HomeMy WebLinkAbout34055_DRAKE, TOMMY & JANETH_20030606I CAMA / LJ DREDGE & FILL
GENERAL PERMIT
❑New ❑Modification El Complete Reissue ❑Partial Reissue
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
Address *S, "A
City ' � � , State ZIP 4�,K.A
Phone # Fax # ( )
Authorized Agent
❑ CW ❑ EW YPTA ❑ ES C; PT A' c3
Affected
AEC(s): C OEA ElHHF ❑ IH ElUBA ElNJA 0 2003
1= PWS: ❑ FC:
ORW: yes / no PNA yes / • no Crit. Hab. yes / no
Jtdy
Previous permit #
Date previous permit issued
r711.(
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City jj�-
ZIP
Phone # ( ) River Basin
Adj. Wtr. Body 1, >t u i - (nat /man /unkn)
Closest Maj. Wtr. Body L-"
.
!!■i/■■■lily■■■■
:�®iEMEW■'■■►�:NI:-
:.i.:■■
■■■■■■■�■■■■■■®�■■!'!■■�I!■■■�■■■■■
■
��■■
;ems■�.®rf
� i■
•.
n■■OM■
®■■
■®■■-.
M■�
ININ
M.
■u■p■1■■■i
�
��■■■■■■
■■■EM
��■■■■■■■■■■■■■�
■■■■■■■■■■
i��■�►�IIw�G��d��■■■
■ ■■■■■■
=■■■■■■■a'■■■■■■■�
■■■m:
m ii■■ ��■=■
- - `
■m■■mm■■■■■■■4.
NINE
Agent or Applicant Pr'nted Name
'\90 ; Ys Va
Signature "Please read compliance statement on back of permit ee
LL 111hi
Application Fee(s) Check #
Permit Officer'sSignature )
Issuing Da pirationDate .,r
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, certifythatthis project is consistentwith 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / I-888-4RCOAST
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: 910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01
1741
JANETH E. DRAKE 66_»oai2ss�
NCDL 2913099 PH. 919-781-8768 (� _U
809 GLEN EDEN DRIVE
RALEIGH, NC 27612 DATE
n I$ Nj-(�
PAN' TO THE n
ORDER OF �7 'i ✓ t °� ""
o /!� fill !j1 (� �d D O 1, I. A R S
a _
State Employees' Credit Union
Raleigh, North Carolina
98 (,
IFor. 6�- -- -- u' L . -
�:2531770491:0862-95�5975
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A 0mi S tz-A 's
(Name of Property Owner)
property located at % Asf ",-c 0 c. �< Lt",j Sc
(Lot, Block, Road, etc.)
on _ �A&,< �e�-'�c1� , in (t"l e'-,5 —4 LA,"LL t , N.C.
(Waterbody) (Town and/or County)
and,
He has described to me as shown below, the development he is proposing at that location,
have no oblections to his proposal
---------------------------------- —-------------------------------------------------7---------
DESCRIPTION AN\D/OR DRAWM 01PROPOSE DEVE �Q.- iP NT
(To be filled in by individual proposing deve op
C
.-----------------------------------
;Sic, ature
Print or Typ Name
l s'-taA D ^? C
rrno�r►cvy +�vty
Telephone Number
Date: < 2 �'
ADJACEi",17 REPARLMN PROPERTY UMNER STATEN ENT
(FOR A PIER/MOORING PILINGS/BOA77-IF%/BOATHOUSE)
� I�Caj<e_.
I hereby ce:�iy -that I own property adjacent to -herr►a-'s
(Name of Property Owner)
proc,,2.-,y located at J 2. Z )_iaAu c-e_.Jt Ld Qw -
(Lot. Block, Road, etc-)
on taj< ' �'5 , in iI �� lcara , N.C.
(Waterbody) (Town and/or County)
He has desc-L:bed to me, as sown below, t`,e deve!oome-�. he is proposi--- a: t`iac location,
and, I have no objections to his proposal. I u.-, t.=d t=:a: a pie-/moorinC
pLiiic�ivt7al %rooa i0L'S: must be ss., back a rnmirt-= distanto" I :�z�!;l fw: f-om my z ea
of access uniess waived by me.
�N S
I dn not wish to .va vc the setbac reauire,��e:,:.
I Sin wish to wa ve t:._. se�bac
DESC RIFT 10 "-,' A.N / 0 R DRA`VIENG OF PROPOSED DEVEL 0 %[E\i:
(To be fined i- by indii-L-Iucl proposing ce.ciopmerzr) ►� - ��
Neu py —� ? F l r'
N
F----- 24`
C
151 `.
------- --------------------- ------- ------- —---- —--
- —-----
------------- - --
-/=l'-
Siena -,Ire
Print or Tyu,e itiame
q K �,76 - 6117')
Te!eohone \,mbe-
1 C4
�Q'L
AA
f:•PR-15-03 07:00 AM
SUNDOWNR NOTEL&MUDBUCKET 25272661122252 33
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
P 0 1
In
T tilt by CeL FY that I own i
rt.y adjai-ent: to
12 ?7-1 /-1Njq,,6771
,�/<- .1e
r t Y 1?0-
-3 t P (9
Lot B etc.
in in -S L:.
N. C.
oc (Town ar,T/or County) .7_ -4,� g
L
Ili, has describco to me as indicated below the developmellL
he is proposing at f--hat location and I have no objections
to his proposal. I understand that a,.vier, piliigs and
cirldrging must be --;ci- back a minurnuin distance of fifteen feet
') from my aLeci of riparian access -.finless waived by mc,
T do not wi :;h to waive that sc t hack requ t r emen t -
I dc) wish t-) waive that f;cthac, requirement.
Description and/or drawing of pi�D.LDo� �ed development:
(To be fillet In by individual prc-.A-sing devtzlopmenL.)
Q ekl�
2 c/0
]Z7
tbt'' I'PtLcc A
1 .4
LIFT
D
S Sign -ture
Prin-- Name
I)hc)n,- NuMher