HomeMy WebLinkAbout40359_SMART, THOMAS_20041124L DREDGE
CAMA / & FILL
GENERAL PERMIT
�J
Previou #
permit
- New C+Modification `—Complete Reissue `.-jPartial Reissue
Date previous permit issued
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 T A" 1,V.-C
KI Rules attached.
Project Location: County (�a' - - -
Address j �"
Street Address/ State Road/ Lot #(s) 1 ' -�—
✓� �' J
City_. State ZIP
Phone # ( ) Fax # O
Subdivision
Authorized Agent
City_ '"" '' ZIP
Affected C CW L!}'gW ❑ PTA EgaS Ci•PTS
Phone # ( ) River Basin
El ❑ HHF ❑ IH El El
AEC(s):
/ .,
Adj. Wtr. Body_ - _ Xat6/man /unkn)
_, pWS: ❑ FC:
Pe - v
ORW: yes / no PNA yes / no. "- Crit. Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) _
Groin length
number
Bulkhead/:., prap length -
avg distance offshore
max distance offshore
Basin, channel
cubic yards ___
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
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
(Scale:
fee note on back regarding River Basin rules.
�r
Agent or Applicant Printed Name * Permit Offrcer's Signature
Signature Please read compliance statement on back of permit ** Issuing Date Expiration Date
Application Fee(s) Checkv# 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, 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:
—_l 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 11
Morehead City, NC 285S7
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
. �'��s�im aamamms
SANDLAND LAWN & LANDSCAPE INC. 1789
502 JOYNER DRIVE
HAVELOCK, NC 28532-9092
PH.252-447-5898 ` �/ 66-30/531
PAY DATE - �/ "� J T 228
TO m OR c THE
OR/� � %
. DER OF._. —� _ /^( / 2
DOLLARS 8 K,
FIRST CITIZENS 278
BANK First-Citinns Bank&Trust Company //ttt �%` G'
Z B „ K Havelock, N.C. 28532 PC
t163 S
www.fjr59 izens.commL - lv
®r FOR l`/k .�1�cw,613—'*)Aro�
11600 L 78 911a 1:0 $ 3 L00 3001:00 2 ?8 2 3 L 9? 3 Gila
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A A NT EIRA_ IAN pgOEE,RTY OWNER STATEMENT
I hereby oertify that I own property adjacent to Z IYi414tst if-
property located at �° f' ;� Y-, r_' S �y�/�►'.' /,,^ r i 'c=
% (lat, block, road, a C)
on T- in
(body of water) (town)
North Carolina in eetM6�0' i County. The proposal has been described to
see as shown below; the development, a gJer! ulkhead/stluc ure, and the
(circle one)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it trust be salt back a minimum
distance of 15 feet from my area of riparian access unless waived by me.
I o 'wish to waive that setback requirement.
(circ a one)
�t�+sir*r*#*�*r�,�r*�*,r�e��,tart,a*�,ri�r,e3**�e*,�,t,r*�ea�r**,tie#*rr��►*�►,txi►*�r��,t�ir,t**�
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION dF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
F_ V N % d V' 11Zt/ t%C-7 T �/ /- GJ
Cd J / 2-; / D 1.-"t1).yv rrl-6E
-0
*�*�**.�**#�x�•.:er****�**:�*�*��*�*�*t�**�*�**��*�**f,.��**#r,e:�*tee****#*
(original must be retained in the Inspection Department)
signature
Date
Name (Please Print)
A lh F "T, RI TAN pAOPFATY OW24ER STATEMEZI2
I hereby certify that I own property adjacent to y _?cc �r /112!
property located rat /4T `t/ ��?93�, � S.�✓l) � fL}/ �/� �iZJ�
�6 � (let, block, r�nd#��11✓�l
(body of water) (town)
North Carolina in T-county. The proposal has been described to
me as shown below;
the
development, a pigr
b' head/strtc
",
and the
(circle
one)
proposed location,
and
I have not objection
to the
proposal.
I under-
stand that if the development is a pier, it must be,set back a minimum
distance of 15 feet from nay area of riparian access unless waived by me.
I wish to waive that setbacK regsirement.
(cir�s�®j
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
Lt%A e-4' '4 &,F''oS 5 Vim' Nr. J e-
( fC /Al //V/rr<) I3 i &-ems / ,
% ZS ' d.",
.r
(original must be retained in the Inspection De artment)
gna u a
_ �atQ
Nana (Plea a Pr nt)
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