HomeMy WebLinkAbout42773_THOMPSON, DAVID_20050830❑COMA / ❑DREDGE &FILL �' `� t �eC C 6• V /y� �. z .2 7 7 3
GENERAL PERMIT -
Previous permit # `h
D N e w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous perm' 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 15A NCAC
❑ Rules attached.
Applicant Name _J -rhoi''' ja5x7<
t:
Address %:;' i/ , %v
CityrZs�+..'Lt�iii�h� State A't
11
ZIP 7 1<<;:ZS
Phone # ('') �y`'.s Fax # ()
Authorized �D ��
✓"`
Affected CW W TA ❑ ES
❑ PTS
Afecte tiF ❑ USA
0 N/A
C PWs: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platfo
Finger
Groin
Bufkh
Basin,
c
Boat r
Boath
Beach
Other
Shorel
SAV:
Sandb
Morat
Photo
Waiver
Project Location: County r..:
Street Address/ State Road/ Lot #(s)
Subdivision
City 1i1.f it.'f-'-�'� �'Sj`%{�t ZIP'
Phone # ( )�`% r)99 River Basin
Adj. Wtr. Body !f- 16at4man /unkn)
Closest Maj. Wtr. Body
(Scale: t )
rm
n
o
piers
length
umber i
T
e
m
ad/ Riprap length _j I O_.
avg distance offshore
f
ax distance offshore
channel e.
—7
ubic yards
amp
ouse/ Boatlift ;
Bulldozing
i AI I L
ine Length
not sure yes no
I • �� I I I i , , i
ags: not sure yes no
rium: n/a yes no i
s: yes no.'
Attached: vec nn, —
A building permit may be required by: •
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature 't Please read compliance statement on back of permit
•�C �� �
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
1 / , -
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
A building permit may be required by: •
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature 't Please read compliance statement on back of permit
•�C �� �
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
1 / , -
Permit Officer's Signature
Issuing Date Expiration Date
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 [ _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 (910-796-7215) for more information on how to comply with these buffer 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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888-4RCOAST
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
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/O5
Telephone (919) 496-2051
DAVID S. THOMPSON
AGENCY MANAGER
&40, (:�7"
NORTH CAROLINA FARM BUREAU
MUTUAL INSURANCE COMPANY
• Post Office Box 445 •
0_ U
Louisburg, North Carolina 27549
R—q�
4' U G 1 1 2005
Morehead Ciiy DCM
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1) V S. --fllbrn 's
(Name of Property Owner)
property located at Sb Z S' 41, d �� � pL�- ryks, -y_ S ! 4&1n , N L—
(Lot, Block, Road, etc.) 1
on _ �)AL Syvua , in 14A2)(tx� T S) All, N t' , 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.
tK4---�--- 51�
-------------------------------------------- - --------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
----------------I --------------
------------------------ -------t----'--------2-------
Signature V
Print or Type Na e
�.5 z- 7a '�a� s�
Telephone Number
Date: ?5 (o D 5
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Np .- a S. psluo 's
(Name of Property Owner)
property located at Sb 7- SI 4 A;.
11 (Lot, Block, Road, etc.)
on J�gL k Sovur , in alAQ `[CLrs E S1 w., N , 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.
----------- S c�a �-,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
------------------------------------------�---
�.QI--------
. --------
Signature
--1-L'sVt�d
Print or Type Na e
�,5'z - W ' a
Telephone Number
Date: Q> - (, D 5
DAVID S. THOMPSON
1511 HWY. 96 PH. 919-528-4334
FRANKLINTON, NC 27525
2635
(p; 65346552
PAY DATE_ � —I '
TO THE
ORDER OF
Cf-'�D
Central Carolina Bank 552
Carolina 27596
FOR
+I'0000 26 3 SII' . i:0 S 3 L0046 Si: SS
DOLLARS 8a
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2LL34S61I'