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Home My WebLink About56062_DANIELS, JOEY_20100706/�� S i r� ❑CAMA / DREDGE & FILL yti GANERAL 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 ` t J .J Applicant Name oc _ e Project Location: ❑ Rules attached. County l` Address 101 7 L. 1"'I e Y 4/CJ IDr Street Address/ State Road/ Lot #(s) City ; State A/f ZIP ��5�� f Phone # ('; `, ')c'l J � �'\ r' ax # ( ) Subdivision Authorized Agent City C" _ t ZIP 'j / CW DEW O PTA El ES ❑ PTS ElElElElUBA Affected Phone # ( ) River Basin � V 't" 04 ❑ OEA HHF IH ❑ N/A AEC(s): Adj. Wtr. Body /' �.� <� ��' �c=`=+ nat;/man /unkn) ❑ PWS: ❑ FC: �{ `"' ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ` '1'c <. .� n Type of Project/ Activity Pier (dock) length VX Platform(s) (� Finger piers) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other 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: Notes/ Special Conditions Agent or Applicant Printed Name vZ x `/ Jln� iflrn F"'' `� �' ' �, ' (Scale• �� ) . H. 1 . . -- ---I — 4 Signature "Please read compliance statement on back of permit" Application Fee(s) Check # a� I Lto le�l /V) 0 ro?) oi- I �� ❑ See note on back regarding River Basin rules. t/ PermitOffiter's Signature Issuing Date Expiration Date 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 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/ 1-888ARCOAST 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 c ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to (Name of Property Owner) property located at v (Lot, Block, Road, etc.) on , in �� , N.C. aterbody) (Town and/or County) Applicant's phone #: Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive SSI do wish to waive that setback requirement. ------------------------- 7---------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) 10 Lk Ems&� A �z. Mailing Address 1E me.(- XU � S-t U City/State/Zip Telephone Number (>_�. a-• Signature Date (Riparian Property Owner Information) Signature aCA Print or Type �� J Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to (Name of Property Owner) property located at SD k-P � M,Q-,- w `a` (Lot, Block, Road, etc.) on ->c, , in — , N.C. (Waterbody) (Town and/or County) Applicant's phone #: 35". a50k Mailing Address: IL - He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive 1-6441a 11 do wish to waive that setback requirement. ----------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) 4 .) 04 P=z Mailing Address Signature City/State/Zip Telephone Number Signature Date A L r Cj N t� ' t✓ �c Print or Type Name Telephone Number L� / Date IOV ��, tom.¢ /� �•c �i Kt PEGGY S DANIEL DL1565323 252-883-4895 104 EMERALD DR EMERALD ISLE, NC 28594 0 0 i c � E A / i 5851 66-112/531 _. ADVANTAGE ,. BRANCH BANKING AND TRUST COMPANC�a/ 1-800-BANK BBT BBT.cam � - ~ - -- �r j:053 10 112 11:0005 L L058 2988 0586 L Applicant Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp im acts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other.` / Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ '!,-83Z RCOAS; npi ravisZed 02!03110