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HomeMy WebLinkAbout54176_BRANCH, B. CLEVE_20090709❑CAMA / ❑ DREDGE & FILL fo GEN EF1AL PERMIT ,� Previous permit # ❑New, ' ❑Modification El 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 Applicant Name_ Address City State ' ZIP Phone # O Fax # O Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ElOEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ U BA ❑ N/A Crit.Hab. yes / no ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision ,1 City ZIP � / Phone # ( ) River Basin ? _ 6. 1. j Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body MENEM nm �■::� = • :■::E:■:EMNIMMEME MME:::F:::l:■EMNON •■■ ■■■■■■ ■�i.11li �l:�MMOMMMUME ■MEMO .. IN■:■E:EM■■E■■EEMEwli ESMn■■MWOOMME ■MM■■ . ■E ■ ■E■■■■■■■M■i■■MIwEIL11�1�21HOMM■r■M■MEM■ :.■■:MMEMA■■�IJ�M��M■■■`■Mfl■ii■■■■■■■IL�M■M■■! EMEMEMENUM ■E■EEO■::��:1■Ekii■iiE■■■■E®!■■■■■MiEEE■■■■ M. ■E■■■■■{c!1■■k�'■E■EMEE■■■lam■■■■■�''�► �MJE'�::: • ■ !`MEN MWEEMMOMMIME i \ 1 t �' ■MIS■■■■■■■■■■,��lr S� '..:�►r�'�!■■ � :,, � �/�,,.-..,... , ME' IEEE■E■■E■�LM:ME■!I� �►'��.r, , , ., ■■lNEISEEI�E■■E■■■■�`Ii�If�il�i■irlli�iilrM■■■E■ i■■OEM■■■M■O�1r�s �■■■E■■■■■E M■MMMEN i/lIIM51IMkt':NONE MINNIMEONEE :::lam:■■�:� M::■EMEMME ■MOS■M■O■■■■E■■■■■■OE■■■■�W■MM:■■ Agent or Applicant Printed Name Signature ' **Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature Issuing Date txpi rati, n Date Local Planninijurisdiction 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 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 07/13/2009 09:42 2527527749 CONCOR INC PAGE 01 B. CLEVELAND BRANCH JR., CPA P. O. BOX 1511 GREENVILLE, NC 27835 252-752-5245 FACSIMILE TRANSMITTAL SHEET IO: FROM: ^ %� ,/ rCscif / ) - �L' lllm -- COMPANY: MPANY: DATE: FAX NUMBER; TOTAL. NO. OF PAOPS INCLUDING COVF-X: PUONS NUMBER; SPNDER'S REPRRENCC NUMBER: R& YOUR RL.YFIRi NCE NUMBER: ❑ URGEN-T 0 FOP. RLVIPW ClPLEASE COIF MENT ❑ PLEASE REPLY ❑ PLF,ASS RECYCLJ Na-c�.s�caMMENTs: 07/13/2009 09:42 2527527749 CONCOR INC PAGE 02 i ADJACENT RIPARIAN PR(aPERTV OWNER STATEMENT (FOR A PIE.RIVOORING PILINGS/BOA TLjFT/B()ATIIOUSE) I hereby certify that I own property adjacent (Name of Property Owner) property located at Road, etc.) on in --- +�<�f- eol - N , C ( a dy) (Town and/or C;ou n Applicant's phone #: r 17 1193Mailing Address: J ox He has described to rne, as shown below, the development h+: is proposing; at that location, aztId 1 have no objections to his proposal. I tnndcrswnd that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (I Y) from my area of riparian access wihe ss waived by me. (If ,you wish to waive the setback, you must initial the appropriate blank I do not wish to waive d`4 / "' �✓ _ I do wis1i to waive that setback requirenient. -------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Tv be filled in by individual proposing develgj2inent) (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 1\4.ailing Address Signaftim City/State/Zip Print or Typc M.r - '% �; (— -- — --- lep one Numl Signature D<<.te Telephone Number D ME. 07/13/2009 a9:42 2527527749 CONCOR INC PAGE 03 // v ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIE RIMOO,RING .P,ILINGS/BOA TLI FT/BOATKOUSE) �— I hereby certify that I own property adjacent to 3 <21ovt' (Name of Property Owner) property located at / I, oPAv l !. _ U (Cot, Block, Road, etc.) ( aterbodly (Town and/or C ntg ) Applicant's phone #JYY 717 Jt $ 3 Mailing ,Address:^ge O /�rs }! 4 // -. _ _,_ /I C A -? r 3.s He has described to nee, as shown below, the developn?ent tic is proposingat that location, and, j have no objectiolls Lo 11ils proposal. I understand that a pier/!Mooring pilings / boatlift / boatholase must be set back a. minimum distance of fifteen feet (15') J.-rota my area of riparian access uai. -,ss waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive I do wish to waive that setback requirement. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT: (Try be filled in Ay individual proposing development) ------------------------------------------------------------------------------------- -------------------------- (lnforrnation for Property fawner ,applying (Riparian Property Owner Igo rm ation) for Permit) Mai litig Address City/State/Zip J Y .� ! — --- ------ -le n - u.n O Signature 1 )ate S ignatu ,e - Print or Type a.nle J ��U Telephone Numbs -7- _�Date 07/06/2009 10:50 2527527749 CONCOR INC PAGE 01 o A ...r.�.Mrj ewe■..,. NDEK North Carolina Department of Environment and Natural Resources Division of Coastal management Beverly haves Perdue, Governor James H. Gregson, Director Dee Freeman, Sea-etiry Date Name of Property OwnerApplying for permit: Mailing Address; ���°�.,lr ►`rye �% C ,.2 7 8' .3.s � - Ir certif, that l have au thorized (agent) G -e.. to act on nr><y behalf for the purpose of applying for and obtaining all CANIA Permits necessary to install or construct (activity) at (m,, property located at) Th`i, cerlificatio►rI is valid thru (date) 2- F Verty Owner Signature oo� . G e Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX 252-247-33301 Internet: www.nccoastalmarlagement,net An Equal Opportunity 1 Affirmative Action Ernployar — 50% Recycled 1 10% Post consumer Paper 07/06/2009 10:50 2527527749 CONCOP INC PAGE 02 ADJACENT RIPARIAN PROPERTV OWNER STATEMENT 0"OR A P.ILWIMOORING PILfNGSIBOATLf t,T/BOATTIOUSL') l hereby cez-t.ify that l owl, proE)erty adjacent t�l (Name of Property Ow1ter) pt-operty located at I Po A (Lot, 13IR ( MA Road, etc.) ( /At-y- terb(To�vrr acid/or Coup Applicant's pbone #:� `r s�a�� 7 l� �Mailing Address:_ 3o He has described to nee, as shown below, the devel0l)DIC"t he is proposing at that location, Wid, I have no objections to his proposal. 1 uMerstand that a l:.-iier/M00rin9 pilings / boatlift / boath6u&,, must beset back a minimun) distance of flf-teen i=eef (IS') from IT) area 0Ftip<trian access unless waived by me, (if you wish to waive the setback, you must initial the appropriate blank below.) —1 do not wish to waive l do wish to waive that setback requirement. -- --------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Tobe.Jilled in by individual proposing develol tnefzt) %j � f�lo*G� !.41r- x iS w. or ^--------------------------- (InfOrmiation for Property Owner Appiving (Riparian Property Owner Information) for Permit) 7Wailing Address �- City/State/Zap le one Nurnt) A ll Signature date Signature Print or Type Narae Teleplhone Nurrll,,1 DCAf:: 07/06/2009 10:50 2527527749 CONCOR INC PAGE 03 ADJACENT RIPARIAN PROPERTY OWNER. ST,/ATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFT/1?OATHOUSE) I hereby certify that I owal property adiacent to /17 / . ` r?44,n lG 's (Name of Property Owner) property located at Block, Road, etc.) ofon► - , ( aterboily —T` - ITI (Town and/or C nty) Applicant's phone #jY 7 /7 Mailing Address. do, O 1-36 A-/ _ IIe has described to [Ile, as shown below, the development he is proposing at that location, aiad, I have no objections to his proposal. I understand that a pier/mooring pilings / boathlt / boatheust-. must be set back a minimum dista0cc- of fifteen feet (15') from my area ofdpaz-ian. access utfles{ waived by m.e. (if you wis.b to waive the setback, you njust initial the appropriate blank below.) l do not wish to waive I do wish to waive tbat setback a-equirc-metat. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Tee befiiIled in ley individual prupr.►sing deiWopment) Aoelor. l tee'114-c e- E)d -------.,----------------------------------------- (information f01- Property Owner Applying (Riparian Property Owner J�7ormation)- -- for Permit) n % II II A Mailing Address Ile PC A 433— City/State/Zip -- —TM Signature Date St�gnati.ue` 1 / 54-1" Print or Type Naive Telephone Nurnt,er Date A1-0 �-'�A{ IV'//JpJJ �V i 8 J 'd J' Q le 3�1 fi 61 Serial Number z. 17294393654` n ,a. fi r pay 3� toyf Address L r / x Memo ®ppOB UnHeC S1au9 Poslel Service. All niBMs 800 2 i• .00000 _ ..�.....,..._r.,r., ,ri s U 9 Dollars and Cents o �mc Clerk X g71ABLE ONLY 14 THEU.S. AO[POSSESSIONS A