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HomeMy WebLinkAbout40358_PETERSON, RUSSELL_20041129D CAMA / C! DREDGE & FILL GENERAL PERMIT evio r`- PFevious permit # DNew LIModification -'Complete Reissue ❑Partial Reissue Date previous permit issued j 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 ❑ Rules attached. f Applicant Name Jr` �/ e'cc 1D r.. Project Location: County J i Address 1 % (% '� �r r Street Address/ State Road/ Lot #(s) 1c r /�<1 7r City /," 1 c State_; ZIP Phone # (�) 2- Fax # (�_) Subdivision Authorized Agent City / ` ` _ _ ZIP Affected Cw J EW ❑ PTA I ES C'. PTS Phone # ( ) River Basin ❑ OEA L HHF [7 IH UBA ❑ N/A AEC(s): Adj. Wtr. Body (nat1man unkn ge ORW: yes / no PNA yes / nn Crit. Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length S 3.1 Platform(s) % 3 � Finger pier(s) Groin length - number — Bulkhead/ Riprap length___— avg distance offshore — max distance offshore Basin, channel — --- —" -- — cubic yards Boat ramp _ Boathouse/ Boatlift Beach Bulldozing Other 0 ovr . of./% Shoreline Length 00 SAM not sure', yes no Sandbags: not sure yes no. Moratorium: n/a yes no, Photos: yes no Waiver Attached: yes no, A building permit may be required by: Notes/ Special Conditions l 4' . J, Agent 6r Applicant Printed Name / `-' 1)oN (lX e&drl� Signature Please read compliance statement on back of permit Application Fee(s) Check # �'6 (Scale: See note on back regarding River Basin rules. y is Permit Officer's Signature Issuing Date Expiration Date /0 Local Plan ningjurisdiction 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 L j 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: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 (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 im ODONALD R. OXENDINE NCDL 3584956 DONNA O. MOLINA NCDL 8050154 OSO Phone (252) 249-1301 6&7704/2531 5114 Kershaw Road Oriental, NC 28571 � ' Date Pay to t f e A 40 . order o w1 �i State Employees' Credit Union 34 New Bern, North Carolina For `apC 1:2531770491:086309L.8679u• 1050 nr C 1' ADJACENT RlP PROPERTY OVQNER STA. ' (FOR A PIERIMOORING PILINGSIROATLIFTIROATHOUSE) I hereby certify that I own property adjacent to ti C- C `� �5�-� s (name of Property Owner) pmpertY located at L o � \ \ 1 / ( ) \ ' (Lot, Stock, Road, etc.) I - on n v15 in N.C. (Waterbody) (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 pi)ingslboatlift[boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. i dR wish to waive the setback requirement. I d_Q wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be,filled in by individual PrOPOS'ng development) i Signature Print or Type Name X ZS o� o� 1�457 Telephone Number Date:�2- 14 J-�a 5 (0 1) ADJACENT RIPARIAN PROPERTY OWNER ST.ATEMET7 (FOR A PIERWOORIIVC PrUNGS/B4A7VFVB0A7 N0 USE) � �.. ' I hereby certify that i own property adjacent to A S- D � s(Name of Property Owner) property located at !~ 1 (L,ot,'' lSlocjc, Rood, etc-) in_ram tn�`' 114 r C , N.C. �'n.�i-'��`Z" (Town and/or County) (Waterbody) 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 pilinpromdiftfboathousc must be lei back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me-. I dog wish to waive the setback requirement. 1 dl wish to waive that setback requirement. DESCR11MON AND/OR DRAWING OF PROPOSED DEVELOPMENT' (To be ftUed in by individual proposing derdopment) n . or Name _ ws ZYlb-02-5r 04� x;f eh Number Xnate: