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HomeMy WebLinkAbout37265_WALKER, GERALD_20040113❑❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT Vreviouspermit # LINew ❑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 Q Rules attached. Applicant Name %7 1�. ! ,� f�: /r t ( uJ Address Ci State L ZIP ' ` 1 Phone # (%'r!:) �- `� y?S y Fax # ( ) Authorized Agent ,`; Affected ❑ CW ❑ EW ❑ PTA XES ❑ PTS AEC(s): 1-1 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑FC: ORW: yes / no PNA yes /.'no Crit. Hab. yes / no Type of Project/ Activity Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # (,) _ River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body (Scale: ) Pier (dock) length Platform(s) A x Finger pier(s) 4'' /4 i v, Groin length number Bulkhead/ Riprap length /'76"- avg distance offshore - max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other 1 i i Shoreline Length SAV: not sure yes Sandbags: not sure yes o t, Moratorium: n/a yes no; Photos: yes no Waiver Attached: yes no I A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read Please read compliance statement on back of permit statement on back of permit ILI Application Fee(s) Check # . See note on back regarding River Basin rules. to Permit Officer's Signature Issuing hD to Expiration Date O. 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 (910-395-3900) 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 my z� 1, c N ---- D"ID SIMPSON CONSTRUCTION CO. INC. 800 BROAD ST. P.O. BOX 590 ORIENTAL, NC 28571 PAY TO THE ORDER 16694 66-30/531 _ C O 3 472 DATE / ---DOLLARS 8 w. • ^-` HRST CITI7,CNS472 n AN K oriontali. N.0 Bank 8 Trust Company (��J� �1� � l� Oriental, N.C. 28577 / / www.firstcitizens.com FOR ld/CLI/�/!/ �FiPfIC.Q�72 1100L669411' ':OS34003001:00L,71100707911' w DEC 19 2003 10:36 FIR z0 ' ::IrJHd 2= 67z zsz TO 912522492253 P.01i01 20 : T T 20w 91 D3Q PAMUICO COUNTY' BUILDING INSPECTIONS P.O. BOX 776 BAYBORO,, NC 28515 (252) 745 - 3861 ADIACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN# I HEREBY CERTIFY THAT I OWN PROPERTY Ab3ACE.NT TO M2 & MS. Go ald_Walker NAME OF LAND"ER PROPOSING MWELOPMENT C.N GREENS CREEK NEAR ORIENTAL LOT # 12 GOOD WINDS Body SUBDIVISION, IF APPLICABLE T iV PARCEL f;0MPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY : GOOD WINDS DR. NEAR 6RIENT'AL, NC. THIS PROPOSED PRO)KT: TO INSTALL A RETAINING WALL AS SHOWN ON THE ATTACHED C RAWIMG. FOR A PIER, CHECK ONE OF THE FOLLOWING: _, I WISH TO WAIVE THE IS' MINIMUM SETBACK FROM MY RIPARIAN ACCESS. x [ DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT •..P.—F............................. w.w..ww..... Ouse ........................ S;:E ATTACHED DRAWING Ai (er thn form is completed by the landowner Dropmrig the protect, a copy is given to the 0q aCent landowners for their criownt and signature. The forms arc then returnnd, along with a buddirtrrj plan and other applicable regtured intorrYfatiofl, is the building inspection ofna for building permit apphca ion/proceswg. SIGNATURE1�t Pf INTED NAMC DATE_L�`I�T�� a'd ESZZ-sba-z52 uosdwTg pines •0 eLS:01 CO 131 oaQ ** TOTAL PAGE.01 ** Phone 252 249-1381 FAX 252 249-2253 David Simpson Construction Co., Inc. 800 Broad Street Post Office Box 590 Oriental, North Carolina 28571 Commercial • Residential • Marine NC License 32708 8997 PAMLICO COUNTY BUILDING INSPECTIONS P.O. BOX 776 BAYBORO, NC 28515 (252) 745 - 3861 ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN# I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO MR. & MRS. Gerald Walker NAME OF LANDOWNER PROPOSING DEVELOPMENT ON GREENS CREEK NEAR ORIENTAL LOT # 12 GOOD WINDS Body SUBDIVISION, IF APPLICABLE TAX PARCEL COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY: GOOD WINDS DR. NEAR ORIENTAL, NC. THIS PROPOSED PROJECT: TO INSTALL A RETAINING WALL AS SHOWN ON THE ATTACHED DRAWING. FOR A PIER, CHECK ONE OF THE FOLLOWING: I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN ACCESS. x I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT ........................................one..,.,............................ SEE ATTACHED DRAWING After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their consent and signature. The forms are then returned, along with a building plan and other applicable required information, to the building inspection office for building permit application/processing. SIGNATURE PRINTED NAME ' /V%UL �% [rT u.' /a L f DATE/.2—/%-0 5 old 1 00, �+ Moss AV lop poi /—+• J dWO .I iAGMfdOP AAmm /A�iU IWLO� / f do r~*jr LAW � �p0 - icon JIY IIN. � • •�•�/ •A�r1. f� _Q ad■sd Mwr TOW" of COIIiC701 AMA i • 3 • i GOOD WINDS DRIVE • de 4000, i- .crtloN �arE: sfE ard~ smirrarr coax x AMMU6 ..c AM""