HomeMy WebLinkAboutWalton, Sherman. / ❑DREDGE & FILL �(
1140
6211k
KAMA
NERAL PERMIT
Previous permit#
w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission 15A NCAC Qa
and the in an area of environmental concern pursuant
to
XM 6tl v
i
[K Rules attached.
C\c -teu
Applicant Name s ar cv
1
Project Location: Coun
1 tY
Addressi ��fQ -i"�- rnza j
Street Address/ State Road/ Lot #(s)
t�vr State ZlP_
IS6 Dre-S-t.
,City i
Phone # (g�2) "72-ti j 1 Fax # (_)
Subdivision
Authorized Agent
Citytti nr� ZIP�1�(7G
_ _ _ _
_ &CW NEW, P(PTA A ES � Elr
PTS
Affected
- River Basin
Phone # (� ) 12-1 i
� s"1 � -j:7
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OEA HHF ❑ IH UBA N/A
ElElEl❑
AEC(s):
Adj. Wtr. Body
na man unkn
El PWS: ❑FC:
ORW: yes / no PNA yes no Crit.Hab. yes / no
Closest Maj. Wtr. Body
Type of Project/ Activity N r ' 121
D:.._ ia,.-i.\ i....—, 1- 1.,'7 SC t
Ih 1
(Scale:` 7JU )
Groin-
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore_
Basin, channel
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cubic yards 0
Boat ramp
Boatlift
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OtherBoathouse/
Beach
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NEENEENEEMENEE
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'Moratorium: n/a
Photos: •
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A building permit may be required by: _ �� Gio u'4 tom- �; ,o � t ElSee note on back regarding River Basin
Notes/ Special Conditions �� t
t" I1 � P S i t � c r.i �ir^� �r -n,» ,C r-t r
/{gent orpli P 'nted Name PermltOffic r' Signatui
1iticr
Signature "Please read compliance statement on back of permit" Issuin D e
'Aonlication Feelsl Check # LocaQlanMningJuri!LdicItic
` ` Expiration Date
e �.e 1�=
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 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/ 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
NCDE R
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Fat McCrory Braxton C. Davis
Governor Director
Date a - ) U Q
Applicant Name CS h elrym rJ Wys, [lr n
Mailing Address(. ►- -� T
John E. Skvarla, III
Secretary
I certify that I have authorized (agent) 15114 p 1414,4-& , )-rucl- -rqu act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
at (location)
J r.`Ln� a-ury
This certification is valid thru (date)
Signature
400 Commerce Ave., Morehead City, NC 28557
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.nccoastalmanagement.net
An Equal Opportunity \Affirmative Action Employer
NorthCarolina
Naturallf
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIj�IOORINGPILI-,YGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to C _ s
(Name of Property Owner)
property located at
ot, Block, Road, etc.)
on J�»n G'.,�if �� ..-,in
S,m✓r.r�� �rF,Pt`T N.C.
(Waterbody) —�� (Town and/or County)
Applicant's phone fl: Mailing Address: � 4 -fry! = — 't" S 1
He has described to me, as shown below, the development he is proposing at that location, and, I
have no oltiections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimuin distance of fifteen. feet (1 T) from my area of riparian access unless
waived by mc. (If you Nish to waive. the seE_)ack, you njust initial the appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
---------------------------------------- ------ - -------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual pro posing development)
(Information for Property Owner Applying
for Permit)
Mailing Address
SML"r V\)C.
City/St to/Zip f
NumberTelephone
Signature Date
----------------------------------------------------------
(Riparian Property Owner Information)
Signature
4 zoi,Gel
Print or Type Name
Telephone Number
j-�
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERliIOORItVG PILI_NGSIBOALT�LIrF' TIBn Oh A THO USE)
01 e IV
I hereby certify that I own property adjacent to , e (4 P— 1,-, Is
(Name of Property Owner)
property located at I
,It 317
ot, Block, Road, etc.)
on�V�1 c� l�,�et✓l� , in Coo K�e/L�� �lQ�� N.C.
(�Vaterbodv) (Town an/or Coun-tuyy)
Applicant's phone Mailing Address: ) Q$ eG- r cam" S f
He has described to nee, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a piciAnooring pilings / boatlift / boathouse
must be set l)a0k a Minimun-1 distance of hftoen. feet (IT) from my area of riparian access unless
waived by me. (If you Nish to Ivaive the sefbacl(, you must initial tile, appropriate blank
below.)
I do not wish to waive
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF. PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) _
(Information for Property Owner Applying
for Permit)
Mailing Address
City/Stat7Zip
Telephone Number
(Riparian Property Owner Information)
Signature
R o b,c,tn N. O to e K
Print or Type Name
L5D--722- 1103
Telephone Number
—Is—
Signature Date Date