HomeMy WebLinkAbout54161_HOFT, RANDY_20090716/Sti j
C CAMA / ❑ DREDGE & FILL
GENERAL PERMITV n- S Previous permit #
❑flew ❑Modification El Complete Reissue ❑Partial Reissue ;j% / 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
❑ Rules attached.
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Applicant Name j; % Project Location: County
Address
City State l ZIP
Phone # UE Pax # (� )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH El UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision
City
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body(nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed NaMe '
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Permit0_fficer's Signature
Issuing Date Expiration Date
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Local Planningjurisdiction Rover ile 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/ I-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
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l�'CAMA / ❑ DREDGE & FILL = `_
rOMERAL PERMIT Previous permit#
[�;Kew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department pf, Environment and Natural Resources D
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and the Coastal Resources Commissio in an rda of it n ental concern pursuant to I SA NCAC f i/1 l�C
tt R_ules atta hed.
Applicant Name C1,
1, Project Location: County
Addres G �� Street Address/, $t t Road/ Lot #(s)
City'l State ZIP - % �'
Phone # aX # ) Subdivision n
i
Authorized Agent
Affected ❑ CW A ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:_'�
ORW: yes / o PNA yes / 4� Crit.Hab. yes / no
City
Closest Maj. Wtr. Body
ZIP
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Check #
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIF.R/MOO.RING PILINGSIBOATLIFT/BOATHOUSE
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I hereby certify that I own property adjacc;nt to R A --z 4 d ft'.
(Name of Property
Property located at JUL 1 204
(Lot, Block, Road, etc.)
OrBh City®%lur
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(Watcrbody) (Town and/or County)
Applicant's phone �: �i ►� ' `i� �'S bMailiiig Address: a09 4S VN G. OM (Q E. $ i
R A tX7. -- (,, H . e4 .e... 7. 7 !o
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 sot back a. minimum distance of fifteen. feet (15') 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 wish to waive
'"- I do wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------------------
DESC.RIi'TION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S E E x .- A c'�- ri-Fz��-t
-
(Information for Property Owner Applying
for Permit)
oc9 1� V�VG��'L A� S y
Maililig Address
--�--�-
TelQphone Numb .-
Si gratlire
Date
(Riparian Property Owner Information)
12
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Signature
�a / // ,e 44 r -h
Print or Type Name
Tcicphonc Number
Date
T/T:a6ed 02S696S6Z6Z6:01 ),lDoHW W9a:i0JA ZS:60 6002-0L-Nnf
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USPS - Track & Confirm
UNITED STATES
POSTAL S;E.f VACF
Track & Confirm
Search Results
Label/Receipt Number: 7007 1490 0004 4553 5240
Class: First -Class Mail®
Service(s): Certified Mail"
Return Receipt
Status: Notice Left
We attempted to deliver your item at 2:14 PM on July 1, 2009 in
ATLANTIC BEACH, NC 28512 and a notice was left. You may pick up the
item at the Post Office indicated on the notice, go to
www._usps.com/redelivery, or call 800-ASK-USPS to arrange for
redelivery. If this item is unclaimed after 15 days then it will be returned to
the sender, Information, if available, is updated periodically throughout the
day. Please check again later.
Detailed Results:
• Notice Left, July 01, 2009, 2:14 pm, ATLANTIC BEACH, NC 28512
• Notice Left, July 01, 2009, 9:07 am, ATLANTIC BEACH, NC 28512
• Arrival at Unit, July 01, 2009, 9:06 am, ATLANTIC BEACH, NC 28512
• Acceptance, June 30, 2009, 2:44 pm, RALEIGH, NC 27676
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MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE
LOCATION:
PHONE
DATE OF INSPECTION
/5Z
PERMIT #
FIELD REP. 9�W
MONITORED BY
DATE REPORTEDLY COMPLETE:
1) Do the asured dimensions of the development differ from those indicated in the permit and workplat?
YES/ O circle one]4il
.nP
Pill
,finCOMMENT: I AI A rNAJ-&/ C�/)' /Z�e
2) SEDIMENTATION & E22SION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YESarcle one] /'I / A�
COMMENT:
3) FUTURE MONKORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES/[circle one]. f / /�
1