Loading...
HomeMy WebLinkAboutSammartino, MarkCAMA / DREDGE & FILL GENERAL PERMIT Previous permit # -New 'Modification 1 'Complete Reissue 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 ;]Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) — Fax # ( __-) 97 n Authorized Agent — Affected J CW 1_-1 EW PTA ES PTS Phone # ( River Basin OEA ❑ HHF IH UBA N/A AEC(s): - Adj. Wtr. Body _ _ _ _ gnat__ /man unkn F--J PWS: --]FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body - - Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) - Finger pier(s)_ Groin length -- number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel ✓ _--.- � I Boat ramp Boathouse/ Boatlift Beach Bulldozing J _ L �_Other T !� �' _ + Shoreline Length SAV: not sure yes no Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name See note on back regarding River Basin rules. Permit Officer's Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Issuing Date Local Planning jurisdiction Expiration Date 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 I) 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 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 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST 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 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date q 1 9, j '2— 0 ) T Name of Property Owner Applying for Permit: Mailing Address: k'\Ae rr I W10-- \ 1\j G I certify that I have authorized (agent) O� La�a N" NY 1 q to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Uh-G- -aU r"i, bre-a �-0a+ at (my property located at) 3 �,'Gt r %cc CD-n 1 M&n This certification is valid thru (date) o P � a ► a� 1 Property Owner Signature Date o-Y V) C+ )O-e?(-U.+57T )t -t-AM 0A ODA Apr 1814 09:19a Golden Plumbing & Heating 703-257-4378 p.1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA PIER/MOORING PIL.INGSIBOATLIFTIBOATHOUSE) I hereby certify that I awn property adjacent to Y► A&K I (\lame of Property Owner) vinfcrL.,.v ht 3+�-( property located at L.21T ' 7 ' i 13 G Att-sAc.�r-4 2e� . -mac .s zr ZP SJ (. -(-` 4 (Lot, Block, Road, etc.) on ri�.�se 2.4,s_ Ccrtv�cL ept' gEaN- .n.T Cr Tee : , N.C. (Waterbody) (Town and/or County) Applicant's phone #: ZS1---Te'4-2-L41- Mailing Address: 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 picrlmooring pilings; boatlift l boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive Y- I do wish to waive that setback requirement. --- ------------------- —------------ ------ --- --- — — DkSCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT. (To be felled in by individual proposing development) 6 i C-ff.,' x . 13 C' L,,..cw� JS'� 'o'—a ..k,, (Information for Property Owner Applying for Permit) 1 13 Ge - 6r-::,..- Of Availing Address �ec�...t;...�- pie Z�� Iv •t,��-% CiiyisiaLw'zip (Riparian Property Owner Information) SipatUre Print Of Type: Nawcz zzA S�rC G clG 2- Telephone Number Telephone Number T' s i�riWE LIi'; Mkt Date ADJACENT RIPARIAN; PROPERTY -OWNER- STATEMENT (I{(IR -Ii I'IL 10i !OORING1'ILINGSIBOA.TLI YYBOATI[O..USLs) 1 hereby ccrtify that T• own property adjacent to (Maine of Property Owner) property kwated at L o5f 1Llerri / 3 rG� cow. fir: ` 1 /(Lot, Block, Road(etc.) . (waterbody) en (To)vu and/or County)) ripplicarit's phone e: J" faa Ma111n Address:. He. has described to r' c,.as shown below, the development he is proposing at that location, anii; t li the iio objectiotis.(o his proposal. Z uriderstand that apier/mooring pilings / boatliftIboatliotise must be set back'a minimum distance of fifteen fret (15') from niy area of riparian access ithless' waived by me. (If you wish to waive the setbaelt, you [nest Initial the appropriate blank'. . belolv) 1 do .ndt wish; to waive.: - . Ldo.wish to:waive tliat.setback requirem0it - ----- - --- rr rr..--- ------------ .. r D1✓SCIt1I'`1'JQN ANfI/OIt I)Itrt1Y1N..G OT PROPOSED DEVELOPMENT: , '. . (TYo be f711CiL f» G�} indirfdirnl proposiir�'rlsselop»ierzt) • o ro�� sG� �� � tii1 i off l0 l�; 3© Z_r ::(Infarri�ation foi' Prop r!-y Oiyner Applj,ing.. ([2ipat'1an Piop.ert31 Owner Information) . for, Permit) ,'. ,.:::.. . Mailing Address Si�,nature Cit}+i$faitrLip I ririt u `l'ype;lanle Tc lcl tone Twin ^r --� _ - �Telephone Nunibei Sipliature Bate Date. `