HomeMy WebLinkAbout44756_CARR, MIKE_20060428-i CAMA / f C DREDGE & FILL
GENERAL PERMIT
a-, lNew !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 15A NCAC
permit #
✓ious permit issued_
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Applicant Name
v � I �� ( �'Yr
Project Location: County_
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Address : •
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Street Address/ State Road/ Lot #(s)
City }� S :i.,
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State.;/C ZIP,�?-7 icy
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Phone # O
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Fax # O
Subdivision
Authorized Agent
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City
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ZIP �✓ Yi6
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Affected `i Cw
CLEW
A O ES ❑ PTS
Phone # ( )
River Basin tr
G. OEA
AEC(s):
I HHF
❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body
--
I A Iy. s t t�c at;
�f �i"i_ tiFnan; /unkn)
Closest Maj. Wtr. Body
ORW: yes / no
PNA
yes /j Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length —
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel
cubic yards_
Boat ram
Boathouse/ Boatlift
Beach Bulldozing
Other---
----- --
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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
(Scale: ~�
Y~� � r � f • � Q—t7
See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permiitt Officer's Signature (� /
Signature Please read compliance statement on back of permit Issu ni g aDaD to Expiration Date
r
Application Fee(s) Check # Local PlanningJurisdiction Rover File Name
(Scale: ~�
Y~� � r � f • � Q—t7
See note on back regarding River Basin rules.
Agent or Applicant Printed Name Permiitt Officer's Signature (� /
Signature Please read compliance statement on back of permit Issu ni g aDaD to Expiration Date
r
Application Fee(s) Check # Local PlanningJurisdiction 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:
Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmen :al 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/ 1-888ARCOAST
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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AP, ? c, Z006
Robbie, Moreh6au'City DCM
My HOME ADDRESS is:
Mike Carr
209 Cascade Drive
High Point, NC 27265
336-887-2462 +---�-
45ss
We do not receive ANY mail at the Beaufort address, but it is:
2403 Front St
Beaufort, NC 27265
,AIMACENT RIPARUNT PROPERTY OWNER STATEMENT
(FOR A PIER/MOO.RIATG PILII\TGS/BOATLIFTIBOATHO USE)
I hereby certify that I own property adjacent to s
(Name of P lye,;
property located at
R 2 2006
(Street Address, Lot, Block, Road, etc.)
on (ar in a Lilt M
(Waterbody) (Town and/or County)
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections. to this proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must beset back aminimum distance of fifteen feet (15,) from my area of
riparian access unless waived by me. I have indicated my intentions by initialing:below:
1 _ I do not agree to waive the IS' setback requirement. -E
(�tials)
I do agree to waive the I S' setback requirement_c �� ��5''
(initials) • —\-. V C, a - a
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- -------------------=---------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number
ate: 3- VZ -° p k
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent
(Name of
Property located at j 2Ltt'S
(Street Address, Lot, Block, Road, etc.)
&,;V%41 'l AS�e
on inr.-,- reheadQ; Ci i�
aterbody) (Town and/or County
He/she has described to me, as shown below, the development he/she is proposing at that
location and I have no objections. to this proposal. I understand that apier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (I T) from my area of
riparian access unless waived by me. I have indicated my intentions by initialing :below:
fM �-`-� I do not a ree to waive the 15 setback requirement.
g '
(initials)
l.�l CSl'nt�� ''� .
I do agree to waive the 15 setback requirement. �i ��. L'•; r4 , k; L
(initials)
(�y.•..,.�.s.a,`C. �.de�ro.ss` �l`le�`� �,ra�.� S�-) 3"3i:. pia-�SS�I
-------------------------- ---------------------------------------------------------------------------------------- ^— —
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------------------------------------
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Signature
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Print or Type Name
Telephone Ni6ber
Date: J
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