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HomeMy WebLinkAbout54340_GUTHRIE, JOSIE_20090730❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environment and Natur Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I - r4 Previous permit # Date previous permit issued Applicant t- Project Location: County Address ` C $i +� np -~ P I- Street Address/ State Road/ Lot #(s) attached. 1140 C City - ,may Vr c,U i State iv+,.. ZIP Phone # (7 ;?) 37 Its Fax # ( } Subdivision Agent "o� �sa.cpAuthorized City tZIP El CW DEW EJ PTA ❑ ES ❑ PTS Phone # ( ) River Basin Affected El AEC(s): OEA ❑ HHF ElIH ❑USA ❑ N/A Adj. Wtr. Bod (nat /man /unkn) ❑ PWS: ❑ FC: I Closest Maj. Wtr. Body • ' " ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier Platf Finge Groi Bulk Basir Boat Boat Beac Oth, Shor SAV: Sand Mon Phot Wait (Scale: # - 5FO, ) .■■■■� ■■■■■■■■!■■■■■■■■ r pier(s) so i length !!IWINW.E=wm number ON 0 NOME No avg distance max . offshore offshore—I■ ■ t1�■ !�■■■■11.■■■ ■■® ■■ri�i�■a■■ ■■■■_■■■■ 11■■■■� ■ ■■■■11■■■■■�._. ■■�i■n�■■c�■a■ ■�ME ■■ 11 ■■■Ei ■■■,7J�i�,ll ■■sue ■ cubic yards■■ENE ■■■■■■■■■■11MENEENEENNIN !■■■■■ ■■■■■■■` :�■ :■■ A 0 !NINN ramp 1WONOMMOMMME11 ONE ■■■■■■■■■■■■■1! �® ■■■■�■■■■■■■■■■■■ ■■_■��"■■_■■■■■■■■IrIWi■■■■■�■■Gi■■■■■■■■■■ Bulldozing■G�1�■■r�■■■■■■I1■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■01!■■■■■■■■J■■■■■■■■■■■■ ■IN ■■■■■■■■■■■■■11■■■■■■■■ ■■■._•••!��..._ ■■■■ ■ti1�■■■ Ir■■■■■■ ■ ■■ MORE Jine Length _ not sure ■i■!! 'i■l■11 ■■■®■■■■■Ii■■�ii■■■,■ yes �i­­%M ■■irwm1MNIl1IIIMVM1WMMM■■■.N■ Fags: not sure yes 0��00 MR10 1!■■■i1■■►_�—■_■!! i�l���t�:=.r am==NNE A building permit may be required by: f j ' j s i� Notes/ Special Conditions - t Agentor'Applicant Printed Name Signature ** Please read compliance statement on back of permit ❑ See note on back regarding River Basin rules. k Permit Officer's Signature 7)f Issuing Date Expiration Date Application Fee(s) Check # Local PlanningJurisdiction Rover File Name IF 46 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 ❑ Neuse River Basin Buffer Rules ❑ Other: 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 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 Fax: 919-733-1495 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 AA X � 3 (FOR A PIER/MOORING PILINGSIBOATL,IFT/80ATHOUSE) .15X - ;�,4 7 I hereby certify that I own property adjacent to �i o si , _ _ i4x �,,_ . --._-----_-- Is (Nance of Property Owner) property located at t1I d Cat .-" (Lot, Block, Road,''etc.) on in C�a-rs.�1 , N.C. (Waterbody) (Town an or County) Applicant's phone ##: ��� a 3 54 - 77(_Mailing Address: 41 o C.-Oe_ 6- KA$��G� L.b a � He has described to me, 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 (IS') from my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial the appropriate blank below.) I do not wisli to waive L9� V 1 do wish to waive that setback requirement. R9(�9L46,y u 2009JUL 7 DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT- . •.+vl{f'� (Tc lled in by individual proposing development) ? r y (information for for Permit) ----------------- Owner Applying (Riparian Property Owner Information) C> Q �.�lMer Mailing Addd ess� 'A T City/State/:Lip s-4 ?�� Telephone Number r gna.ture Date �J Signature Print or Type Naive Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 7 ,;, e 6t(IM 2/6 's (Name of Property Owner) property located at �G --' f /E Cy w e et?lcl' (Lot, Block, Road, etc.) on nC , in ��P% �,- oe,, — , N.C. (Waterbody) (Town and/or County) Applicant's phone #:,252 - -: 54 2L -2 Mailing Address: � 0� ? C�P�- C:�h�"%F1/c✓ C�;c. rig P Lr4 I of He has described to me, as shown below �I r ei�t'11 is proposing at that location, and, I have no objections to his proposal.p� 0 DESCRIPTION AND/OR D n (To be filled in by p 1G OF PROPOSED DEVELOPMENT: owner proposing devel pment) r ,12_ r -� `� -------------- ( -------------------------- L�=� ------- ----------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address Signature 2 City/State/Zip r2 - - ' 1 1 & i Telephone Number S, � lature Date Print or Type Name Telephone Number Date LT x- NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management James H. Gre son, Director William G. Ross Jr., Secretary Michael F. Easley, Governor Greg son, Name of Property Owner Applying for Permit: Mailing Address: o C #10 - Stn e Q I -I W L o a 7- IC, NC aS2s4 I certify that I have authorized (agent) / /t Ohs Ik-s to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) 4 ! at (my property located at) �q �� ��rer'a r`/ Laoe / This certification is valid thru (date) 2 co 4 Date PrVperty Owner Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 1 o% Post consumer Paper ISLAND MARINE CONSTRUCTION LLC 1286 ISLAND RD HARKERSISLAND, -NC 28531 PHONE: 262-728-3419 '7— 3a,- Q UNFE W-4VH0vlAlswa) ` Wachovia Bank, NA. j wachovla an J �� . pp FOR may` o:0 5 3000 2 194 20000 2 17 29 3 3 911a 2838 2838 66-21/630 BRANCH 77513. s C�co . &V