HomeMy WebLinkAbout53668_CHILDRESS, DEBRA_20090527❑ CAMA / ElDREDGE & FILL S 1`l-oq �S S
GENEL PERMIT Previous permit #
❑New ❑ "iddifficatio'n [—]Complete Reissue ON ial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural teesand the Coastal Resources Commission in an area of environmental concern pursuant toCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # O Fax # ( - )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County_ _
Street Address/ State Road/ Lot #(s)
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
1
avg distance offshore !
—
T�
max distance offshore _
`
Basin, channel < - -
cubic yards
'I
l
Boat ramp
-- - -
Boathouse/ Boatlift
Beach Bulldozing
I
/
Other
Shoreline Length
I
I �
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
A
I
Waiver Attached: yes no — --
— ---- — — — ---
1_
A building permit may be required by:
'` ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions
4V2
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Signature
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
t k
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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
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
MARINE CONSTRUCTION ANDHLOANND DEVELOPMENT
DBA BOBBY CAHOON CONSTRUCTION, INC.
6003 NEUSE RD.
GRANTSBORO, NC 28529
PH (252) 249-1617
PAY TO THE
ORDER OF
WACHOVIA BANK, NA
BAYBORO, NC 28515
66-21 /530
ml (clto/ . 5 :Y4 (eo'�T 1
II'00680 Sn■ l:0 S 3000 2 L 9ll: 20000 L 768 l,8 28n'
6805
s �even
' I--
DOLLARS n
9
NCDMR
North Carolina Department of Environment and Natural Resources
Divfston of Coastal Management
didutel F. Easlay. Gowunor Jamas H. Gnegson, Diredo r 'ATam G. Ross Jr., swxu(my
. Date ez- 7
/0
Applicant Name ,4w Ldf/�J �—tS 02 f/A r, T•� /G�
Mailing Address S�o� �f�i
I certify that I have authorized (ageai ���A--lto act oa my
behalf, for Ae purpose of apptyiug for and btaining all CXMAPermits necessary to
install or construct (actMty)
at (location)
This certificatio slid thru (date)
Signature
400 Commorce Avenue, Morehead City, North Carolata 28557
Phone: 252-80$-28081 FAX: 252-247-3330 A Intemet vrm.n0coasUkwagementnet
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CERTBUD MAII. — RETURN RECEIPT REQUESTED
DIVMON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N0TMCATI0NIWAIVEg
FORN
Name of individual applying for the permit-.
Address of property;
f ff (Loiotstrattl stm[afroa�
— wop[y%
I hereby certify that I own property adjacent to the above referenced property-
individual applying for this permit has described to nqe (as shown on the attachedhe
drawing) the development they are proposing A description or drawing, with
dimensi us, should be provided with this letter.
f,/(/��'�`have
no objections to this proposal dra")l
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-280s
within 10 days of receipt of the 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, boathouse, lift or
sandbags must be set back a minimum distance of 15, From
access anIess waived b nae. my area of riparian
Y (]If wish to waive the setback, you must initial the
appropriate blank below.)
04(��4-ko
wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
Print Name
75-7- 635 -G:Loc�,
Telephone number with area code
ldr-ess
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CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWA,IVER
FORM
Name of individual applying for the permit: /-UA �1�cr(Qr �(Cti �i �G�2SS
Address of property_ 5D,;)- n 1! rl�- a �-e-k�
(Lot orstrcet#, street arroad)
Arc L,
(Cii tr & County)
I hereby certify that I ",n 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. ► f•C' zlSv__ 6cl—x—
4�"'I have no objections to this proposal
If you have objections to what is being proposed, please write the Division of Coastal
Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808
within 10 days of receipt of the 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, boathouse, lift or
sandbags must be set 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.)
V I do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement
Sig `a re Date
Print Name
Telephone number with area code
5d Noiion2JiSN00 NOOHVO XSE308 e88 80 60 90 Aae ,.