HomeMy WebLinkAbout54347_GUALTIERI, TOM_20090803r-i CAMA / 1:1 DREDGE & FILL
GENERAL PERMIT Previous permit #
DNew DModification El Complete Reissue UPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural sources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
M Rules attached.
Applicant Name TC M
Address
City State ZIP 2
Phone # Fax #
Authorized Agent i
Affected U Cw El EW 0 PTA
AEC(s): [I OEA El HHF El IH
0 PWS: 0 FC:
ORW: yes / no PNA yes / no
Type of Project/ Activity
Pier
Platfo
Fingei
Groin
Bulkh
Basin,
Boat i
Boatl-
Bea&
Othei
Shore
SAV:
Sandt
Mora
Photo
waive
Project Location: County
Street Address State Road/ Lot #(s)
A
Subdivision
City
ZIP
ES OPTS Phone # River Basin
El UBA 0 N/A
Adj. Wtr. Bod (hat /man unkn
Crit.Hab. yes no Closest Maj. Wtr. Body —
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nax distance offshore
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ouse/ Boatlift
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A building permit may be required by:
Notes/ Special Conditions
I ent.dr Applicant Printed-bLwne— I Arl
<
Signature Please read compliance statementon back of permit"
Application Fee(s) Check #
See note on back regarding River Basin rules.
Ck
Permit Officer's Signature
Issuing Date Expiration Date
Local RanningJurisdiction 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, certify that this 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 Mail
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
u
d SENDER:
W
■Complete items 1 and/or 2 For additional services. I also Msh to receive the
■Complete items 3, 4a, and 4b.
m
■ Print your name and address on the reverse of this form so that we can return this fOIIOWing services (for an
card to you. e)rra fee}:
j
�
■Attach this form to the front of the mailpiece, or on the back if space does not
permit. 1. ❑ Addressee's Addrk
r
2. ElRestricted Delivery
■ he Return Receipt wishow to whom the article wasldelive delivered and the date
c
o
delivered.
Consult postmaster for fee.
o
3. Article Addressed to:
o
7009 0080 0001, 5491 86.
Vr2�:� its r 2 _____— -----
gb._Service Ty---
pe
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C7 Registered ❑Certified
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o
❑ Express Mail ❑ Insured
��, ❑ Return
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Receipt Merchandise ❑ COD
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7. Date of Deliv
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p
5. Received By: (Print Name) ! c
8. y /�
Addressee's Address (Only if requested
;.
w
oc
and fee is paid)
c6.
Signature*, ddressee orAgenf
t
t—
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PS Form 3811, December 1994 102595-97-8-0179 DOmP.gtir Raf>>rn Rend.,*
ADJACENT RIPJIikRIAN PROPERTY OWNER STATE-NMEN1.
ti
(FOR A PIERIMOORINCY PIL.lMURBOATU TIBOATfIOUSST)
f '�e:%h^51 eertifti that l own 1�roj'erty adia�:ent to �� 4_C�ii�� - t;` t /+
_ A;ppLaCRn1 v'' :....v (���!� �..Ji C� Ci C.yC��L:.�(.± Lt-.✓7F-�Y�E G1i�.L�L
(panne of Proper-ty Owner or Applicant)
h-failing address if different from location address�S YE/U 01uA�
A )- r
to wn, siaLe and zip) _ -_C NzIr
phone. numbers you can be reached ai-` 9 i 9 u Y G & 1 9 `S --- -- --
property located at _ %�7 L7�'� 4 C,
(Lot, Block, (toad, etc,)
�j o4 rb _/✓ SL_?
(waterbody) (Town and/or County)
Ile has described to rite, as shown below, the development he is proposing at that location,
and, I have no objections to his 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.
1 do not wish,to waive the setback requirement.
initials
- I do wish to waive that setback requirement.
initials
---------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DENrELOPIIENT:
(To be filled in by individual proposing development)
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` t: r^ a � wf ✓Ia'r4. F'4A)c'L5. ��� ti To RE:.,U r.��.rG: if P%���;>;i)' '
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A6M0C,Y AND D,:5PU& OF OLD
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Print or Type NNamc
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Telephone Number—.T--- --
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Jul 01 2009 8:19PM HP LASERJET FAX
07/01/2009 1,3:35 FAX
A
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Node Caroline Department of Environment aM Natural Resource*
Division of Coadaf Management
cn F. t`asiay, Ouwxro Charles S, Jos)", Director wires G- Floss .tr., Seoretwr
Applitunt Nam* OV?-_ _IZn�WC0S alTi
Mriliug Atldrb
I certW that X hove authorized (it;ent) I i� �r� U to sAct on my
bcLulf, Or the purpose of applyiug for anal ubtxiuiug all C`.AMA Permits necessary, to
install or-conatruct (activity) Oro
at (lncatinul ._..._�! 71L��^�`- _1:.._�"�-�G"'
This ecriM
Sigaat+tre
400 Cwimerce Avenue, Momhead City, N nth CaroWia 28557
Phora: 252-80R-28t181 FAX' 252.247-." % Internet: www.nccoantalmanagemept.nat
L- t AKuw.oJve O.ViM RRnkwr,r_Fii: F1rr'V6Wil I M4 NVJ ('nA•uirtwrOWW
C3ogue Clanks Marine Construction, Inc. lzioe WACHOVIA BANK, NA66-021/530
111-D Turner's Dairy Rd
Morehead Cityy VC 28557
252-247-4428
a: PAY TO THE
C �j 12
ORDER OF
,is 006 78 711'
1:0 5 3000 2 191: 20000 248 3 L40 21"