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■■
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■
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11
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■■sue
■
cubic yards■■ENE
■■■■■■■■■■11MENEENEENNIN
!■■■■■
■■■■■■■`
:�■
:■■
A
0
!NINN
ramp
1WONOMMOMMME11
ONE
■■■■■■■■■■■■■1!
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■■■■�■■■■■■■■■■■■
■■_■��"■■_■■■■■■■■IrIWi■■■■■�■■Gi■■■■■■■■■■
Bulldozing■G�1�■■r�■■■■■■I1■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■01!■■■■■■■■J■■■■■■■■■■■■
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■■■._•••!��..._
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MORE
Jine Length _
not sure
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yes
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Fags: not sure yes 0��00
MR10
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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
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FOR may`
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BRANCH 77513.
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