HomeMy WebLinkAbout47513D - Lee❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑New ❑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 15A NCAC
❑ Rules attached.
Applicant Name Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O Fax # O
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ElHHF ❑ IH ❑ UBA ElN/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
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
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
�yl
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: ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
LI , l
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, certifythat this project is consistentwith 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(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
r
I CAMA/ D DREDGE & FILL 41 a;
;ENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
•ized by the State of North Carolina,Department of Environment and Natural Resources
:oastal Resources Commission in an area of environmental concern pursuant to ISA NCAC 71-1- . I t co
Rules attached.
t Name L/N L Uee Project Location: County F Et.119 0Q_
Pc P ;X I act-4-5S Street Address/State Road/Lot#(s) (—CT g
11 t I f\J(irC J State NC- ZIP 2-g 4 u y' I Z S PRA K_-e YZQ.
(9IC) 4-\-1- I i Z Z Fax#( ) Subdivision Vv\Pc LA..f1--FL.0 l j , \
ed Agent !A City 1A - ) ZIP-')2St-4`j
❑CW ❑EW ❑PTA as ❑PTS Phone# ( ) River Basin ('4,PC
❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body CAN A 1. 01 r r\l iWt (Ithtri" %(
❑PWS: ❑FC:
yes / ) PNA 61 no Crit.Hab. yes / no Closest Maj.Wtr. Body A t W W
Project/Activity 1.—K-f-
(Scale: 1 " - L
:k)length
(s) _ �J
er(s)
= ST
igth
- -1
nber --- -
Z ?DW , j
V Riprap length 4,j W� * i 1 1l.,J41.4.s
distance offshore cP
K distance offshore 4C
annel E �. �t 1
ic yards _^� C pt l�j'4' yYIOt,� i
lANN ,�
t
iP -
r
m/Boatlift Ati
illdozing i -'-_ __
�� f-IN C7
46 i
I
\\
Length IIl7
---------- iii;t-
not sure yes
not sure yes � '_ f 1 V
im: n/a yes I.
1 '
Yes i
ttached: yes 1I - - -- i
g permit may be required by: 410 n See note on back regarding River Basin ru
-i4-2007 10:09 From: To:9103952247 P.1/1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: _ E to i L Z e.
Address of Property: 1.o? S !f l -e, ic e
(Lot or Street#, Street or Road)
-I a rY\ f-71 e C qy
(City and County)
I hereby certify that I own property adjacent to the above-referenced property, The individu
applying for this permit has described to me as shown on the attached drawing the development till
are proposing. A description or drawing, with dimensions, should be provided with this letter.
X. I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coast
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-721
within 10 days of receipt of this notice. No response is considered the same as no objection
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be s
bck a minimum distance of 15' from my area of riparian access-unless waived by me. (If yc
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
f I do not wish to waive the 15' setback requirement.
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Print Name AA
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1 To:9103952247 P.1/1
4-2007 10:09 From:
DIVISION OF COASTAL MANAG MENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual Applying For Permit: E c2: ' ,4 1 z ,
Address of Property: L i ? %J ; Ora 4;
(Lot or Street#, Street or Road)
bu rr\ 01-4 � c- �,� . ot� �f �
(City and County)
I hereby certify that I own property adjacent to the above-referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development they
are proposing. A description or drawing, with dimensions, should be provided with this letter.
C /11' I have no objections to this proposal.
osal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-796-7215
within 10 days of receipt of this notice. No response is considered the same as no objection if
you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings,breakwater, boat house or boat lift must be set
bck 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.)
✓4-1 C,f,/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
l
Sip Nameriz Date
/IA Ra.,41(E'r 0, 1-164z4-/o 10,7
Print Name 1AVA
ConnectGlS Page 1
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