HomeMy WebLinkAbout45213_BULAND, DAVID_20060425\ V
❑LAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # () Fax # () Subdivision
Authorized Agent City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # ( ) River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Pier (dock) length
Platform(s) _
Fingerpier(s)-
� c.
Groin length -
number -
Bulkhead/ ra RiP P length I i L
gt � � � - I
y- l
avg distance offshore
max distance offshore
Basin, channel '- —
cubic yards } _
Boat ramp
ue {
Boathouse/ Boatlift-
ha
Beach Bulldozing . ._- .
� � I
Other
1
Shoreline Length
SAM not sure yes
no
Sandbags: not sure yes
no
Moratorium: n/a yes
no
Photos: yes
no
Waiver Attached: yes
no
A building permit may be required by:
Notes/ Special Conditions
7 A-
I I
d
J' See note on back regarding River Basin rules.
Agent or Appjicabt Printed Name Perm Offs s Signature
APR 2 8 2006
Signature Please read compliance statement on back of permit" Issuing Date Expiration Date
Mb sad v n�n�
Cft
Application Fee(s) Check# oca lanningjurisdiction 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, 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:
f _ ! 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
ADJACENT RIPARIAN PROPERTY OWNER STENIENI'
(FOR A PIER/,'MOORING PILINGSIBOATLIFTIBOATNOU-SF.)
oI- ead Gity L)GM
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at LL ly ems$ � X2:::� k V 4 >
_ (Lot, Block, Road etc.)
on ���� ►�� , in Qn.`) , N.C.
(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 understand that a pierlmooring
pilings/boatlifL!boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
_ I do not wish to waive the setback requirement.
I dD wish to waive that setback requirement.
---------------------------------------------------- -------------------------------------------------------------
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0,cblc- --sc-A-
40 a c,(-,- S'S-1 C ,
3r= o-4:'7--
Print or Type Name
2<-Z-633-V�-'d'
Telephone Number
Date: 2 �
R
ADJACENT RIPARIAN PROPERTY OWNER ST FNIENT
(FOR A PIERI,'tl00RING PILINGSIBOATLIMBOAT�}
I hereby certify that I own property adjacent to �Olt,
(Name of Property Owner)
property located at
(06f, Block, Road, etc.)
t�
on f ?- — 1 e r in I V p�,..� ,a , N.C.
(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 understand t:-iat a pier,moorin;
pilings'tx�atlitUboathouse must bL set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
lr� 1 is u Aft wish to waive the setback requirement.
l s1±2 uvish to waive that setback requirement.
DESCRIPTION A`LYOR DRAW NG OF PROPOSED DEVELOPMENT:
(To be filled in by indiriduul proposing de►•elopnzena}
1SD�'
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Signature
Print or Type Name
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Telephone Number
Date
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COL. DA VID L. ----��
PEY BIJLAND
P AND
(2�2) 626 ?>410
670 GOOSE CREEK ROAD
NEW BERN NC
28562
P/J
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66-7704/2831
08614982463 4025
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State Employees' j T
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156 ew Bern, North
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