HomeMy WebLinkAbout54680_GOOSE CK RESORT & GOOSE CK LANDING_20091008❑CAMAS/ ❑ DREDGE & FILL � (�1� 4f;S `
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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:
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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
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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
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Bankof America
Personal Money Order No. 0751784
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Date OCTOBBIR 09,
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Pay To The
Order Of
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"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.
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against loss or theft, sign and complete this Money e, rawer)
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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
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10 THE ORIGINAL DOCUMENT HAS REFLECTIVE WATERMARK ON THE BACK THE ORIGINAL DOCUMENT HAS REFLECTIVE WATERMARK ON THE BACK
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