HomeMy WebLinkAbout45269_FLEMING, H E_200605115 ► "�-CCQ 1 w6 A
❑CJAM`u / ❑ 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 f
=Rules attached.
Applicant Name lee, i A Project Location: County �%� 41''11
Address %'�/� /�� % Gl�1 Street Address/ State Road/ Lot #(s)
City Pam, ' State ''-'� ZIP
Phone # ( ). `% % Fax # ( ) Subdivision
Authorized Agent City ZIP
Affected ❑CW ❑EW ElPTA El ES ❑PTS Phone # ( ) River Basin /'4,
AEC s ❑ OEA ' J' ❑ HHF ❑ IH [IUBA El N/A
: . Wtr. Body try/ F
ElPWS: ❑FC: I y {� 6n /unkn)
ORW: yes / no PNA yes / no) Crit. Hab. yes / no Closest Maj. Wtr. Body
Type of Project/ Activity /. 1 yG% �'�+ <L, = : a
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 �/
Sandbags: not sure yes V
Moratorium: n/a yes
Photos: yes
- — -.
- — -
Waiver Attached: yes n
A building permit may be required by:
4 i {
Notes/ Special Conditions
(Scale: --T" )
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name 6 Perm' fficer's Si ature { J
Signature "Please read compliance stateme0peJqead*t*'ity [)CMingD e � E irati nDate /
IL
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, certifythat this project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar- Pamlico River Basin Buffer Rules I_i 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
FQR-r1
OF
UPHONE/
MOBILE
DATE . ) / V TIME P.M.
TELEPHONED .
RETURNED YOUR CALL
LEASE CALL
WILL CALL AGAIN
�ME TO SEE YOU
FWANTS TO SEE YOU
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• f (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to is
(Name of Property Owner)
property located at , / `% {o / y 1.Cis c' J��� � �iy dew , r/ -
(Street Address, Lot, Block, Road, etc.)
on �,«< , in lE�, �: ��oF C`�z .— , N.C.
(Waterbody) (Town and/or County)
Ile/she has described to me, as-sbown 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 be set back a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions
I do not 'a ree to waive the 15' setback requirement.
g q
(initials) MAY - 1 Q 2 0 Q 6
I do agree to waive the 15' setback requirement.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Telephone Number
Date: ���% 0 G�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSBOATLIFTBOATH'OUSE)
I hereby certify that I own property adjacent to ,� �Z� i s s
property located at
(Name of Property Owner)
r
(Street Address, Lot, Block, Road, etc.)
on �'ce 1z i , in Af—e a f—?t L�lr s- T�y� 7L- , N.C.
(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 a minimum distance of fifteen feet (15') from my area of
riparian access unless waived by me. I have indicated my intentions by initialing below:
.I do not'agree to waive the 15' setback requirement. PIMAY
I do agree to waive the 15' setback requirement. 1 0 200E
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DESCRIPTION AND/OR DRAWING OF PROPOSED Dl8 itIty ) C �%�,
(To be filled in by individual proposing development) —�` b c Lc o
rJ ell OL
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Signature
)1�-- --t
rPrint or Type Name
_ "'7z4 -77-��
Telephone Number
Date: �'( GJ
H E, WIN FLEMING
DO: )THY V FLEMING .:, 1503
317 riolly Ln 66-21/530
Sound View BRANCH 77615
Newport, NC 28570
DATE
PAY TO THE
ORDER OF
DOLLARS a SF
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wa+cxOvra
WachOvla Bank, N.A.
wachovia.00m
FOR 1
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