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HomeMy WebLinkAbout54680_GOOSE CK RESORT & GOOSE CK LANDING_20091008❑CAMAS/ ❑ DREDGE & FILL � (�1� 4f;S ` -� - GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued j As awthori•fed 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 ❑ Rules attached. Applicant Name ~ Project Location: County Address -) _ ) '•_/� Street Address/ State Road/ Lot #(s) City State71- ti= ZIP= -s Phone # (; ... , ; �"`" `Fax # ( ) Authorized Agent Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ❑-EW ❑ PTA QES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: ORW: yes / no PNA yes / no Type of Project/ Activity Crit.Hab. yes / no Subdivision City ZIP,i Phone # ( ) J I River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale: ' i �: 1iin1 NA N :■:::■■:::::■.' .... -VA - . 1101111111101 NONE a FLM ■ail■1>,��*.■■��■■■■■■■®■�■�l•n�wnl�r�■.�1 ■� 1JEWs� �VI1■■ f ■■■■■ ■ ®■■ ■■fi�,�l�/■�/!ram■■ �� IS LATHES WOMEN]m m:::moi=� CMM■' :'■::WIMI ■■■i.■ 16'Gi■.■'�....■■......■!■■■.... �l�ili. ...�. 10` #■:■■■■■M...■_■■■■■®■:■■.� .. • :■I� MIN ■■■�1�■■■■■■®.N■■ ■■■■■■®■■■^■� ` ItIISM k11�1� ■■■■■■■■■■■I/.!�JL`i�'�J/alic►'.>Qlr C� LN �■■■■■■■■■■ii■YIti ■■■■ INN— m■■ ■■ ■MEM■■ ■= 'rlG!P! IMPAIIIIII v �i■■■N 7 110ifX 110 ■0■:■■■v■■: � ■■ ®■■ire■■■■wmomm■ ■■■■■■■■■ ■m -��.■■■■■■■■■■■■■■■■■■■■■■'' rA Duuamg permit may De regwrea Dy: Notes/ Special Conditions VO r �n . J Agent or Applicant Printed Name „y Signature Please read compliance statement on back of permit _ 46'797'`� Appli&tion Fee(s) Check # u ,ee note on DacK regaramg raver rsas,n rules. I The time period requirement for this Yllct f development is suspended until 12-31- t 6L 1 1,2010, pursuant to Senate Bill 831. The Permitofficer's signature -effective date of expiration for this C/ permit is Isswng Date _ —T 1TtloDat Local Planning Jurisdiction Rover File Name a 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 [)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 ❑ 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (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 CT-07-2009 07:31 AM BROOKSDREDGING { 2525044744 IT : - }�'fx P.01 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PiERImOORING PIL.INGSBOATLIFTIBBO�1 Tff * t+P � hereby certify that I own property adjacent top(_�bLS �,� �� � _ (Name of Property Owner) property located at -3f3b -Pff-cF )\IC 0 C 2525'70 (Street Address, Lot, Block, Road, etc.) oil inCl r (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 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 by initialing below: I dQ n9t agree to waive the 15' setback requirement. (initials) I dg agree to waive the 15' setback requirement. (initials) DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by Individual proposing development) Signature Print or Type N 141 Telephone Number ` Date; CT-07-2009 07:31 AM BROOKSDREDGING 2525044744 P - 0 1 ADJACENT RIPARIAN PROPERTY OWNER • STATEMENT (FOR A PIERIMOORING PILINGSIBOATLI��TIBBOf11 THE U, I hereby certify that I own property ac jacent to is (Name of Property Owner) ro located at p p rtY (Street Address, Lot, Block, Road, etc.) �v � Oh --��_s'_ �'x \� in L � r _\e_v � -� < <,� ` v `` , 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 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 by initialing'below: I do -not agree to waive the 15' setback requirement. (initials) I dg agree to waive the 15' setback requirement. (initials) -----__ ,.---- ---------------- --------------------------- —---- --_-_.-..----- ----------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT; (To be filled In by Individual proposing development) Signature Print or Type Name Telephone Number Date; _i 60:5"C 64eek FW 5o,A. ARe A B ci low 300 X 3 o °,Y y-Oo ce' yds (,G `X 2.5� Stg i ek Yd s 0(1/ Be #l,444 o 1 Bankof America Personal Money Order No. 0751784 Nr ID AFAk Y" S� 90'DA HERALD 1 Date OCTOBBIR 09, x & 200,9 4� 'z Pay To The Order Of *40a. o. "FOUR RUNDRID DOLLARS AND 00 CENTS** Not Valid Over $1000 154�w SigwitumOfPurc, er (Drawer) Bank of America is not liable for lost or stolen MoneyOrders. For your protection Order as soon as possible. LC&s g against loss or theft, sign and complete this Money e, rawer) n n - I — , —C—, 0 Name Of Purch Bank of Arnerica, N.A. San Antonio. Texas 6200200 00021 000751784 .Address 70 Ilm 0 7 S L 7 a 4 I'm 1: L L t. D 0 0 0 L 9 1: 00 L V31, 100068 6 11@ 10 THE ORIGINAL DOCUMENT HAS REFLECTIVE WATERMARK ON THE BACK THE ORIGINAL DOCUMENT HAS REFLECTIVE WATERMARK ON THE BACK 1r