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HomeMy WebLinkAbout41907_SWANSON, JAN_20050624` DCAMA / -' DREDGE & FILL GENERAL PERMIT DIN ew I_]Modification ❑Complete Reissue F 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 15A NCAC Previo s permit # Date revious permit issued Applicant Name --' ' �' �' Project Location: County l Addres!r i'' Street Address/ae St t Road/ L o t Al ) s City State r''-i'l zip Phone #!. t v Y Fax # Authorized Agent CW L�EW DPTA Affected 7 OEA ❑ HHF 0 IH AEC(s): Ci PWs: _iFC: ORW: yes / no PNA yes / no Type of Project/ Activity Pier (dock) length__ n_ Platform(s) 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 c Other ._�_T%fi Q Shoreline Length SAV: not sure yes no #';T___ Sandbags: not sure yes no• Moratorium: n/a yes no) �r Photos: yes no' Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions =1 ES ❑ PTS C I UBA ❑ N/A Agent or Applicant Printed Name Crit. Hab. yes / no Signature Please read compliance statement on back of permit Application Fee(s) Check # attached. Subdivision City iy f %ZIPt�-� / Phone # O River Basin i Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body d 5 ` `� --f`-'' (Scale: / '`, , �-' ) See note on back regarding River Basin rules. Permit Officer's Signature a Issuing Date Expiration }Date Local Planning Jurisdiction 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, 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 _! 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.nccoastaimanagement.net Revised 10/05/01 La c- C Ic� m P �20m.'' 1Qt"� St.�4n5on a t v oak eaj� Dr' Pie-S -3 p (�� g \fq 90 ` lYj.ff ' 60und N 0 p-n°N 3 4-1 L 11 jb1 P)ionC-- Asa - r240 - ayg l C,e[( q19- C(0-1-731 4Y J �'1J `I Z005 rad City DOM ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) min Su an 6on�/ ,, I hereby certify that I own property adjacent to Ul weal - �1r1(.,l.nt n_ 's (Name of Property Owner) property located at a �d Oa.k we D)e . (Lot, Block, Road, etc.) on (A � , in P J 6 , N.C. Vaterbody) (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 pilings/boatlift/boathouse 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) � 'x `ac —r 3(,Azjt coo Ong at 0-}Inese o�`i� CD, �'�Vl- �- I� T '"(D ------------------------------------------------------------------------------------------------------------------ Signature Print or Type Name �qII) 51S- toSo Telephone Number Date: 5�7 / s- Off' rnY A. r 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE) wn I herebycertify that I own property adjacent to �Y1(� pdr wi Y P P Y J �Q.1si�C� mt,�,l'1dSQ ►1 's (Name of Property Owner) property located at oQ 10 Oa kid -D 12 - P (Lot, Block, Road, etc.) on , in Pine. � 1 O l 1 c`�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 pilings/boatlift/boathouse 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) o s J'.C- one of l0'12, ClG 03 O b 5u LIA ✓AW Print or Type Name zsz-z�z 6?-/yz i Telephone Number ,Z a v S Date: �lt cp y0o CO'wlrnel-c� ,J4 rn& aas� JAN LEIGH SWANSON 1107 Daleland Dr 919-781-4435 Raleigh, NC 27612 4573 66-211530 BRANCH 44736 CDATE OPRDEAY TORTOFHE 1RS ss�,ur Feelurot B�cFlls o WACHOVIA Wachovia Bank, N.A. FOR We . bit _ _ .� nr I:0530002L9l:106263B73L283,1' S73