HomeMy WebLinkAbout44550_BROUGHTON, STEVEN_2006030345 -q
;CAMA / 17 DREDGE & FILL 'i� 4— 155
GENERAL PERMIT
Previous rm t #
L]New L]Modification L]Complete Reissue C-,Partial Reissue Date pre viou
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 I SA NCAC
Rules attached.
Applicant Name
Address
City
Phone #
Authorized Agent
State ZIP
Fax # ( )
-1 CW ❑ EW -'PTA
Affected
OEA F HHF F-1 IH
AEC(s):
-
PWS: I I FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit. Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City
Phone # ( )
Adj. Wtr. Body
Closest Maj. Wtr. Body
r
ZIP
River Basin
gnat Iman /unkn)
Agent or Applicant Printed Name ,, 1UUb Permit Officer's Signature
Signature "Please read compliance statement on ,, jCity &We Expiration Date
Application Fee(s) Check # Local Plan ningJurisdiction Rover File Name
t
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:
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 Environmencal 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
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Eric Ellis
Marine Construction
DOCKS *SEAWALLS *BOAT LIFTS
DECKS & REPAIRS
Telephone : 252.726.6775
205 Nottingham Lane Morehead City, NC 28557
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Eric Ellis
Marine Construction
DOCKS *SEAWALLS *BOAT LIFTS
DECKS & REPAIRS
Telephone : 252.726.6775
205 Nottingham Lane Morehead City, NC 28557
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Capps Printing, Morehead City
Lee Broughton
252-247-2330 p.1
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APR 1 1 2006
ADJACENT RIPA LE4N PRDPAMW OVV?= STA
(FOR A PI MUNCOVAMM BOAT 1JM) ' h e ad L ty UcM
I haeby wtiry That I own pnaprsty a4mcat to fly( is
fhllame of •rWO
p upaty loca W at
(Lot, Block, Road, etc.)
. in Ca r+ex ei--
(Watwbady) Croy m andfar County)
He has dammed m me, as shown blow, dw devcl pit he is pn*oait at that
location, and. I have no objoetions ID bb pnWoaal. I undastaal that a pieduncomcod bam Hft
must be in back a minimum distance of fif km feet (15') from my arcs of r iparian access +mhess
waived by me.
I do Ed wig to waive the aeda* mgws+ mwt.
I ik wish to waive.that wAack n quirement.
DFS N ANWOR DRAWING OF FROPMED D .
(le be frFed JX ♦j fA&pidaad pmpaaft
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Lee Broughton
252-247-2330 p.2
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4PR 1 12006
ADJACENT RIPARIAN PROPERTY OWMM STA
(JCVRA rr�uRcov�tan sce +:� cAd ut CM
I baebg errtify 'lhY Iowa pevtarstyr ad)aoeat en- G ,S
` - Wsms of 7 waer)
(Lot. MftC]4 Rood, etc.)_ --
on . is CA r-Ferek N-C
� ?') crown at&or County)
He has described no me, as shown .bdaw. the dcvckW neat he is proposiog at dur
locad4m. and, I have rtu abj=fiam to his pmpo w. I wtdannmd that a p- Cd boat lift
must be sat back a Miaitflnm disc of fiftoaa hid (15') from my - of riparian accm mW=
waived by uoe-
I de wise, to waive thew Bedeck tzquarmeoG
I jk wish to waive d at setback nstuitersm,t.
DiSMUMM Al"WOR DRAWING OF PROPOSED D
(T'a ire~ fiir by fs PiAw p+topRM*r �isvfopwes�
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Print ar Tfjx Name
Tdephone Numbcrr
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