HomeMy WebLinkAbout55311_DAY, DON_20100407ItCA ;1A / ❑ DREDGE & FILL y/ /
GENERAL PERMIT Previous Permit#� -C
New ❑Modification ❑Complete Reissue ❑Partial Reissu 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 I SA NCAC N. �Z(,
Rules attached.
Applicant Name a
Address No&
City >p t State k. zip 2` 6-2
Phone # (_2SG -71 — 6� 6 Fax # ( )
Authorized Agent
Affected V'CW ID EW L�PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: t a§',/ no PNA yes / r o1 Crit.Hab. yes / no
Type of Project/ Activity Vie r
Project Location: County C o. r ", W
Street Address/ State Road/ Lot #(s)
Subdivision
CiJ —I.W zip
Phone # ( 2�) River Basin
Adj. Wtr. Body CpA�j , C .,^f'•,� c",�.a nat)/man /unkn)
Closest Maj. Wtr. Body rLr �g •^ r�
A—, ,` Llrctl m
(Scale: l fr_� )
Pier (dock) length
Platf
Fingi
Groi
Bulk
Basir
Boat
Boat
Beac
Oth(
Shor
SAV.
Sanc
Mor,
Phot
Wai)
)rm(s) �247x,, 1 7
-
——;
t
—� ---
r pier(s)
; length
-
j
-
-
number
lead/ Riprap length
avg distance offshore
max distance offshore
,channel
-
cubic yards
ramp
i � I
louse/ Boatlift
i Bulldozing
r
-- -
I
I
T I
- -
----
I
r- T I
-
_ -- -
Q
-
-
aline Length
not sure yes r�
gags: not sure yes o-
.torium: n/a yes
)s: yes o
er Attached: ves o
,
A building permit may be required by:
Notes/ Special Conditions
❑ See note on back regarding River Basin rules.
Agent t pp is Prinfed Name ,y PermitO icer's Sjjin ure
-711,6 4 130)1)
Signature ** Pleas ea d mpliance statement on back of permit Issuing D to E pirati n Date
f
ApplicationFee(s) Check# LocallPlanningJurisdiction 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, 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 (252-946-648 I) or the Wilmington
Regional Office (9 I 0-796-7215) for more information on how to complywith 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.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax:919-733-1495
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
T
u
/ JECEIi/EC'
MAR 3 0 2010
CI ACM
N
j,.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
RECEIVED
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATFIOUSE) MAR 3 4 2010
adjacent to '/�l d city DMA
1 hereby certify that I own property J (Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
Y
�i
N.C.
on t"�flS '%� 1l'%� , in
(Waterbody) (Towa and/or County)
Mailing Address: fd
Applicants phone #•
He has described to me. as shown below-- the development he is proposing � bOatlift /at ti boathouse
have no objections to his proposal. I understand that a pier/mooring pilings
must be set back- a minimum distance of fifftem feet (151 from rm- area of riparian access unless
waived b-,- 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- w---- -----
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
(Information for Property Owner Applying (Riparian Property Owner In ation)
for Permit)
i
Mailing Address
&d_1&-' /�
City/State/Zip
Telep N
Sig bar
Date
Signature
Print or Type Name
Telephone Number
Date
-4k
a
IRS
ADJACENT RIPARIAN GROPcsYOWFoSTATEMENT PECEIvEa
(FOR A PIER/MnvvTHO
MAR
adjacent to %>itil tt"'S 3 a 2010
I hereby certify that I own property ,1 ern
T' (Name of Property Ow ) Morehead Cif oCW
property located at
Block, Road, etc.)
,in N.C.
on (Waterbody) (To
wn and/or County)
Applicant's phone #• Mailing Address: V
ro
He has described to me_ as shoA��n Belo«�. the de�-elopment he is proposing at that location. and.
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 (1 a') from rm- area of riparian access unless
Nvalved bx• me. (If you wish to waive the setback, you must initial the appropriate blank
below.)
I do not -t ish to Nvaive
I do wish to «waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEI
(To befilled in by individual proposing development)
/3
Z_/
I�
--------------------------
Information for Property Owner Applying (Riparian Property Owner Information)
for Permit)
Signature
Mailing Address -
Print or Type Name
City/State/Zip
Telephone Number
Telep e Numb ,p
Date
Sign , Date
2059
DENISE C DAY 66-21/530
JERRY DONALD DAY JR BRANCH M20
4108 Holly Ridge Rd
New Bern, NC 28562
=
the
Of
Dollars
WMPI
WACHOVIA
Wachovia Bank, N.A.
For
i:053000 2 L91: LD LO LV3297L, 2t, Lill 059
7 7- -7-
Apclicant: C 1
I
Date: 9 % � )0
5531 I C
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 impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
,�
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