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HomeMy WebLinkAbout32881_GRAY, DON_20021008CAMA / ❑ DREDGE & FILL GENERAL PERMIT ]New r :Modification L -Complete Reissue CPartial 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 yr)ry)e",t +C lJr City ; Y] coy / /F State ZIP.,?�; // S Phone # (^' _) - !t :7,-�-Fax # (�) Authorized Agent I Affected ❑ Cw LAW Q"PTA ❑ ES ❑ PTS AEC(s): El OEA ❑ HHF ❑ IH EJ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA 'yes / no Crit. Hab. yes / no Previous permit # Date previous permit issued ❑ Rules a Project Location: County__—_—_ _ __ Street Address/ State% Road/ Lot #(s) Subdivision City _ ZIP - Phone # (_- --) River Basin Adj. Wtr. Body r C'c-' C mat /man /unkn) Closest Maj. Wtr. Body _ i Type of Project/ Activity << (Scale: Pier (dock) length Platt Finge Groi Basin Boat Othe Shor SAM Sand Phot Waiver Attached. yes no A building permit may be required by: Notes/ Special Conditions `� L -: on back regarding River Basin rules. �'� �p El See note %Sr �r _ n r pier(s) length number Agent or.Applicant Printed Name Signature Please read compliance statement on back of permit i0 Application Fee(s) Check # ,.,_-,—Permit Officer's Signature n,...— fssuiExpiration Date Local PlanningJurisdiaion Rover File Name -i 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, certifythat this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: j_J Tar- Pamlico River Basin Buffer Rules [ Other: I_J 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 / 1-888-41RCOAST 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 z� a @Ii PAY TO THE ORDER OF FOR - _ - . - -- --- - -- - - ------ -- --- — tru.ifu enhanced dnru men I. Se bnrk or drfn i7s COASTAL MARINE CONTRACTORS INC PH. 252-638-6407 PO BOX 12729 NEW BERN, NC 28561-2729 E /V k BB&T BRANCH BANKING AND TRUST COMPANY NEW BERN, NORTH CAROL114A lie 0066 LOu' i:0 5 3 L DATE o v� $ /a0 op 12Li:5�10112C398lie 6610 66-1121531 01901 s.<wm iww.. OLLARS 8 . MR ADJACENT RIPARIAN PROPERTY OWNER STATEMIENT (FOR A PIER1MOORING PILINGSIBOATUMBOATHOUSE) I hereby certify that I own property adjacent to a N 9p, A L, 's (Name of , (Property Owner) property located at �a DPAA/Pokt L" t lv !� -JP OLot, Block, Roa , etc.) i . on I o �CN l a , in 1' ► e.GL2 c �l�n ! (C D , N. C. (Waterbody) (Town an 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 pierlmooring pilings/boatliftlboathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) &01-0 t jaP y fll�l 6� S i,vA. t Z C/ L- _Z Sz'22 WA1�Ca /_D -- - D 2- ADJACENT RIl'ARIAN PROPERTY OWNER STA (FOR A PIER1,000RING PILINGSIBOATLIFFIBOATHOUSE) I hereby certify that I own property adjacent to V3 N 99,4 V 's (Name of(Property Owner) property located at �e PC) A,t Low tN (Lot, Block, Road, etc.) 0. on -rRf-Nt (TAU -Jr— , in M eak, C a , N.C. (Waterbody) (Town an 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. V I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) VW KeC'D Signature Print or Type Name Telephone Number Date: 10- C)4 -- C)�)