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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_ %l"/ vr' 6C, C. Applicant Name v � I �� ( �'Yr Project Location: County_ re Address : • (_. i�� : , . e: > C i✓f- Street Address/ State Road/ Lot #(s) City }� S :i., y'''�`' State.;/C ZIP,�?-7 icy C,/ti-, l� �pr�{�,�.� { ,,.. _ q Phone # O �' %" ��'/. Fax # O Subdivision Authorized Agent �' ��.�� .wl �Q �•,- Q City 4 ZIP �✓ Yi6 ` ) 41 GA Ll 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--- ----- -- r 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 �J J Ica 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 --=------------------------------------ — -- a��a-- ----- --- � : a-0 3 �--- � - 334. F; a - � 5 SS - -------------------=--------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) 4 4117 1\1 �c� 5 ► oC_ ram' \Mpk ow �� Flo m% Corvac, AsSoC, , Zvi � � �rzo� ► S � . Signature Print or Type Name Telephone Number ate: 3- VZ -° p k 0 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 ��. 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