HomeMy WebLinkAbout31903D - Faulk 0 CAMA / 6F;EDGE & FILL Ns' 3199 3-1
GENERAL PERMIT Previous permit #
�C _-;New Modification 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 ?A• 12 UC'
Rules attached.
Applicant Name VK A,t f'\ L • to t L. Project Location: County 'r u (\S.,u t C..�.
Address 4 l CCi prr C('c' St Street Address/State Road/Lot#(s) 1 38 5 aNt-
City 10 1 +n State NV ZIP ode 4 2 _ Lotnat rn Zui-N Ci
Phone# ( ) Fax#( ) Subdivision Lu MI G S A 1 F t' 'r' ' L
Authorized Agent t 1i'‘N j $" C t✓ City Su ` P\ I ZIP
Affected D Cw XEW X PTA ❑ES PTS Phone # ( ) River Basin 1-1. v\,62-C
s ❑OEA ❑HHF ❑1H ElUBA N/A
AEC : Adj.Wtr. Body y Pt I_t y LA) (nat y01 unkn)
❑PWS: FC: '
ORW: yes /'n`o1 PNA yes / no Crit. Hab. yes / no Closest Maj.Wtr. Body Rz J w
Type of Project/Activity KCA,J t 10 Ak,t cJ d pc �.. (I Co. k 1_. dor L (l6d�i'�'t o r
V,\,t\k t^‹°,f\c (Scale: f 0T Tp )
Pier(dock)length 1
Platform(s) r X 2 U �•t,%5{. ` '
Finger pier(s)p) ti I C i t It)ref 'f 5 X `n c t \i-'w n
Groin length _
number
Bulkhead/Riprap length ,
avg distance offshore ..............womr
max distance offshore Alt
INN
Basin,channel II . -5'.'
cubic yards I (0X ao e Xt Sk,n m.3,-
Boat ramp qL. f r
Boathouse/Boatlift
Z----4
Beach Bulldozing -.- Ai
Other —
14
X LJ
-. _.&---4 P r v v se d
r, _ ' � iGI cidt4 ,Un
Shoreline Length Y + ,- --
SAV: not sure yes 'no -
Sandbags: not sure yes no ,. i///
,n
Moratorium: n/a yes no T �' r j
Photos: yes no b A\L\ .4 J\ �
Waiver Attached:G(W _ ) no -- _— — '
A building permit may be required by: .Rjr u.rmc,v3 i c L. (1.1,z wvsk-v\ C.See note on back regarding River Basin rules.
Notes/Special Conditions , +1 u r-t'tA.(f-S cr1 US* ine—e-t- EsUI . e 4 b AC L.. CYr)m Pd elP1 U'
N. --'• .-',nt-n\r-‘' 1 1 No MOfU ±inf-C\ 2 bo tack S 'MA--U \CJ Moot^L'i `t'A'1 S
O\-`t vc 1 j ) 1
(7)r 'tf\ r\ G-rZc _- :.-.'. 1 r_- ,r.43.4.__(//2
Agent or Applicant Printed Name �' icer's Signature
Signature `Please read compliance statement on back of permit** Issuing Date Expiration Date
4 \UC . 31 11 itr Ltr,StAS, C.:ov-n PO(,,& 1( 4
Application Fee(s) Check# Local Planning Jurisdiction Rover File Name
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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(910-395-3900)for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office Elizabeth City District Washington District
Mailing Address: 1367 U.S. 17 South 943 Washington Square Mall
1638 Mail Service Center Elizabeth City, NC 27909 Washington, NC 27889
Raleigh, NC 27699-1638 252-264-3901 252-946-6481
Location: Fax: 252-264-3723 Fax: 252-948-0478
(Serves:Camden,Chowan,Currituck, (Serves: Beaufort, Bertie, Hertford, Hyde,
Parker Lincoln Building
2728 Capital Blvd. Dare,Gates, Pasquotank and Perquimans Tyrrell and Washington Counties)
Counties)
Raleigh, NC 27604
919 733 2293 / 1 888 4RCOAST Morehead City District Wilmington District
Fax: 9 19-733 1495 I5 I-B Hwy. 24 127 Cardinal Drive Ext.
Hestron Plaza 11 Wilmington, NC 28405-3845
Morehead City, NC 28557 910-395-3900
202-808-2808 Fax: 9 I 0-350-2004
Fax: 252-247-3330 (Serves: Brunswick, New Hanover,
(Serves:Carteret,Craven,Onslow-above Onslow-below New River Inlet-and
New River Inlet-and Pamlico Counties) Pender Counties)
Revised IO/C
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•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2,and 3.Also complete Re lived by(Plea Prin learl) B. Date of Deliver
item 4 if Restricted Delivery is desired. ( r1 1,) 5-i 3 ro�
• Print your name and address on the reverse
so that we can return the card to you. C. Si at
IN Attach this card to the back of the mailpiece, X /!��""� ❑Agent
or on the front if space permits. l�f/ �✓` ❑ Addressee
D. Is de every ddress different from item 1? ❑ Yes
I. Article Addressed to: If Y ,enter delivery address below: ❑ No
2r (c,
u e�Q�1\\1 e C 3. Service Type
V ` " i-1 30 b fr Certified Mail ❑ press Mail
L x! ❑ Registered b Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
• 4. Restricted Delivery?(Extra Fee) ❑ Yes
?. Article Number 7001 0320 0005 9189 6395
(Transfer from service label)
'S Form 3811, March 2001 Domestic Return Receipt 102595.01-M-14;
•
UNITED STATES POSTAL SERVICE First-Class Mail
Postage& Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
GCE CONSTRUCTION
6618 BEACH DR, SW
OCEAN ISLE BEACH NC 28469
(910) 579-9095
.ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1, 2, and 3.Also complete A. Received by(Please Print Clearly) B. Date of Deliver
item 4 if Restricted Delivery is desired. _ 0:
• Print your name and address on the reverse
so that we can return the card to you. C'Sign•ture
• Attach this card to the back of the mailpiece, CI Agent
or on the front if space permits. X J . a, � r ❑Addresse
D. Is delivery address•fferent from item 1' ❑ Yes
1. Article Addressed to:
tt If YES,enter deliv-ry address below: ❑ No
Ver 1`lluo (-
2�1Z4(
�1u(V-�' 3. Seyice Type
all Certified Mail ❑ EEx ress Mail
El Registered 2-"Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) El Yes
2. Article Number 7001 0320 0005 9189 6401
(Transfer from service labs
PS Form 3811, March 2001 Domestic Return Receipt 102 595-01-M-14
UNITED STATES POSTAL SERVICE First-Class M2i1 ,
11 Postage& Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
GRICE CONSTRUCTION
6618 BEACH DR. SW
OCEAN ISLE BEACH NC 28469
(910) 579-9095
L'I IIIuhfla,Llndull.lu,lllh,u,dihshilud
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
)
Name of Individual Applying For
r` \ � - \
Address of Property \
. (Lot (:-)r Street #, Street ~dr (Road, City & County)
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
_ do-scribed 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 .
I have no objectives to this proposal .
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 910-395-3900 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, lift or sandbags must be sat 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.
I do not wish to waive the 15' setback requirement.
`
__.........
___________________________________________
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�zLgmarure � �� ��are
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Print Name ' ~
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�-.-__'���................-��'�..-.............................-'-......- --
Telephone Number with Area Code
.
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DIVD5ION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
-
/ .
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Name of Individual Applying For Permit:
<`
Address of Property: _\�}��\� �=�W.
6 = -+ '=- ---------
� (Lp t Roa�, City & County)
-_
I hereby certify that I own property adjacent to the above-
referenced property. The individual applying for this permit has
_ d�;crib,acl to me as shown on the attached drawihg the development they
are p�oposing. A description or drawing, with dimensions, should be
proyid�d with this let�er.
.
vl-' .
____�____ I have no objectives to this proposal .
�fc�pu h�ve objections to what is beigg _proposed, please write the
`~ . `
D�v1�ion-of -Co�sta� 'Management� '�27 Cardinal Drive Extension, .
Wilmington, NC 28405 or call 910-395-39O0 within 10 days of. r t of
this notice. No response is considered the same as no objecti if
yoU -have b�erl' rfotified by'zertifiisd -mail
,
��......................... ..............�..................................... ��������
^
WAIVER SECTION
6 �
I understand that a pier, dock, mooring, pilings, breakwater, boat
'house, lift or sandbags must be sat back a minimum distance of 15'
' from my area of riparian access unless waived by If you wis tb --
waive the setback, you must initial the appropriate blank below. )
.
I do wish to waive the 15' setb,ack requirement.
I do, not wish to waive the 15' setback requirement.
___�____���____���_�_��_____��_ `�_��_______�______________
Si
Print Name
__.................................. ..........__
Telephon� Number with Area Code
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GRICE CONSTRUCTION 3911
PH. 910-579-9095
6618 BEACH DR.
OCEAN ISLE, NC 28469 66-I12/531
DATE 62201
PAY TO THE e
ORDER OF _
$ 100.0
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BB&T _ -- ----- ----DOLLARS
BRANCH BANKING AND TRUST COMPANY
OCEAN ISLE,NORTH CAAROLINA
FOR G Q o -1AP
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