTS Phone # (_ River Basin r Affected ❑ OEA ❑ HHF AEC(s): 6 IH ❑ UBA ❑ N/A -) i Adj. Wtr. Body, ' i n� j l '" ; (nat /man /unkn) _i PWs: ❑ FC: > ORW: yes / no PNA yes / no Crit. Hab. yes / no I�f Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length z Platform(s) ' Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel LEH 1 ` J44 (Scale: ) cubic yards Boat ramp 1 Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length ' 'Z:7 SAV: not sure no pay` Sandbags: not sure yesno Moratorium: n/a yes no 2 Photos: yeso Waiver Attached: yes ! no - - - - — - ---- - - - - ---- A building permit maybe required by: l ❑ See note on back regarding River Basin rules. Notes/ Special Conditions Agent or Applicant Printed Name Signature "Please read compliance statemc STY *' Application Fee(s) Check # 1 Permit Officer's Signature �� j " , Expiration Date Local Plan ningJurisdiction 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 consistentwith the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: [l Tar- Pamlico River Basin Buffer Rules El 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 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 fi4p k pmw)lyl At, 4- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORLYGPILIjti'GS1BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to .448e�l— S �2/`�� 's (Name of Property Owner) property located at ��'� �Ay �/e S!'L/y2iy� 1 AIG (Lot, Bloch, Road, etc.) on s�S C2 7C 'in .S/e/y 466 , N.C. (Waterbody) (Town and/or COunt�') 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 pilinQsboatlinoathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless Nvaive y me. I do not wish to Nvaive the setback requirement. I do wish to Nvaive that setback requirement. --------------------- -------------------------------------------------------------- DESCRIPTION AiND!OR DRAIYING OF PROPOSED DEVELOPMENT: � (Tv be f1le • �Id*v' tal proposing developutent) e ,}bj�oSe� �DA�LLr� - g,xli b�DS (f She �rt�r :To 64(d- ' Signature 1 Print or Type Name i I 1 — ��6 t Telephone Number Da,,e I 3-0 PC - c F mll a 1)4,KI� #WW)1,1rAA, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/1I00RI1VG PILIIVGSIBOATf IFTIBOA THO USE) I hereby certify that I own property adjacent to 4C,BL:v�., S. <' 21GFi' 's (Name of Property Owner) Property located at a� �A y /� 01y,L�4) Al G (Lot, Block, Road, etc.) on- C27C , in S%Yly.�/✓)9 , N.C. ('1Vaterbody) (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 piIingsrboathft/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waive y me. I do not wish to Nvaive the setback requirement. I do wish to Nvaive that setback requirement. DESCRIPTION AND!OR DRAINING OF PROPOSED DEVELOPtNIENT: (To be IdLvf'14valproposing development) � p ` v �i-b J�D S 2 oL i L lcS gx�� pbrDS Cd She �x '46r r�xisi o re a u7' Tb �� s. V' �. � r► --5-e /c ,- 1)4'vo2 pmzl;,).1n^/4N ADJACENT RIPARIAN PROPERTY ONVNER STATEMENT (FOR A PIERIM0ORINGPILI1VGSiBDATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to Jv"� _ ts (Name of PropertyOwner) located at 6C.� zo (Lot, Bloch, Road, etc.) on ��o , L , in , N.C. Vaterbody) (To�r•n a/or County) He has described to rne, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that ttpier/mooringpilinasboatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless wai I do not %vish to waive the setback requirement. I do wish to waive that setback requirement. --- ------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPMENT: (To belle 10ral proposing developinew) RoAI-,L I f79 v g'xlI r si �a �V1 re t L17 T 6 6�Vd, r Print or Type Namg,I.- f Telephone Number r O�Date: j l - L ALBERT SIDNEY GRIFFIN JENNIFER S GRIFFIN 5872 NCDL 2121172 9901 COLT DR 919-479-0577 Date l/I 2 4 66-30/55000 BAHGAMA, NC 27503 Pay to the Order of $ IdlJ+ r a6 ,q Al /�J Dollars FYRST CITIZENS SDD BANKNK First- kizo Bank 8 Trust Company �r'rat 1��1 Durh m, N C 27704 �f For T �� {� r 1:0 S 3 L00 3001:00 3668 3B88 S Sii' 0 S'8 7 2 GUARDIANDSAFETV BLUE DEBL