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-: ��