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HomeMy WebLinkAbout51892_KEARY, GREG_20071217C�CAMA / ❑ DREDGE & FILL y_1V`V'I^Jl/ '/J�/ 4 � GENERAL Rir-ERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Pa ' I Reissue Date previous permit issued i As authorized by the State of North Carolina, Department of Environ ent and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 9L 1� ❑ Rul s'ttached. Applicant Name Address City Phone # O Authorized Agent Affected El CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no Stater- ZIP Fax # O ❑ EW ❑ PTA ❑ HHF ❑ IH ❑ FC: PNA yes / no EJ ES ❑ PTS ❑ U BA ❑ N/A Crit.Hab. yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Platform(s) Finger pier(s) (Scale: ) _ f l Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift . Beach Bulldozing Other - -- i I I i ) ,F Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes lno Waiver Attached: 'yes, no A building permit may be required by: Notes/ Special Conditions I - f ' `' ` 1 _ I See note on back regarding River Basin rules. Agent or Applicant Printed Name Signature. Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature j Issuing Date Expiration Date cL Local Planning jurisdiction 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 RIPARUN PROPERTY O'PVNlIER STATEMENT (FOR A PIER/MOORING PIL7IVGSIBOA7ZII TIBOATHOU,SE) Ihereby certify thatI own properly adjacentto LtC4 1e . �M,452-67p) (Name of ]Pro r#y Owner) property iocated at IUD Ulfft tl —P�• (Lot, Block, Read, etc.) C�-� , in_Ar� hoc Tad iq` -,(6 CO;N.C. (Waf�erbody) (Town and/or County) 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 bed In by in al proPVS(ng development) E M \ / So.ndlers signature Print or Type Name _�03• �}2�•z132 �2• �7I • z7D� Telephone Number Date: Page 1 of 1 4Sst9. as 1.ad a 4 33 1,�- 17 74.3$ 7❑ hG $7 s$ lbA 16 .03 214 2 05A 1.87A 2.23AK6m~ Y 8568 ' `'.,1609 3567 , 3� H094-14 6 t, H094-1-17 11 H094-14 8 vr is 15 is ea 7420 �^ 1.+55A a H094-1-1 F E ry 4358 H094-1-19 l�N 20 http://www2.undersys.comiscriptsltestadvlusiwebpe. dlilusi?forms=newzoom&MouseX=7... 7/ 10/2007 DEC-12-2007 WED 04:15 PM CRRDIOTHORRCICSURGERY 7404546354 P. 01 North Carolina. Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G. Ross Jr.. Secretary Date I , Ll-LT Applicant Name M.siilingAddress CI M , X. l:A1 a ci- I certify that I have authorized (agent)t SCI"cltL�� C to act as my behalf 'for the purpose of applying for and obtaining all CAMA Permits necessary to .t_tN install or construct (activity) at (location) 'Phis certification is Signature (date) ADJACENT RIPARIAN PROPERTY O9VNER STATEMENT (FOR A PIER/MOORING PILIIVGS1B0A7UFT1B0A7H0USE) I hereby certify that I own property adjacent to eact_ is e of Prole Owner) property located at on V lwSon'S Cr?_e_� (Waterbwy) (Lot, Block, Road, etc.) in Araaav� c yoam 1 i c o Co. -N.C. (Town and/or County) 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 minims m distance of fifteen feet (15) from my area of riparian access unless waived by me. (If you wash to ware the setback, you must initial the appropriate blank below.) I do not wish to waive I do elvish to waive that setback requirement_ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To hued in by hmW idwiproposing *m1opment) Keagy = 5 x70' , m -I Cl X� x 12 3 40.5' - . -Ito/ Signature Print or Type Name Telephone Number Date: Z -2 G � Cccts+ 1 ,MOYO»g PRESCOTT BROTHERS INC 141 TARA TRL GRANTSBORO, NC 28529 PAY TO THE ORDER OF--k 4056 ' 66-30/531 DATE 472 $ �/ RF7R5T� C[TIZENS BaVx .firstcitizens.com ;' , G� FOR__ �C. Al �" G�' f .__� _ _ ._ .. .. .. _�.IDP ii'004 6 �121:053 1003001:004 71 10 25I, 2911' 1