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HomeMy WebLinkAbout32911_GOODMAN, JIMMY_20021104CAMA / DREDGE & FILL GENERAL PERMIT _ New ❑Modification -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 I SA NCAC Applicant Name J , r rj icc, l4f , Address 141 r-IOL tdMj City- N°tc r9i4 State ZIP °> 1 Phone # ('7L)tll ^Z3>%g, Fax # ( ) Authorized Agent s dw,t Affected ❑ CW ❑ EW ❑ PTA ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA = 1 N/A ❑ PWS: ❑ FC: ORW: v j `no. PNA yes / no Crit. Hab. yes / no ' Previous permit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision_ 32911 • � City ZIP Phone # ( ) River Basin Adj. Wtr. Body l oo,r' 6 NF ft (nat /man /unkn) Closest Maj. Wtr. Body 61C( v F Type of Project/Activity A 6N tm { !GO' 060f"( 4L'. (Scale: A),• r_ ) Pier (dock) length Platf Finge Groin Bulk Basir Boat Boat Beac Othr Shor SAV: Sand Mor Phot Wain -- I — — r pier(s) I length number I —� J.— _ �— — iead/ Riprap length I I avg distance offshore max distance offshore,channel cubic yards_ ramp — i —I - i — -- - louse/ Boatlift i Bulldozing r 47 j __ T - I aline Length --- not sure no yes gags: not sure yes no _j torium: n/a yes no x: yes no er Attached: yes no , I I r; . n Ale -- � �j a , t i A building permit may be required by: ro, (! ' {C • VJFJ J' r y G `� 6 ` C See note on back regarding River Basin rules. Notes/ Special Conditions (^la I1 ftltultJ �� tt kf{+w �rCt lov;�t, r� ' I CAWA 4 {7 ! r, tJ �Jv Mo, r i A Jiv ri / 6br.f.t' 1tP. Yh d 6 �, • but G /. Agent or Applicant Printed Name Signature Please read compliance statement on back of permit ** + ,.( S17B Application Fee(s) Check # -&J fk. c Permit Officer's Signature z 7t/r3 Issuing Date Expiration Date 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 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 (910-395-3900) 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 / 1-888ARCOAST 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 5 W � PAY TO THE o ORDEROF— � L S JIMMY GOODMAN BILLIE JEAN GOODMAN LIC. 2353020 3606985 197 BEULAH LN. H.P. 252-393-3022 NEWPORT, NC 28570 -711 LhF-%7r<,- If- 66-85/531 5928 0240454925 DATE // — �--- $ Mo e96 D �DOLLARS RBC Century ABC Cenlura Bank ' • Fayetteville, NC 2902 MEMO 1:0531008S01:02404S492Sill S9213 �Jhl-L1� I JUX �-uI rAkJrr,n 1 I V vv J-lZn J I A I r_JYJ ,IN 1 RAW I hereby certify that I own property adjacent to , I i yY7m y Gc 00"'72 /�7 p,) 's (Name of Property Owner) property located at _ % 7 7 /3 r' u � ,q 1i1 , 4A W— (Lot, Block, Road, etc.) on GooS,- GRF5 K in LdLTF T , N.C. (Waterbody) (Town andlo 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To befilled in by individual proposing development) Grp 0r U t c'97ED Al 180.70� � � v s r OLL �'1c�S1`1NG c76�CJ09LL -V Signatuge Pn��ype Name Telephone Number Date: