The URL can be used to link to this page

Home My WebLink About57843_DODD, JEAN R_20110414❑ CAMA / ❑ DREDGE & FILL GENERAL • PERMIT Previous permit # ❑New ❑Modification El Complete Reissue ❑Partial Reissue 1 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 15A NCAC ❑ Rules attached. Applicant Name Address City State . ZIP Phone # () Fax # () Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Project Location: County - Street Address/ State Road/ Lot #(s) Subdivision City ZIP ❑ ES ❑ PTS Phone # (_) River Basin ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) Crit.Hab. yes / no Closest Maj. Wtr. Body Type of Project/ Activity . ■...■■■■■■t!■■■■■m■� IN .■■..■..I�l...■....1■ • - SM111 { oil Iwo1111*■■M�6111MM i■■■i ■ �■ li�w ■■■■■■■■■■■■■■"■jili■■iiil■i�1.4'�iLl�i►�fa■■IIRI■■■■■fl i■■■■■i ■■■■i■��■■■■■nii■��it�iliii��■i■i VAN tt4i1�J111i711l�I�■f111■�■■■E mom ■o■■�Rl�l1t■S� r■■t�flHl�i�l■■�R}i7Rf1 ■111 1■ ■■■ M. ■■■■■■■■■■■■u■■f.l.■■■.1■C:iil■■■1�■■■■■■■■■■■ ■■■■ ■■■■■■■ ■■I.t. ■■Gilrl�l/■1�91�■■■■■■■■■■■ ■■■■■■■■■■■■■■■U1111 H�ii/llifa■■!�■■■■■■■■■■ ■■■■■■■■■mm■■i■mI I■■■■■■ItE■i'i■■ I ■lei,-1�■■■■■■1�■■■�1■■■■■■■■■■I Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** F PermitOfOcer's Signature Issuing Date Expiration Date ApplicationFee(s) Check# 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 ❑ 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 complywith these buffer rules. Division of Coastal Management Offices Raleigh Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) 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) 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 08/09/06 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other AnDredge ❑ Fill ❑ Both ❑ Other O Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ .}_ice•-aG31 .. .. I 33„'' .. 14" ff' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT q)01� (FOR A PIERIVOORING PILLVGS/BOATLIFTBOATHO USE) icy I hereby certify that I own property adjacent to :5 Q,,S (dame of Property Owner) <20>> Property located at 23 1/�f- u.► (Lot, Block, Road, etc.) on o ay ,e. Sbyh Gi , in i�4+ lar+ '�: �- .� d/or CotN.C. (�Vaterbody) (Town anunty) 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 pihngs/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. ,...�; f, `, 1396 DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) a An -4 f +t,.Q (aG C e A - -5 4 + rta ko c-fe- A0, w ` . (Applicant Information) o231/ r•'u✓ FY4 Mailing Address QQ _� -� -�,� /7 ��iN1f'G ` /Ye Citylstateaip _1/1 G/A 3077 Telephone Number ,0 - a7- /0 Date (Riparian Property Owner Information) Signature &A 011-c' Print or T e Name oZS--)�• ^IZa- 3139 Telephone Number Date O N � 0000 0 u 00 00 CE L N ,2 36 Al y l l t.,k✓ OEUV-4 , � I f3cwi- i�+va�' 4t'Xil'SWiIjV� e I � (� P la+�a r�n•t $� � � I I f I I I I J ' I i e + � I l r � I I sI � f �3�{ �✓;mow BI✓.( . p,lid` G.: e, A r RECENED APR $ 2011 ADJACENTRIPA.R7 �t PIROI'ERTY Off'-±YER STATEINMN- '. (FORA PIE"foo"NG PZkVG"OATLL T/BO.4TUOUS mHD CM I hereby certify that I own property adjacent to U.� ,. ;L . Is (Name ofProperty Owner) PeriY located at 2.314 S R F3 ta. - A,,,,,,ie ulws (Lot, Block, Road, etc.) Oa Vaterbody) 'o ('X'own and/or County) N.C. He has described to me, yes shown below, the development he is proposing at and. I have no objections to his pmposW. I understand tbat a ier/moorin must be set back a minimum distaace of fifteen feet (155 £rom g ngs/bthat location, oailiR/b° uae waived by me. my area of rrpaim access unlcss -- I dot wish, to waive the setback ruquircment. .—.� Ida wish to waive that setback mg rrement. DC'RipTION AND/OR DxtA'W1NG OF PROPOSB bEV.EE,OPMTNT:— Mo befsAed irc liy snWviduaYpropasi�g devrtopm,,V o Se-e. Ar}+Ae-k -------_..._�-- (Aipari Pr orty waeir Ihforma au Mailing Ad d}ea, s / --�� (.sue �-c P,,,rt�, N�-��5�/2 t � C cc�hti j'{ t vl CIEyNStarel2lp Prbi or Type N —Y Tstophwte Nb�nber --_�—=-- =� PIP, Aare 1Jate --�— oc a� N A U Lr)zo O V o0 00 'i w I o ►� o 9,,-�- D P l og,+ r+�t Nx+o I AIL ' � � I � I J 1p I I 02 36 &V-4 , _1 l r 17' I I I I I 1 o23Jf ✓;ew 8 11A. rld AI WILLCO CONSTRUCTION WACHovlA BANK, NA P.O. BOX 151 MOREHEAD CITY, NC 28557 ATLANTIC BEACH, NC 28512-0151 66-21/530 (252) 726-2158 4/8/2011 5108 ^' PAY TO THE D,E.N,R $ **200.00 ORDER OF Two Hundred and 00/100"***.*,******,*««*,.***««,**«t4**tk***.,*.*,*,x***,,�*.**�**«****,�**.***, DOLLARS D.E.N.R Dodd dock cams permit 234 Bayview ?, 7rl'G +1.00510aIfo 1:05300021gl:20SL.64004633911' APR-16-11 02:36 AM JEAN-DODD 'TY 919 876 3727 P.01 RECEIVED APR 5 2011 NCDENFt o!vjsior of c-oasmi varacP, lent DCM-MHD CrrY OsIt"wr Applying for rhv ell, Z4 -1jut" v ..aL:;St; trl- [:,�: Iiarj,c'sc nF � I t: �, )' � ��~� •-1.•L•1;' M• i•^.^.:.4TU1`Y::1.Llrj�;ci �1��. �{ ��^�:��/". c.iy pri—pe t't)' 111