HomeMy WebLinkAbout39619_GILMORE, JAN_20040810❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit# r
❑New ❑Modification ❑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 I SA NCAC
_ ElRules attached.
Applicant Name Ja ' ��` ' Project Location: County
Address ' -' r Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # (-) Fax # ( )
Authorized Agent --
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Subdivision
City „ • ZIP
Phone # O River Basin
Adj. Wtr. Body - "' (fiat /man /unkn)
Closest Maj. Wtr. Body' `
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PH e (,eye't I "I,,Y �
Agent or Applicani Pri t
,o,' - �-.�..--
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Ex iration Dane
DE
Local Planningf urisdiction 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
Iandowner(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:
❑ T, - Pamlico River Basin Buffer Rules Other:
[Le 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 (910-395-3900) for more information on how to comply with thesebuffer rules.
Division of Coastal Management Offices
Central Office
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
Parker -Lincoln Building
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293 / 1-888ARCOAST
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)
Morehead City District
151-B Hwy. 24
Hestron Plaza II
Morehead City, NC 28557
202-808-2808
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico 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
910-395-3900
Fax: 910-350-2004
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
www.nccoastalmanagement.net
Revised 10/05/01
, " I " t . - 5 " � 1, � c k f n 1 11 1 1 11 1 f
IY 1669
INNERBANKS MARINE CONSTRUCTION, INC.
P.O. BOX 190
ORIENTAL, NC 28571 66-30/531
252-249-1429 DATE 472
PAY
TO THE s too 0 Ci
ORDER OF
0 L LA R S
14-IC A I) VA lvl� — — — — — — — — — — ____I.
0 lARsT CITIZENS 02 1 �
First-Citizans Bank & Tr,st Company
firstcitizens.com
1 K On.ntat.NC 28571
www' FOR _0 " 0 :;, -
IIIDD 1669110 j:0S3j00300i:00l,7L20128221I'
Ju! 27 04 09:16a PETER OVERGRRRD 252-249-1429 P-1
,tid rPuuAn r1m+ MK I It 1J VYIN x .� 1 A i �.i •��l i
(FOR A PMUMOORING PId. NGSIBOATUFTIROA HOUSE)
? he7e)y certify that I own property adsaant to
(N2me of Pmperty Owner)
property lacatedat_. _ / Aj,,�%l
(Lot, Bloek, Road, tic.)
(Waterbody) ("Town an&or County)
He has described to me, as shown below, the development he is proposing at that
loLtion, and, I have no objections to his proposal. I understand tit a pierinioo&g
piI gsIboatL+itPAxthouse must be set back a mimmum dztaace of fifteen feet (is') from my area
of riparian accem unless waived by me.
I cis ngt wish to waive the setback requirement,
I dg wish to waive that setback requirement.
DFSCRIpI'ION ANWOR DRAWING OF PROPOSED DEVU.,0P:V3EN -r:
(To be fzUed in by indiv&ual ,pro Mg d7elopme.^.1)
gc44," L I.� rI\L) l3
7
-4
s bgpature
Print or 'T)pe Name
- L4 q- I P 2 /
Te.eps one Number
Date:. '1 - 2-7 - a 4
Jul 27 04 08:16a PETER OVERGRRRD 252-249-1429 p.'
n a,� ,s,r� ,�r rH *uliiv rac�9 t"xe �tx Y U wivl ,K ,'�1 AIkMI.X1
(FOR A MERIMOORING PIUNGSIBOA7Z ITIBOATIYOUSE)
I hereby certify that I own property adjacent to�_=
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on _/O&, in �i9 �iq �Q� , N.C.
(Waterbody) (Town and/or County)
He has described to rue, as shown below, the development be is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pdings/boatliztlboathouse must be set back a minimum distance of fifteen feet (15') from my area
of rlparian access unless waived by me.
i d4 not wish to waive the setback requirement_
1 wish to wa ve that setback requirement.
DESCRIMON ANDIOR DR_AWRiG OF PROPOSED DEVELOP:�MN-':
(To be f Ied in by Wiviciudprap,o �° g dTvelopme.7t)
r3 �' 1
I
sign
Print or TI pe Name
Telephone Number
Data.