Loading...
HomeMy WebLinkAbout54186_HOOPER, WILLIAM_20090807[]CAVA DREDGE & FILL -5111 Qf GENERAL PERMIT *�p Previous permit # EINew []Modification ED Complete Reissue F-1 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 Fl Rules artarhed. Applicant Name Address cn City P State zip Phone # Fax # Authorized Agent Affected D Cw D EW 0 PTA El ES El PTS AEC(s): D OEA [I HHF El lH El UBA El N/A Ll PWS: 0 FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision - City ZIP Phone# (—) River Basin Adj. Wtr. Body Closest Maj. Wtr. Body ME■ M MEN■ M I ;;; IN L P. M, J■■i■■■■■■ ESSE W .0damol I qw- IL 0 " son M. M. • as ■�■vrF0MM 0.11. ION I MENSES M M M M w ■M ON IM MEMOIR. NEER w■■■�■NON N NEWMAIKEA. NCI We NEW4111MORMERV ME NOE ■ wo on a 11 LINES ONE �.■■� MEMEMMENIEN ME man H am EV-10 NII'lTJall'MEMEMEME ■■■■■�■■■�n���r NO WRRO IONOMMENNIME Mraw" MWIIIIIM SENSE No 1 010 MIS NEUVAN wNwRomw Emu MaM."C4 MENE fo Agent or Applicant Printed Name 2- Signature ** Please read compliance statement on back of permit Application Fee(s) Check # PermitOfficer's Signature Issuing,Da* Expiration Date 7 Local Planningj6risdiction 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 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 (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to a Ap s '-Name xProperty Own r) property located at L 3/ S/ 0E SE'A GATE' (Lot, Block, Road, etc.) on C<7,R-f CREI k C27CW) , in Ca 49ke , N.C. (Waterbody) (Town and/or County) Applicant's phone #: -Mailing Address: 4 asf 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 (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. ----------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) /�i28f>oS� @xi�tko/ iu e-C;51(i#j dsc K 66 add;ay a'. /'.' 4v1-Ifi X 8 w'dC- SL� GT' ors ?b a ram r..tc - - r4: tr w• // nN *' f c� 60-5 cepak.- { fbR7� B,R �C:f eAl R17ut.�- u.=// �gc�o..�gl � f�,faa��► �j�r C7C l ,ems. {vied a� f K� ,T•er� �L c% c.� CC1ra««� S�d�� /A/ �r c(7rJT)4�rss� w`f''� � c,,..gi�c►� l ?�r�°'��g`aN r'�Z+ce�g �Fe�. o � (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Ly_ t4v SfA 1697'C Z>Rltiz e Mailing Address Signature �go d a;k y z 2 Sr 7d r;+t /S+ +o il,p .Lyi .Z S2 s 7.28— 4Lo/ q Telephone Number Y Signature Date Print or Type N-51MC Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to a OA_ s (Name ZProperty Own r) property located at L 3/ Si aE SE'A 1�A7-E- , (Lot, Block, Road, etc.) on CgR_f CXEJ`X %"C w) , in Ca r Coax/ , N.C. (Waterbody) (Town and/or Coun ) Applicant's phone #:..Zr.7 -2a 8-4a/5t Mailing Address: G a5t S�J� r�p� �k,• 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 (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. ------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ;PJW.,r1r exf�,�.d:.f� ex�s�;N� V-cx .�dd.,� 4 a�� x J? w%dam „"11 ,V"t rq/.� Caak.W� &A4 S lea Fi % k i� ,dM t�, 71C�- w %// J• cla- �L e% ex �a•+ « e) S All- 41A;4;1V (Information for Property Owner Applying for Permit) 4j9e .969 G, Mailing Address Ci y/State/Zip ,-7 sue,- ?.2.9-41,0,1 �z Telephone Number Signature Date (Riparian Property Owner Information) Signature /72 Pint or Type Name Telephone Number � -7drJy' i Date ai - "7iRcp�TL� �7-�Nj�iuG $�-' its Srps'S a� ,�jCrsriv6 �€Y-K ��, Adfis•.t�• ��nf� x �l'w /�f�a •,� �n�'1r s:�Bz. °G- Mgr, c�'x'rfi✓5%wr! y x �l �'liC7 �c7 vc]L.)o f Wv ��j- P/L u William F. Hooper ss-30loos 7881 fudy H.Hooper NCDL 1367417 NCDL1640973 604 Sea Gate Dr 252-728-4014 Newport, NC 28570 C—I PAY TO THE D as a ORDER OF� D6CJ✓^ ----- c �- U 01 /� Sawiv DOLLARS 9 ` Look for. Micro Print signature I/nc. gray type and linavor , First Citizens Bank logo on back. it not present. do not cash. First Citizens Bank firstcitizens.com �L'f `t f 7 u FOR e-i7r� 1:0 5 3 L00 300i:0000 5 7 6 L 20 2 6ii' 0 788 L