HomeMy WebLinkAbout46008_BRINSON, ROBERT_20060623"r
'❑rCAMA / ❑ DREDGE & FILL
GENERAL PERMIT Prev-lc ispermit#
[-],New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous ermit 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 15A NCAC
❑ Rules attached.
Applicant Name t G Project Location: County
Address-
Ci
J''
StateN ZIP
Phone #
O ` / `
Fax #
,�
Authorized Agent p !%
� / -"
Affected
❑ CW ❑ EW
&lFrTA ❑ ES ❑ PTS
AEC(s):
❑ OEA ❑ HHF
❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑FC:
ORW: yes / no, PNA yes no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platfo
Finge
Groin
Bulki
Basin
Boat
Boatl
Beac
Othe
Shor,
SAM
Sand
Mora
Phot
Waiv
Street Address/ State Road/ Lot #(s) C c=
Subdivision
City _ ZIP
Phone # ( ) River Basin /j ,'( -
Adj. Wtr. Body' ` ` ' �'" nat `' man unkn
Closest Maj. Wtr. Body
(Scale: V `' ° )
Ti
j
r pier(s)
length
I
-
number
ead/ Riprap length
avg distance offshore
max distance offshore
-
❑
j
t
i
i '
t�
i
._
i—L
_
channel
l
1_
-
i
1
cubic yards
-amp
--�
ouse/ Boatlift`
i Bulldozing
kr
II
�
I
-
--
I
` -
..s
dine Length
not sure yes no
�•
_
1
I
_
I
>ags: not sure yes
torium: n/a yes (no
>s: yes no:
w Attached: vas no
�:..
J /
A building permit may be required by:
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name JUIN 2 y 2006 Permit Officer's Signature
Signature Please read compliance statemen kof per ty issuing Date
VI
Application Fee(s) Check # Local Planningjurisdiction
,'j --') ? u6
Expiration Dat
6���,/
Rover File Name
or
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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Other:
:I 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/OS
ADJACENT RIPARIAN PROPERTY OVVNER STATERZENT
(FOR A PIERJIIIOORING PILINGSIBOA7UFFIBOATHOUSE)
I hereby certify that I own property adjacent to lko b-e .* 891 n/ S D A% s
(Dame Of Property Owner)
property located atcc rv�'
dlot, Block, Road, etc.)
,
on 2l CAS ReP�� , in
, - N. C.dy(Town and/or County)(WWaterbo
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/boattift/boathouse must be set back a minimum distance of fifteen feet (15') fmm my area
of riparian access unless waived by me. -
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
AESCRXPT ION A..N�/OR DRAZiIiG OF PROPOSED DEVELOPS EN-n
(To he flUed in by inditidml proposing development)
(Z1'cb s CQee"k..
6
0\1jn�f �1
p�(/ �
-- 01-fii
Signature
Print or ype Name
Telephone Number
01/21/2002 20:24 6783362500 ATHEROGENICS PAGE 01/01
Jul 05 06 11:37a Bob & Missy Baskervill 252-249-353"I p.l
AAJACEW X2II'AR A,N PROPERTY OWNER SrATEMT,,Mr
(FOR A PIERIAfOOIUNG PILINGS/BOA77JFT/BOA r-HOUSE)
I hereby certify that I own property adjacent to o /Z � S a ,J -
s
(I�amc dt Property Owner)
property located at-_- Lo+
a'01, B)oek, Road, etc.)
on '\ 1 C-c S /
(Waferba�dy) Q� m � (Town ndlo d , N.C.
(T r County)
He has described to me, as shown below, the development he j;r,oposing at that
location, and, I have no objections to his ptoposai. I understand that a pier/mooring
pilings/boatlift/'boathouse must beset back a minimum distance of fifteen feet (15') from my area
Of riparian accM unless waived by me_
I do not wish to waive the setback requirement
I do %%,jsh to waive that setback requirement.
DESMIMON AN'DjoR DRA)&,UgG OF PROPOSED DEVEIAP,%jET'T:
(To be filled in by indiridual proposing deveJ.opmenq
ST iQ "o,
, /l - ds
-------------_,- --------------------
-----_------- -----_------- --- y� - �
Signature '
Chat�/r-s �y�
Red- A� Prim or Typc Name
Asa _a�g� 3 53 7 7'+0 • �i,4I-C113fj40-43Y-oz(a r
rN b Telephone Number
1
J
RDB; LLC 1093
384 BEARDS CREEK RD
ARAPAHOE, NC 28510-9554 Date �' `� efi-11Z901
01901
Pay to the J� / d 6
Order of /
Dollars 8 ��
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BRANCH BANIONG AND TRUST COMPA V BANKIN
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NEW'BERN, NORTH CAROU
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