HomeMy WebLinkAbout55100_CADER, CAS M_20100201❑ CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑IVew3 ❑Modification ❑Complete Reissue ❑Partial a ssue -17 Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and atural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
Fil Wes ched.
Applicant Name �.; l ? �..� ( k j
tt
Address
City State ZIP
-,, i
Phone # ( '', 4 ()" � Fax # ( )
Authorized Agent
f
Affected ❑ CW ❑.EW Ei�P7A ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address( State Road/ Lot #(s) i
Subdivision
1
City
OWN
Phone # ( ) River Basin
Adj. Wtr. Body ! 't. '� I 4 (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
Platf
(Scale:
orm(s)
pier(s)
n length
number
head/ Riprap length
channel
ramp
t
h Bulldozing
r
not sure yes no
bags: not sure yes no
atorium: n/a yes no
os:
---
i
av distance offshore
max distance offshore
I I
I
cubic yards � I
i
r n -
'
�
yes no _ � ~� I •- -
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
�_- - 2010, pursuant to Senate Bill 831. The
Permit Officer's Signature effective date of expiration for this
�''I KC permit is f —� �/
Isswng Da Expiration Date
Local Planning] u risd iction Rover File Name
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
�_- - 2010, pursuant to Senate Bill 831. The
Permit Officer's Signature effective date of expiration for this
�''I KC permit is f —� �/
Isswng Da Expiration Date
Local Planning] u risd iction 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, certifythatthis 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/ 1-888ARCOAST
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
ADJA,C',' NT IUPARI N PROPERTY OWNER STATEMENT
(,FOR A .PIERIMOORING PILJIV VB0AT11F-1IBOATHOUST)
T Hereby certify that 1 own property adjacent to 0.47-10-ICE amae,
(Name of Properly Owner)
prupct'ty located at zS Y ��E4,vFo.�: AJC
(Lo(, Block, Road, etc.)
MI - wit 14 7-.W .IV cge , iu ate .. N.C.
(Wat:erbody) ('Town and/or County)
Applicant's phone #i: Z,�Z - ZYJ- r4-- MailincT Address: l'Sy
� .yFo,27-��1C . ZdrSl.6
Ele has described to mc:, as shown below, the: developmont lie is proposing at that location. and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
roust be set back a minimuin distance of fifteen feet (15') from my area of riparian access unless
waived by roc:. (Ix you wisl) to waive the setback, you must initial the appropriate blank
below.)
1 do not wish to waive
J 1 do wish to waive that setback recp_iireino.nt.
- - - - ------..
DESCRI1' PION AND/OR DRAWING OF PROPOSED Dirt V ls'LOP1V ENT:
(To Le. fzlded in by individual Proposing develu t zent)
l C;
N u jg--/f
Ne&)-
LIP P i�'
----------------------- --..------
(Information for Property Owner Applying
for Permit)
75-N-v w D jok uV
Mailing kddress
�- :Gk Is r, l 6-u F T
e x l5 rin/G b0cle'
-----------------------------=`---------- -----
(Riparian Property Owner Information)
Al c z '/L
City/stat�17 /
Tcicphouo Number
5ignalurc l)atc
g""-A-Ar-k—
Signature
r� rr VM . o
Print or Type Name
-715? 5z
Telephone Number
D*CEIVED
JAI 2 12010
5D
Morehead City D
fi0'd ZZF9-Lb/Z �ZSZ) sawuE) w1i INd L9:0L 600Z `80 jagojop 'depsjn41
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A k'LAR171100BJNr PLL.INGVBO.ATLI!{TIBOAT ROUST)
I hereby certify that 1 own prol)erty adjacent to-S
(Name of Property Owner)
prupc.trty Icx zitcc] at ,�pc�/ �•¢..y !!� ..A/C
(Lo(, Block, Road, etc_)
on .._ �/1� � Tie/ w�.�—., iu �i. N.C.
('Waterbody) (Town and/or County)
Applicant's pi.;one it, Z_fZ - 2Y�- �4 Mailing Address: Y
He has described to mc, as ahown below, the: development lie is proposing at that location and, J
have no objections to his proposal. I rmderstand that a pier/mooring pilings / boatlift / boathouse
uwst beset back a minimeim distance; of fifteen feet (15') from my area of riparian access unless
waived by me. (ix you wish to waive the setback, you must initial the appropriate blank
helow.)
l do not wish fo waive
1 do wish to waive that setback requirement-
-----------...----------..._------- --- •-----------
DESCRI PTION ANWOR DRAWING OF PROPOSED DEV LeLOPM 4,NT:
(To Lc, fiUerd in by individual Proposing developinent)
rl o JZ- i 14 R 1 Q t; 2
a
O
t_X tS ; "/V4,
' --- .-------------------
(information for Property Owner Applying (Riparian
for Permit) t
57 ocy /4 4 �.,,-Ivd Y
Mailing Address
ZSZ ?Z 8 3 Yo.�
Vcicphono Number
A�.
signature l�atc
i>o c IL
Dperty Owner, Information)
() Signature
,V i 24�
Print or Type NJame
�� ����.Cn / n V
Telephone Number
CEIVED
Yt,✓
CAN 21 2010
Morehead City DCIVJ
£0 d Z669-LbZ (Z96 sawuz) wil Wd L9:0( 600Z `90 jagoiop 'Aiapsjn41
N00-14-2000 15:20 Frow:UCM MHDCT'( To:921763.�E
A-
NCDIENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Michael F. Easlcy, Govomor James H. Cregson, Director W(Ulam G. Rass Jr., Secretari
Date
Name of Property Owner Applying for Permit:
Mailing Address:
..' � Z' 6 Y -/,- �0 W_ (_ � �&4 Y_ -
I certify that I have authorized (agent) .-- to act on nay
behaif, for the purpose of applying for and obtaining all CA,MA Permits Necessary to
install or construct (activity) A- Nfw/ �0,4 �/�: --
sit (my property located lit) 4S `C 1'ePWc* ��-.7_ /G► Aelg�f-vFog i *G
This eortiliicatioan is valid thru (date.)
Property Owner Signature
Date
� r�urrrutErc;t twr;riuo; hSvrCireSd iy; Noiu`s Carolina 20557 RECEIVED
Phone.-. 252-808-28081 FAX: 252••247.33301 Internet: www.nccoas(a1managF.94(.net j q j
An F.qual Opportunity ) Aifirmatrve action Employer- 50% Recydeo I I(M Pnsl Consumer PaD9r BAN 2j l 010
Morehead City DCM
ZC d G££9'LbZ izJz} saLuuC unl Ad 6_ 0 L 600<, 'ti30 jagoloo 'lEpsrnyl
CaSM Bader, MD XCDC9852668 66-30/531 3081
Patrice JI Cader 1V=C 9855 905 137
A 252-728-5905
254-HowlaHd P1Wbl
&,qufort, W 28576 DATE
PAY TO THE C 1
ORDER OF !/G7 A42
Nc-" j
�
DOLLARS L'1 �,°��•°
First Citizens
Bank
firstcitizens.co -
f OR A6,4- - D�o -&k
1:0531,003001:00 L3 L7t,94779"' 0308 L
13