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HomeMy WebLinkAbout37261_WAGONER, L W_20040113❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT 7 Previous permit # ❑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 15A NCAC J Rules attached. Applicant Name �j yti`o c, v Project Location: County Address " 1 `'j f - c y ; « l t. City jl.., State n� t ZIP Phone # ( ) 'a 7 5 "C. Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW E PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Ll PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / no Type of Project/ Activity Pier (dock) length Platforms) 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 - I Shoreline Length I i SAM not sure yes no T— 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 Street Address/ State Road/ Lot #(s) Subdivision City �;! , " . i c ZIP 7 r fib Phone # (_) River Basin f/'vfC Adj. Wtr. Body t ✓I nat�/mom an /unkn) Closest Maj. Wtr. Body (Scalia: ) ' �J _ See note on back regarding River Basin rules. LLIkViL Permit Officer's Signature \1 11 ; ) 0 1/ Signature Please read compliance statement on back of permit Application Fee(s) Check # 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 Iandowner(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 (910-395-3900) for more information on how to comply with thesebuffer rules. Division of Coastal Management Offices Central Office Elizabeth City District Mailing Address: 1367 U.S. 17 South 1638 Mail Service Center Elizabeth City, NC 27909 Raleigh, NC 27699-1638 252-264-3901 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST Fax: 919-733-1495 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 G. W. WAGONER, JR.( 1?& ,372-& I 2949 CROUSE LN. BURLINGTON, NC 27215 ' / PAY/�N THE ORDERER HE / 0 "-4'181 2662 531 182374504 DATE / -1 � V a,�ir CCB Central Carolina Bank 181 Signature 13ankiug BnrlingWn, North Carolina 27215 i r MEMO_- 1:0531004651: 1B 2 74 3 504 II' 266 2 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 2-0jo nPw;n 1�eao-fK+ �C .2 % A. Signature X bl B. ceive�gy(Print �d Nam I C. Date of Delivery i D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery addresg pelow: ❑ No e� ss�°' T s.4�111 3. Service ❑ Express ❑ Registered ❑ Insured Mail for Merchandise ' 4. Restricted Delivery? (Extra Fee) ❑ Yes i 2. Article Number 7002 0860 0008 3 313 3 914 (Transfer from service label) PS Form 3811, August 2001 Domestic Return Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Sender: Please print your name, address, and ZIP+4 in this box • CJ► TRIA SATKIT ED,D-1 /v\V ERS R E�A L ES r ATE EDDY AIYERS REAL ESTAr P.O. Box 389 Beaufort, NC 28516 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. I IN Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: 11�V IVIl T I i is ` 1 � A. Sig efure X / ❑Agent �� Addressee B. Rebeived by (Printed Name) C. Da of D iyery / D. Is delivery address different from item 11 ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ,13'Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7002 2030 0004 3557 8121 (Transfer from service labeo PS Form 3811, August 2001 T Domestic Returq Receipt 102595-02-M-1540 UNITED STATES POSTAL SERVICE �pS N(� Fi-Class.Mail _ jl s Paid Pm • Sender: Please print yOuKhaAe, address, and ZIP+4 in this box • I 10/23/03 15:35 FAX 336 585 1487 GW WAGNER BUILDERS Q 002/002 "-7 l _ (fOIZ A PIER1U1VC0VER.ED BOAT LIFT) I hereby rectify that X own propeiry ad'1ac nt toW�Prope Y 0w — Prciperw lccated at-- ('Lat, Block, oad, etc.) N.C. on (Town and/or County) (t4Y aterbudy) He has desc 'bed to Me. as shown below, the deve:aprhent he is proposing at tl- ac location, and, I have no objeCtdons to histprov4 t t5 jdFrorn nmy aret ao riparian ac^assa n1es5 c� a minimum distance or t must be se, back l waived by me. i I do not wish to waive the se►baclt reauirement. I do wisli to waive that sttback-equirement. i ----------^ESCR IO`± ?�YD10R-DRr'+.tiV-L-C �F'FROYOSEDIDEVELOPfNmNr: - ----- D dove pmenc) (To be fUgd in by individual proposing ; P I --------------- ---------j------------------------------- Signature i Print or Type N e Ss Telephone Numb r Date: t PsAS 10/23/03 15:35 FAX 336 585 1487 GW WAGNER BUILDERS Q 002/002 l (FOR it PIER/IIINF=C7VFI?ZD BOAT LIIM I hereby ce[aFy that X 0.4n prop -,try adiacent to�00 { W, �B Omer) km propertY lccated at- __ oad, (Lot, Blxk, I N.C. • L,l on (-j'nwn andlor CouutY) �.ti aterbod y) He has desc 'bed to me, as shown below, the de4-togrktent he is proposing at tt at at IIE lccatzon, and, I have no obj�taons to his proaosai. I undftoT�m area o `riparian acvassbarless k a minimum distance of tire�n rz�t (.5) Y must be se, back � waived by rne. I do oot wish to waive the seiback reauizement• I do v isll to waive that serback tr_�lirement. i ----------DESCR�`IOti AND/OR-DRt1WENG OF PROPOSF_D DF- ELOP'�LEti-1: (To he filled in bL individual proposing deve prnent) t a 7Fq � g - i rgna re -i Print or Type Na�r,e Telephone Nurqb�r Dam-: ��