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HomeMy WebLinkAbout43593_CUTLER, WYATT_20051123EjCAMA / 1- DREDGE & FILL � � '14,1 GENERAL PERMIT Previous' permit P -New C.Modification ]Complete Reissue ❑Partial Reissue Date previous permit issued As authorized bF'che 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 Applicant Name_ Project Location: County Address 1 Street Address/ State Road/ Lot #(s) City___ State ZIP Phone # ( ) Fax # ( ) Subdivision ❑ Rules attached. Authorized Agent f ` F4,' City ZIP . 1 Affected [] CW C' EW -1 PTA ❑ ES [IPTS Phone # (_ ) _ ' River Basin AEC(s): ❑ OEA i HHF IH ❑ UBA ❑ N/A Adj. Wtr. Body _ (nat /man /unkn) ❑ PWS: 1.1 FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Closest Maj. Wtr. Body 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 ramp Boathouse/ Boatlift Beach Bulldozing Other 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 v 1 i tv j t. r y `7` k 5 Agent or Applicant Printed Name Signature Please read compliance statement on back of permit ** (Scale: See note on back regarding River Basin rules. Permit Officerlftgnature Issuing Date Expiration Date7�y. Local Planning Jurisdiction Rover File Name Application Fee(s) Check # 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 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 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 DEC-16-2004 THU 10:21 P.M NC DIV OF COASTAL MONNT FAX NO. 4 P. 02 AWACEi" T RIPARIAN PROPERTY OWNER s,rATENiEN-1' (I -'OR A PIAWMOORING PILINGS/110ATl.II,,T/RO.A7,110USE) 1 hereby Ce7lify that I: own property adjacent to '�jYtT-T- d- go#jj Ct( -4EK ,s (Name at' Property Owner) pcnJx;rty 1047.110(1 at _ � U L4 Lot (Lot, Block, Road, etc,) - — ort -- ��1QS}t�-t,✓ C(�.��/C --in PL-/r LI G: ll/T/ N.C. (w ,derbody) (I'own and/or County) Hl- itas dosciu)eki to j»e, as shown below, the dcve.loprnent he is proposing at that location, and, 1 have no objectwns to his proposal. r unc?e!'stand than a pier/mooring J�ilin�,s/lrt�.;tlifubo U,Jio;;s� trust be, set back a minimum disuincc oP fifteen feet. (15,) from m_y area of ripadin access unless waived by me tQ waive the setback rcquirenient. I SW wish to waive that setback requirement. ------------------------ ------------------------------------------------ DES('RIPTION ,kND!OR DRAWING OF PROPOSL-I) DEVELOPMENT:- - ---- (To lie filled in by irtrlividrull proposing development) 5-E f k-FTkc tf f- D &#o WAIVEL NF-EN1✓b -i-)Oc�, (S '-r- fl&M 9II'O IAA Cr 41 S I S a>c AJD l FlC+rl0N ONLY) ------------------------------------------------------ Sipaturc Print or Type Name Tclophone Number Date; Jl — / 7— 0 5 DEC-16-2004 THU 10:21 AM NC DIV OF COASTAL MGMNT FAX NO. 4 P. 01 A1)JA(,EN , RIPARIAN 13ROPEWFY OWNER S'rATEMENT (WR A I'Ils`R/NIOO1clN(-I'ILINC.SIBOA7111,71B(1AZIIOU,S1';') I hereby certify that I own property adjacent to -��t ± � UN (Name of Properly Owner) l)ra xxty ](Wi (Xi at _I 0 -LU I s� LA* F— ( LL) (Lot, Block, Rond, etc.) ot► r` S W �E _--_, in P M L I C U C O. ti? N.C, (Waterl)ody) (Town and/or County) fie 11,1.9 described to me, as shown below, the development he is proposirig at that location, and, I have no objections to his proposal, I understand that a pier/mooring i)ilia► ;,5IJ7()al.Ilftlbik{thatY ii-i u5t be set back a minfi-num distance of 11 fteen fCCt (15') from my area of riparian access unless waived by me. 1 do 11-01 wish to waive the setback requirement, 1 do. with to waive that setback requirement. - -------------------------------------.-.--- DESCRIY'110N ANDIOR DRAWING OF PROPOSED DEVELOP;NIENT: (1'o be filled in by individual proposing development) >E C tfE� ------------------- -------- ----------------------------------------------------------------------------------- Sign lu e - Z— /41e�z Print or T-vpc Name 2-52- z Telephone Number Datc; /0 —/ / — (f:) Pink C 4tLt-� ( ptg\Llcu GOU,R � ym�-i✓ l AYE L6 Wyatt Cutler 56-30/531 001fis Butler 472 1268 2010 tfawl Place PO 90K 736 OrieHtal, NC 28571 DATE PAY 1-0 THE Ar �/ t ORDER OF -A +L-- d e took For. Micro Itrint signaturc line. gray typc and mas�nrk. First Citir_cns Bank logo on back. II not prescnl. do not cash. FIRST CITIZENS 472 F sFCi , N.0 Bank 8 Trust Company Oriontal, N.C. 28571 ww A. td[aens- 1 —4 t-.,r�' %1' i FOR----- - ��-�'V1�3 y.O S 3 100 300so00 L,7 17 S S 238 Silo O m 2 68 R