HomeMy WebLinkAboutAnderson, Michael (2)LAMA
A GE & FILL
8i 54
PERMIT
F0
A B C.) DGE
Previous permit#
N El Complete Reissue EJ Partial 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 15A NCAC
0 1
-A
1K Rules attac4!d.
Applicant Name
Project Location:
County
Address
Street Address/
State Road/ Lot #(s) J
z"
City— State I C zip /(�f:J
Phone # E-Mail
Subdivision
Authorized Agent V,
CityCK
-
C7
ZIP
0 Cw A-EW ArOTA OES El PTS
Affected ❑
Phone#
River Basin 6,
0 OEA E3 HHF 01H E❑-1 USA 0 N/A AEC(s):
Adj. Wtr. Body
4.V1 1man /unkn
E] PWS:
ORW: /'no: PNA /Ino
Closest K
yes yes
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
maxdistance offshore
Basin, channel
cubic yards
Boat ramp
Boathous6 Boatlift
Beach Bulld9zing
Other
Shoreline Length
SAV: not sure yes nNol
Moratorium: n/a yes Aq.0
Photos:
I
Waiver Attached: ye no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions .
�f I
(Scale:
El See note on back regarding River Basin rules.
Agen or A Jkant Printed Name! ti PermitOfficer's Printed Name A
Au
Sig7a re *f Please read compliance statement on back of permit Signatyrel
Avpkicanon Fee(s) Check# issuing Date'
Ex0i
)n Date
4
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) priorto 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:
0 Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
0 Other:
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 Resources. Contact the Division of Water Resources 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
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-411COAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of 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 - South of New River Inlet -
and Pender Counties)
http://www.nccoastalmanagement.net/
Revised 08/27/ 14
❑DREDGE & FILL
NO 65480A B p
G NERAL PERMIT
Previous permit #
ew ❑Modification ❑Complete Reissue El Partial 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, 79 s ,
Rules attaclled.
Applicant Name' eCrJ
Project Location: County
Address ' I
µ
Street Address/ State Road/ Lot #(s) ,
City
i 01 11 State ZIP
Phone # ( ) 7 E-MaiF
Subdivision
Agent `"'f �C,�a�' fA` , j��� „ .
`
City � ZIP rr-
.Authorized
Affected ❑ CW ,�rA [IES El
PP�
Phone # {_) River Basin --
Oak
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s):
,
Adj. Wtr. Body man unkn
PWS:
ORW: yes c no PNA yes / n
Closest Maj. Wtr. Body 1
C�■■■BNB
��iIA'rl+�'Jva■!
w
f
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property Owner Applying for Permit:
Mailing Address:
r
I certify that I have authorized (agent) ac An y
robtaining
behalf, for the purpose of applying for an all CAMA Permits necessary to
install or construct (activity) / /i(r
at (my property located at)
This certification is valid thru (date) �1
Property Owner Sigdture
RECEIVED
JUN 17 2015
(} 7
/,Gate
RECEIVED
JUN 0 8 2015
.e
ADJACENT RIP_ ARIAN PROPERTY OWNER STATEMENT
I herebycertify that! own propertv adjacent tc :. z ?ar.ara Z , An-'ers=
S
(Name of Property Owner)
prop" locatedat Lot 18,_ 105 Cottonwcod Gcur , Pine tnc-.. res, 1C
.(Address, Lot, Siock, Road. etc.)
on BolMe Sound - __- r Pine Kr 5hc:es
(Waterbody) (City/Town and/or County)
The appikent has described to me as shown below the aeve!oo-e— —=oseaI at the above
location
1 have no objection to this proposa!
I have objections to this proposal
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Md OdOW proposing development must fill in description below or attach a site drawing)
SEE ATTACHED GENERAL CAMA PERMIT REVISION FOR PROPOSED 12' X 12' (INSIDE
DIIIERSIONS) BOAT LIFT (10" X 25' PILES)
WAIVER SECTION
I undeFsWnd that a pier dock. mooring pilings. breakwater 5oatrc:;se ,N o g o ^ must be set
back a minimum distance of 15, from my area of riparian access in!ess walvec by me if you
wish tovis" the setback. you must initial the approodate blank below
I do wish to waive the ' 5' setback requirement
I do not wish to waive the i ";'Setback reou!remerr?
Signowe Michael J . Anderson
Barbara Z. Anderson
print or Type Name
211 Dru mond Dr iv e
Me ft Address
RaleiRhs NC 27609
Telephone Number
Dare
(Ad
Frank T. Batten
Florence P. Batten
0'7n' or rvpe "Jame
547 C Packhouse Road
V80no gcdress
Wilson, NC 27896
(252) 291 0554 (252) 230 0638
Tpipnh... a te'
RECEIVED
�7 2015
I, QW-1WHU CWi
RECEIVED
JUN 0 8 2015
l
ADJACENT R11PAR11AN PROPERTY OWNER STATEMENT
I hereby mttry that I Own property adjacent to Michael . and Barbarrtay Z . Anderson s
proWty kxtWed at Lot 18 , 105 Cottonwood Court(NPmneoKPr?? Ownelc
'hddrws, Lot, Block, Road, etc.)
on Bogue sound .in Pine Knoll Shores N C
(W*Wrbody) (Cityrrown and/or County)
( aWicent has described to me. as shown below, the development Proposed at the above
n
t%N11*I have no objection to this proposal
I have objections to this proposal
DESCRIPTION ANDIOR DRAWWG Of PROPOSED DEVELOPMENT
(bxffv dust propos/ng development must flri in description below or attach a site drawing)
SEE ATTACHED GENERAL CAMA PERMIT_— REVISION FOR PROPOSED 12' X 12' (INSIDE
DIIIENSIONS) BOAT LIFT (10" X 25' PILE$
WAIYER SECTION
I understand that a pier, dock, mooring pilings. breakwater. boathouse. lift. or groin must be set
a minimum distance of 15' from my area of riparian access unless waived by me if you
to waive the setback, you must Initial the appropriate blank below
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requ
$ignGtune Michael J. Anderson
Barbara Z. Anderson
Print of type Name
211 Drummed Drive
9 Address
Raleigh, NC 27609
cflyasbu
Telephone Number
Date
(Adjace I/Owner Information)
RECEIVED
-
JUN 17 2015
Signature epheBrown
f� tub ►vaM,�� C-ay
Mary Carlyle A. rown
Print or Tv?s44ame
PO Box
Mailing Ad-1
More Tiead elrty, NC 28537
RECEIVED
CityiStafe2iQ
(252) M 8855
JUN 0 2015
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-- v-ae FOKMIT - REVISION
PINE KNOLL SNORES
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CLINIM MICHAEL J. ANCERSON
ADDRW& 211 0 DRIVE
RALEIOH. TM
27609
PHONE: 919-219-1000
. N.C. am?
wrim A COUNTY, NC
RDC
BTM
A. C-MT RDC
J"084/.459;41415
RECEIVED
JUN 17 1015
u :W-MHQ Qlw{
RECEIVED
JUN 0 8 1015