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HomeMy WebLinkAbout52678_HARDESTY, JOHN_20081202❑CAM,A. )/ --'DREDGE & FILL 1/ GENERAL PERMIT Previous permit #" ❑New ❑Modification --'Complete Reissue W❑Partial Reissue 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 Applicant Name F i Address City ; i s ? t? State NC..- ZIP ' Phone # (,) "��� (j(^ Fax # Authorized Agent �' ! ' rt ,i C-�-J .�� CW .J EW LLD PTA .0 ES ._ !! PTS Affected OEA HHF ❑ 1H ElUBA 7-N/A AEC(s}: PWS: CFC: ORW: yes / no PNA yes / no Crit.Hab. yes / no ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) -- 7 ----- ' V Subdivision City ZIP Phone # () River Basin 'f f_. Adj. Wtr. Body- - e. (nat ' an nkn) Closest Maj. Wtr. Body—' Type of Project/ Activity y (Scale: �� ) f -t` (- Pier (dock) length _ Platform(s)_ Finger pier(s) Groin length number i Bulkhead/ Riprap length � avg distance offshore max distance offshore J _ Basin, channel- cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes no Sandbags: not sure es no Moratorium: n/ yes es no Photos: yes no t Waiver Attached: yes no A buildingpermit may be required by: P Y 90 Notes/ Special Conditions __ i I - —i - _ - --_ - See note on back regarding River Basin rules. S g f• - - I Agent or Applicant Printed Name Signatu(re� Please read compliance statement on back of permit Application Fee(s) Check# Permit Officer's Signature Issuing Date Expiration Date AI , I1 Local Planningjurisdiction 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 [)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 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 NOU-21-2008 14:17 From: 7o:2527266079 P.1/i ZZ/2i12a9E 1a;3E 252726e079 DEANWES PAC_ 01 ACENT RIPARIAN PROPERTY OWNER STATEMENT "A A PIER/MOOIt'1?VG PU.QVG"QATUI T/BOATHHOUSE) I �by certify that I own pm*tty edjaoeot to (Name of Property Owner) pmPerty at (Lot, Hoch. Road, ek.) on .. , 2 V5 J2- N.C. rbodp) -- (Town as&or Counts') has described io ice, as shown below, the developmad he is proposing at that location, and, I h. do objections" oposal. I waderstmd tbbat a pieclmooring pitingsuatlif Ibmthouse muse be back a minitntui, i�no�cc of fifteen feet (151 %m my azea of ri*an access unims f wwvcd b�' Me. as ' i1413A wish taFwaive the smock requirement. I !t wish to wai4" mdock regvi t -- GUMPTION Alq"R DRAV4XG OF IMOPOSED DEVELOPMENT- (7'o beamed W by U dtvt"prvP'psfr8 devdVff wnt) ,� ►,� r, �' le- �'�- '� � � � L � �,, A t. �." � t.%Fi 1 NLS 7 ice• a �'t• a Z' A R. -... _r—t......r - __ (App pool t Information) .. - - ...— (Iii a formation) -- c+ I ; MQitirlQ PH%t or Type Nerne 2.5Z -;;y7 '1C(a hlapiwn�ll►iywber III.{ Tekpborte NWO&W r t-,.% `4 0 41 ) j 121 - c 119 Dote �� D&e ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent tQW42 - 's U (Name of Property Owner) property located at a y 3-e � 6c--r--t-9— (Lot, Block, Road, etc.) on ���G.�T-e L , in IL S N.C. (Waterbody) (Town and/or County) Applicant's phone #: 6� Mailing Address: DJ �- kL N , 27�-) /`Z He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) OLq 7e-,Wr V, L- -.-- ------------------------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address City/State/Zip 2*-- 16 G 1 Telephone Number Signature Date (Riparian Pr er wner Infor tion) Signature ,WAINI,# /�- MILJ11, Print or Type Name Telephone Number Date AN;A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date j /. 2 1 016 Name of Property Owner Applying for Permit: V, Mailing Address: I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) / 1 `t This certification is valid thru (date) R4 Property Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper FI---'m"U--D-' Bi� UCKET DREDGING, INC. DATE PAY TO THE ORDER OF- R, DOLLARS BRANCH BANK(NG AND TRUST COMPANY FOR