HomeMy WebLinkAbout42925_HOFT, RANDY_20051017/-
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❑CAMA /-C'-DREDGE & FILL
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GENERAL PERMIT
L"DNew
Previous permit #
❑Modification ❑Complete Reissue
❑Partial 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
'-1 /
❑ Rules attache
Applicant Name :, ji!J ' �T
Project Location: County
Address
Street Address/ State Road/ Lot #(s)
City 1, State -`,'- ZIP
Phone # O Fax # O
Subdivision
Authorized Agent % != f 'r.'<> jj
City ZIP
Affected ElCW ❑ EW ❑ PTA ❑ ES ElPTS
Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body (nat man unkn)
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab.
yes / no Closest Maj. Wtr. Body
Type of Project/ Activity t
t (Scale: )
P r (dock) length
IPlatform(s)_ A. rig 1
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse( Boatli
Beach Bulldozing
Other
I
1 ;_- —— — rT,sir —
Shoreline Length
SAY: not sure yes no of j
Sandbags: not sure es no '" - `- "- "-"'-
g y i...
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions 7 `)
Agent or Applicant Printed Nam
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
i
Permit Officer's Signature
Issuing Date 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, certifythat this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1 Tar- Pamlico River Basin Buffer Rules Other:
Ll 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:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
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
.:; ADJ�IGENl,..tti_rttite;r'i►1»�-r�r�l
S� r
(FOR A PrF_R/UNt: O YERED BOA 7.1
I hcrchv certiry that i own property adjacerrr to
(ti,Itnre OF:Property 05Ttser)�
property located at,�;� ll1C _
(Lot, Block, .Road, etc.)
on t4b
CH
(Town and, drltu)3ty)'.
He has dsc-ibeii to me, as shdu n betow, the deve!opq
it- nt he. is pro,poSixt g .at that
loc—ition, and, I Kaye no obp=[ions to his prouasa.1. I undersLan d rh�.t a pi��,t'iuttcovert� baa�:.i1%t
must be setback a mini riium distanc of FtieYrt fit (L'Y) .from nly'area or hfloa.ria,n acc--,S urtldSs
' waived by me.
I do ❑oc wish to waive ,theacrback requirement.
I do wish co' waivc Char setback requirement.
--------- T--------- --.---
DESCRIPI70 AND/0R ]DRA'W NG OF PROP05kb: DEV EL:OP'�tF'w�;' - .-
(ro bejtaed ire ov. individual pr„poszng cj,7I- +prnen0
------------------------------------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - -
st�rtatvrc —
Print or Tyj.-�. N,,,nte
7-91
T--lephone Min 'r
Datc:
p--
a
0
54
08/01/05 MON 11:14 [TX/RX NO 88141
DJ�1 c E N'1 ki. r r U A.P,F IT, .. b FE:, cc tt'L' N r
,> 'OR A P7' W UNC O VF- RED ,8t7/17" I IFT
,I hereby ecrtiEy that I own property adjacent to
property located at -
(1 ot, $iack, Road, etc.)
on ` 7_ T_ T� �� o b . rin PF q—
(W'aterbndv) 7oti �r_,�, �+.C.
( " a.ndloH ounty).
He has desc ibed to me, as shmxn below, the deve!opr,i nt he is proposing
� at that
1oc-lion, and, I rta'�c no objecdo.rls to .his; proposal. I undersrilrrd r,har a pil r/.uncoveredbo,�,f.lir
must be set lack a minimum di3tarlc_ or [i 1=1 f=t (15') ,crorrt my!ac--ci:or -ipatian c _,s ur>less
waived by me_
I AP —at— wish to waive.tllt�' scibaok re4uircmenl.
I do wish to waive that setback rerluirernent,
— ---------------------- ------------- -------------------------
DFSCR_TgTl0ri A-Nr7D/OR DRAWD G OF' PRO
POSF1)' DE E r(JP?btEST: - ------
(To be (W,-d in by indivudual �n;Fcrsing deGc�l�i���nvncJ' ;
S FE fl7i ctD i�
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7--.:leplione N�.rrnE�"I�r
Date:Q
,
08/01/05 MON 11:16 [TX/RX NO 8815]
AFMA. DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
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NOT VALID OVER $,.DOO.DD
63229369
ISSUING BRANCH
DATE :! ' _ ,
93-54 7 /920
PAY TO THE
ORDER OFRH
I:
r DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
BBQ i�1 ro y A A AND OTHER TEf SON THE REVERSE SIDE.
i AP
DRAWER: TRAVELERS EXPRESS COMP /i� NC. ---
y.r R,4k1 ER, SI RAWER
P.O. BOX 9476, MINNEAPOLIS, MN O
DRAWEE: FIRST INTERSTATE BANK, P -MT l//+
.. A�RFS. V
----- � � Y & SlAl a
lie 6322936911' 1:0920051,111:017071045109211'
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