HomeMy WebLinkAbout54337_GOOSE CK LANDING_20090724rf'ZI-d /SS
❑ CAMA / DREDGE & FILL
GENERAL PERMIT � Previous permit #
New ❑Modification []Complete Reissue ❑Partial Reissu 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 1).
❑ Rules attached.
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Applicant Name
Address
e
City State ZIP
Phone # (^) Fax # ( }
Authorized Agent cco T eA�-
Project Location: County Imo_
Street Address/ State Road/ Lot #(s)
Subdivision ( ! c^,�;< t^ C"e
r
City
ZIP
Affected ❑CW J].EW f PTA pES ❑PTS Phone# ( ti ) 3- River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A �, t C nat' /man /unkn
AEC(s): Adj. Wtr. Body , .<M ( )
❑ PWS: ❑FC: ` `�
ORW: yes / no PNA yes / no. Crit.Hab. yes / no
Closest Maj. Wtr. Body [- c
Type of Project/ Activity,`, ;
n ,
(Scale: ? )
Pier
Platfo
Fingei
Groin
Boat i
Boats
Beach
Othei
Shore
SAV:
Sandi
Mora
Photc
Waiv(
P11
MIN
Ell
I
MMEMINIMEMILIMINMEM
51
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loom
MEN
MUMMIME
NEESE
IMEM
1
0
aN
Moll
MMENSUMENOMMMENE
A
NNE
0
NONE
MEE
MMIMMEM
III
ME
INNOMMON
0
ME
IMENESIONESIM
iMEN
MINEEMEMEMI
MMIMU111MM
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A building permit may be required by: �?r" �,' .. 1
Notes/ Special Conditions
ent r �lgplicant„Pran Nara �
Signature* Please read compliance statement on back of permit
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
Permit Officers Signature l
Issuing Date Expiration Date
Local Planning Jurisdiction
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, 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
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
Jul 24 09 12:08p GOOSE CREEK LANDING 2523939055
p.1
7- J- V- a f
Jul 24 09 12:08p GOOSE CREEK LANDING 2523939055 p.2
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/EOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to � o c�S � Cr �� /1JD/.C�� Is
(Name of Property Owner)
property located at
(Street Address, Lot, Block, Road, etc.)
,L c r C'�c�.,rtJ i }� N.C.
(Waterbody) (Town and/or County)`
He/she has described to rne, 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:
x I do not agree to waive the 15' setback requirement.
(inttt�alsj a'
I do agree to waive the 15' setback requirement.
(initials)
----------------------------------------------------------------------------------------------------------------=--
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To befilled in by individual proposing development)
cxkr nS
Print or e Name
0
Telephone Number
Date:
Jul 24 09 12:09p GOOSE CREEK LANDING 2523939055 p.3
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIM0ORING PILI'NGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to rl oSE X AAM J41 G 's
(Name of Property Owner)
property located at ,�2 Sd, GG o S Ct` �k �,x�rJnl�G .v F&C , PcR T >
(Street Address, Lot, Block, Road, etc.)
on C!a F_�It in e?AT' �Z" Coin Tx ,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/boatlft/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 do agree to waive the 15' setback requirement.
l itials)
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:
27 09 08:29a GOOSE CREEK LANDING 2523939055
►i-
al
NCDENR
North Carciin2 Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date 7-at 7- o %
P.1
F9F01A r r
a ILD
JUL 2 7 009
Applicant Name GooSE— 21 A1A1,y6 1-feMorehe d City DCM
illailing Addresses d o oS ti° .�,C IM10 iti1G
A�s�f- lt�,P M 2; Ale-- � �S 7 d
I certifv that I have authorized (agent) &Af7Z c V 6A6o/L-S to act on zny
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) P_UA e P oAT PA;r P . * REA1- 14C F- R04k1g611D ,
at (location) G o o s z cg-e e e A,41 N&«C3
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: wvvw.nccoastalmanagement.net
An Equal opportunity 1 Affirmative Action Employer — 50% Recycled 110% Past Consumer Paper
GOOSE CREEK LANDING, INC. 3718
252 GOOSE CREEK LANDING
NEWPORT, NC 28570 �66-30/531
Date 342
Pay to the
Order of�� p2j
Dollars
■i First Citizens
Bank
Forrstcitl�e �53 _
l:053100300i:003412266662u 03718A
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