HomeMy WebLinkAboutPeters, LynnXCAMA El DREDGE & FILL
GENERAL PERMIT Previous permit #
[ New DModification ElComplete Reissue (&I Reissue Date.previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources —, /I I ) 7�1_1 n
-
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
Y
------ [2Rules attached.
Applicant Name Alvi V 77 Project Location: County
Address R-/ c) 1 Street Address/ State Road/ Lot #(s)
L
QtV r rk't State F r zip v
Phone # Fax #,(_
'], erJArgnt "P— t �
Affected '-CW -�EW _I�PTA _61ES 0 PTS
AEC(s): OOEA OHHF EIIH 6UBA ON/A
0 PWS: 0 FQ
Subdivision
City zip
Phone# River Basin i in i -T7
Adj. Wtr. Bod nail/man /unkn)
ORW: yes /'_n'�6., PNA yes Clico- Crit.Hab. yes o Closest Mal. Mr. Body
Type of Project/ Activity (711
Pier
Plat(
Finge
Groffl
Bulk
Basi
Boat
Boat
B'eac
Oth�
(Scale: 1 '::5-
mmmmmmmmmmmmmmommmommommmmmmmommmmm
length
EMMMMEN
■yea■i■■■■■M■■WM■MU■■■■■■■■■■■■nn■■■
�eadf Riprap length
avg distance offshore
�■■■■■■■■■■■■■■■■■■■MM■MMERMOINIME
m=mmmmmmmmE=mmmEEmLMEEMNMEBEEEMMMEEEMM
,channel
EMEMMMMMEME=mmmmmmmmmMMENEEMMMME
mmmmMEE=MMMMMMEEMwmmommomommmmmmoommm
■mmu■■■■mm■=■■■■■
■MMMMMMEMME=EEEEEERMMMmmommmmmmmosomm
■MOMENESEMMMMMMMEEMMENMMMMMMEEMMMMMMEN
EMMMMMMMEMOMMEMEMSEMMMMENEMMMMMEMEMMM
�IhBuljd �Zln
■
■®■■■®■®N■■Ms■■■
MEMMMMME=■■■®M■■■■
mmmmmmmmmmm=mmmmwAnnummmummmommmms
W
MMMEMMMOMMEMMMEEMMOMMMMMMMEEMMMMENEM
"EMENINOMMMMMMMMMMMMmmmmoommmmommommmo
'00
-line Lenr-,-
not sure yes ."E=mmmmmmmm■�MMMMMMMMMMEEMMMEMOMMMEm
n_
WagS: notsure yeso
MMMMMEEMMEMMMMMMMME=mMMMMMMEEMMMMEM
torlum: fVa no
yes�� no
mmmmmmmmrimmmmmm�mmmmmsommmmmmomommm
I y
n
momommmmmummmmmmummommmmmmmrvlummmmmmm
w.6ed: J3 -,
�mmomommumommmmmmmmmomm=MLIIOEEE
'-- - --- / - i -
A building permit may be required by: i
Notes/ Special Conditions
7
(,c�l P. eo Ag
ent Iirame
V
5ignaturr-, Please read compliance statem
�Application Fee(s)
PermitOfficer
)n back f iffy ,!-*-
Issuing Date
Check#
Local PlanningJ
See noe on back regarding River Basin rules.
c,
! ,a
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 officerwhen 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 thatthis 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 comply with 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 Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ 1-888-4RCOAST 252-946-6481
Fax: 252-247-3330 Fax: 252-948-0478
(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)
(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
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date �'� 3d - 13
Name of Property Owner Applying for Permit:
//V Ii )DIAN 67q62FS Cotek-T /Uetv�oo�er C o�85%b
Mailing Address:
I certify that I have authorized (agent) t . P rej w-V M aY i n e l.UY&Gt+[Wact on my
behalf, for the purpose of applying fo1r' and obtaining all CAMA Permits necessary to
Install or construct (activity) _ OC Y, t bfA -1 _Ii(_''_
at (my property located at) _ 114 5 n dfa n . S�(mp r
This certification is valid thru (date) ,; � . f / Dk4
9-,30 -
Property Owner Signature Date
3
■ Complete items 1, 2, and 3. Also complete A. Signature
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse '
so that we can return the card to you. g-M&1V
■ Attach this card to the back of the mailpiece, p
or on the front if space permits.
1. Article Addressed to:
f -e- iwu'
2�-I 3 C teen inert
A(Paot roA o laDU
❑ Agent
❑ Addressee
q ea, je) C. Date of Delivery
from item 1? ❑ Yes
iss below: ❑ No
3. Pelvice Type
Certrfied Mail ❑ Express Mad',
❑ Ftegistered ❑ Retum Receipt for Merchandise
❑ Insured Mail ❑ C.o.D
4. Restricted Delivery? (Extra Fee)' ❑ Yes
z. Article Number. 7011 .0470 0003 25, 6 _.5�09
(Transfer from service label)
PS Form 3811,' February 2004" Domestic Return Receipt' . 10 ' 102595-Q2-M-1540
UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender. Please print your name, address, and ZIP+4 in this box •
PRESCOTT MARINE CONSTRUCTION, LLC
PO BOX 874
ORIENTAL, NC 26571
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to n + L Lt C 's
� ,i � S 1 � e of Property Owner)
-+��-{.—r�' � �
property located at b 6r_�
(Address, Lot, Block, Road, etc.)
on �. �CI� , in a CO. N.C.
(waterbody) (CItylTbwn andlor County)
The applicant has described to me, as shown below, the development proposed at the above
location.
— I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
R tvcr
i
Qrtip� P�uperfy Feiner`
pmproy
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
-1 do not wish .to waive the 15' setback requirement.
(Property owner Info ation) (Adjacent Property Owner Information)
Signatum
S. .r 614
Print or Type Name �— Print or Type Name
/O)O cwt- � S
lV ifingAddress MatfngAddress ..
C_O/Stata0p Cfty/Slat&7ip
Telephone Number Telephone Number
Date Date.
Q(Revised &IW012)
�w