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HomeMy WebLinkAbout53623_FREEMAN, ROBERT_20090424II4ffAMA / ❑ DREDGE & FILL GEWRAL PERMIT *_ijkv ❑Modification El Complete Reissue ❑Partial Reissue Previous permit # Date previous permit issued_ As authorized by the State of North Carolina, Department of Environment and Natural Resources 1 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC!— ktacKecr. Applicant/Name Address Type of Project/ Activity Pier ZPlatfc Finge Groir C Basin Boat Boad Bead Othe Shore SAV: Sand' Mora Phot Project Location: County 00 A )'t n � Street Addres{{s/ State Road/ Lot #(s) -0I / Subdivision �l City ZIP Phone # (_) River Basin / Adj. Wtr. Body ' at an unkn Closest Maj. Wtr. Body (Scale: EWA Riprap length - max distance offs ore ■ J j u �{/����Ti rI ,channel I ■ ■■■ ■■ ■■ cubic yards ramp ■■ i Bulldozing 21 a- DIE N12110 jrl■��■■■■■■ Length ■■■■■■■■■■■■ ■ MEN ■■■■■■■■■■■■■■■■■■■■■■ not sure yes . .to - _ Is: yes ■ ■■MEN ®■■■�■■■■■■�■■■■■®�■Wag■■■ ■ME ■ Waiyea — A building permit may be required by: Special Conditions Agentor Applicant Printed Name Signat a Please read compliance statement :nPack permit Application Fee(s) Check # ❑ See note on back regarding River Basin rules. i Per Officer's Signature / I Ve ' Iss i ate x ti tt i �1 , Local land gJurisdiction Ro rFi a 21 CAMA REDGE & FILL __2 r. G ENERAL PERMIT Previous permit # �New "'ElModi'fication FJ Complete Reissue I] P rtial Reissue Date previous permit issued_ Asauthorized 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 LO#s attached: — Applicant Name I SU Project Location: County Street Address/ State Road/ Lot #(s) Address CityState ZIP J Phone # Fax # Subdivision City_ ZIP Authorized Agent PTS E) Cw � 7�EW El PTA S ❑ PTS Phone# River Basin Affected __I �_] lH AEC(s): [I OEA 0 1H4 1H4 IF DIH UBA [I N/A Adj. Wtr. Body E Pws: Ei FC: Closest Maj. Wtr. Body now. — / . n PNA Yes / no Crit.Hab. yes no Type of Project/ Activity (Scale: Pier (dock) length — ---- -- Platform(s) j Finger pier(s)- Groin length number Bulkhead/ Riprap length J avg distance offshore J_ -1 LTI - L max distance offshore Basin, channel cubic yards Boat ramp ._____ Boathouse/ Boatlift Beach Bulldozing Other r FT F If Shoreline! Length SAV: not sure es Sandbags: not sure yes co - - ----- Moratorium: n/a yes /no Photos: yes no, Waiver Attached: yes lino See note on back regarding River Basin rules. A building permit may be required by: 2, Notes/ Special Conditions Aje7nt W®r Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Ch ck i'Si&tur�-e 'Jssun"Date f U' _1E),0iM dn D o LocaliPlanii,4 �uri di �,,. n 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 thatthis 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 Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699- l 638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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) 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 08/09/06 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to R0'a6-RT f - f 1'r=E /nRIJ 's (Name of Property Owner) property located at Z 2 i S .n 1 1-7 y{ -7. (Lot, Block, Road, etc.) on BoGvE SouNu> ,inRri-APITiC a45KCR N.C. (Waterbody) (Town and/or County) Applicant's phone #: 2'S Z -7Z 6 `18 i q Mailing Address: z z ( S nz , Y R S : ; He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. log '4I fP,LS DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) x 15TJN61 .Z7 o Ck llF� /•FuTc!►�E sal' '�Exas`rrhl� S_cW-*JA1—L I /of 1_94 ,-� e S J Morehop— GlW-9M- ------------------------------------------------------------------------------------ (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Z Z E S ht t `Tt-i S:. Mailing Address ff Signature s-t�it City/State/Zip 7— Print or Type Name Telephone Number Signature Date Telephone Number P� zd . 2-009 Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /QpL&45RT f ka E /TzgI i 's (Name of Property Owner) property located at Z 2-1 S .Al 1 T K �✓ `7, (Lot, Block, Road, etc.) on B0c,UE 50urAi> ,in J -rj-A [T1C- FpL/iCk N.C. (Waterbody) (Town and/or County) Applicant's phone #: 2 5 Z 7Z 6 18 i q Mailing Address: 22 ( -51'�A 1 Y d S -r 1 Z. He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) _r—x I s-rlNG p a Ck RLi... i'f{tGtf�t7 Ex 15�7'1 a APR 2 1 2009 Morehead City DOM (Information for Property Owner Applying for Permit) 2-2-1 S i rt i S -z-. Mailing Address 47TL9/J7-1 C- L ,EFAco City/State/Zip z.5z 726 I Telephone Number ej -b Signature Date EXtSTInlrJ- SLht�NftLL I /O , WALeS -------------------------------------------------------- (Riparian Property Owner Information) Signature Print or Type Name �1-7 Telephone Number evZ/O 2 Date v SUNRISE CHARTERS RV ,. 2698 ROBERT D FREEMAN JR NCDL 9931aos f ��,� = � SHEILA S FREEMAN = 66-1246/531 221 SMITH ST PH. 252-726-9814r,l s, t g' ATLANTIC BEACH, NC 28512 Date Pay to the 00 :F Oriier o 6 cSi Dollars , "Al ti a g orehead City, NC 285 1:05311246D: 00013907116 _ _fvp_ 2 8 ,�...R„�....:..,�.,...,._..e..-..,...s...•,+.,.+�'"7��i�HR`A'fAE"BEiYIITIFiIL'.. - MONITORING & COMPL ION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERM ITT EE LOCATION: PHONE: �,� �� DATE OF INSPECTION PERMIT # FIELD REP. DATE REPORTEDLY COMPLETE: Do thesured dimensions of the development differ from those indicated in the permit and workplat? YES/Wo fkircle one]. 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES (90 circle one] COMMENT: 3) FUTURE MON - ORING & ENFORCEMENT ACTION: Is further investigation or enforcement action needed? YES 6 `[circle one]. COMMENT: ( (" U