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HomeMy WebLinkAbout33944_LEWIS, CHUCK_20030416"��.�-,s;r. r"�3�.+�Sr..r.��•�:.:sw'.-•---cs,—.r-'+o.�.::�...a,ri,,.A.�,,,,',�.,r,-„ty ,.t: —� v J'CAMA / 7 DREDGE & FILL GENERAL PERMIT JNew E lModification 1Complete 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 Previous permit # Date previous permit issued 7 0 1,( ❑ Rules attached. Applicant Name r I' ii•h/' % l r Project Location: County a v'rc. Address 2 i { (" V ► J.f Street Address/ State Road/ Lot #(s) City fk(t 4 State ,� ZIP 60,5 rG+ r,-- Phone # (—) 71 L- 4,c 1 Fax # ( ) Subdivision Authorized Agent — --- City , 1 E r ZIP Affected CW 'i EW ❑ PTA h7 ES [2PTS Phone # River Basin P w rt • AEC(s): OEA C' HHF ❑ IH ❑ UBA ElN/A Adj. Wtr. Body h « 1 t ` " �1t,at /man /unkn) ❑ PWS: AFC: n ORW: yes / 0 PNA yes / pp Crit. Hab. yes / no Closest Maj. Wtr. Body Alf a f- Type of Project/ Activity c /►�<� i / (Scale: n1 r n/ E ) Pier Platfo Finge ONE ON Groin length rnber Bulkhzad/ Riprap length vg distance offshore Basin,channel Fubic yards Boat ramp Boat Beach Othe Shoreline SAv: not sure yes no Sa4ags: not sure yes no Morall-orium: n/a yes no Phot is: yes no Waiv : A building permit maybe required by: Notes/ Special Conditions l� % I ' � � MEN N NO MURK CFO INN MEEMON I on back regarding River Basin rules. l t 6 -/fin (C , 1 c r. See note Jr I: ` j S1 {� �0tyrj'l w(' d F 1 _ •� �•-' 1 � ih�+r� -r iG r i . J I' l ti� G t 1C O (/ [' i f i �c j!Qf Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date �'r'vr►. ic . )zM 69A Local PlanningJurisdiction Rover File Name Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date �'r'vr►. ic . )zM 69A Local PlanningJurisdiction 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 landowners). 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: [] 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 Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax:919-733-I495 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-13 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.nccoastaimanagement.net Revised 10/05/01 CHUCK LEWIS 2201 FRONT ST PH 252-728-4001 BEAUFORT, NC 28516 PAY " TO THE ORDER OF. L C ' FOR vTACHOVIA Wachovia Bank, N.A. Iknuforl. NC 2K)16 )�--N (�PC3394(1- 1180000L45511' 1:05310L5291: 1455 66-152/531 DATE DOLLARS Details on back 5466 L 26 L 5 3u' l 1' 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM �nl��.��. Name of Individual applying for Permit: 5� + S Address of Property: (Lot or Street #, Street or Road, City & County) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, should be provided with this letter. I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plan II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakxater, boat house, lift or sandbags must be set back a minimum distance of I5' from my area of ripar,an access unless waived by me. (1- you wish to waive the setback, you must initial the appropriate blank below.) t/ I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Signature _ Date Print Name 2 > b� Telephone Number With Area Code waaI ". DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual applying for Permit:— CAAV / P // XX s of Property: 0A (Lot or Strae, 4% or Road, City & County) I hereby ccr-ary that I own property adjacent to the a:,ove reverenced PrOPe,tY.Th,. individual applying for this permit has described to me as shown on the attached drawing the development t1epv a_e proposing. A description or drawing, with d:.:,ens:ons, should be provided with this l..�e.. y I have no objections to this proposai. If You have objections to what is being proposed, please write the Division of Coastal Management, Hestron Plan 11, 151-B, Hwy. 4, MorehEad C:rv, NC, 28557 or call (252) 808- 2808 within 10 days of receipt of this notice. No response :s considered the same as no objection if you have been noti.i ed by Cerli ed Mail. WAIVER HMO',; I c:,cerstand that a pier, dock, mooring pilings, breah7xate-. boa: house; lift or sandbags must be back a minimum distance of 15' i;om my ' area of rp,ana- access unless waived by me. (I: you w _:7 to waive the setback, you must initial the appr op,;at­ below.) I do wish to waive the 15' setback require.-.eni• I do not wish to waive the 1 5' setback re^ :irement. Signature _ Date Pant Name... t e:ephone Numbe; With Area Code -di j 1 # tk low .i .. is y < do d'dt r r F � F Ile�. -' - iLill(iif-w�'S.+►vw�mra.,s lot m c: + y dnn 4OF *Aim r ^'wart 3b"rn'is ""'^' ♦ rn;• P- .. - .,.a x 1 ...A r .. - 4 d. 1. vim, � flu .r Wv , Chuck Lewis • �� Fes' 4/ 16/03- r Ta 1l} ll� ..�+'k' "" X .a � 9 r RR si ems- _jL -_ _ Wb IL t t O/ r IL f � � op ) P _ x. ..� i. ♦.. p -.r• I • F `tllf"'—:? 1 ' — �. 'P it '.,nP & e p �'. 1 1 v ' r,4.�•�-l. r Ash" fir" .',r."),,._ � ." ...A�` y.•��'" d F F �._ � ^:.x: or 47, ,w r 7r - ,�Fi • ? p r A jl Is 14 p. ail ' 1p y 4