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HomeMy WebLinkAbout38005_WINDHAM, JAMES_20040317CAMA / 0 DREDGE & FILL GENERAL PERMIT -1New L-Modification Complete Reissue ❑Partial Reissue 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 Applicant Name )rt 104f l�l v;( toy, Address 171 z ri I L- City State ZIP Phone # Fax # ( ) Authorized Agent Affected ❑ CW ❑ EW O PTA ] ES D PTS ElOEA ❑ HHF [IIH J UBA ElN/A AEC(s): ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit. Hab. yes / nc Previous permit # Date previous permit issued attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City — ZIP Phone # ( ) _ River Basin 0 l Adj. Wtr. Body fa you I (nat /man /unkn) Closest Maj. Wtr. Body—' ,`� P v a Type of Project/ Activity (Scale: �v o ) Pier (dock) length I I l I Platform(s) Finger pier(s) Groin length number t Bulkhead/ Riprap length .!'�S avg distance offshore max distance offshore. Basin, channel cubic yards Boat ramp_ Boathouse/ Boatliftrl�• Beach Bulldozing Other - , 4 -- — YA i j — - -- — -- < f -- ► / "L- 4 -YI Shoreline Length — - r4. SAM not sure yes no " Sandbags: not sure yes no I Moratorium: n/a yes nolt Photos: yes no Waiver Attached: yes no ' A building permit maybe required by: f t'At ld Notes/Special Conditions ;�� 41J1P41D1lAA3 I i L G. E See note on back regarding River Basin rules. P%^v'I %IA1 4tlie br; Agent or Applicant Printed Name Permit Officer's Signature Signature ** Please read compliance statement on back of permit ** ,u . f Wt -w-'I Application Fee(s) Check # Issuing Date Expiration Date i 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 [)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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888-4RCOAST 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 151-13 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 MOLENE OR JAMES R. WINDHAM 121 DIXON LANE PH 247-0774 NEWPORT, NC 28570 Pay to the �<f DOrder_ State Employees' Credit Union 62 Morehead City, North Carolina 2145 66-770412531 Date F. Dollars t , For 1: 253 I? ?04131:0,Gl;058 246 7412_~ - /0 2145 lb ADJACENT RIPARIAN PROPERTY OWNER STATEMENT �r I herebycertify that I own property adjacent to %� x 's Y P P Y J ...�.�� (Fn e of Property Owner) property located at i tx �'` l� L �l (Lot, Block, Rode�� 0 r �JJ on C'' L�(� Y3i, t�tJl%C�k , In W � Z��. V+r ff , N.C. (Waterbody) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT, (To be filled in by individ (S �Al; 1 � 1-------------------------------------------------------------- Sigji,ature " f I 1-sd Print or Type Name 0?5c� fit- j) 3q,40? aSa 7a1� adSS Telephone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �is (t' me of Property Owner) _ l property located at It PA(:-,�,k L �€ (Lot Block Ro , ,e on r Y lJl.(` -f,� iJ CC=t �� ±, in Vitt N.C. (Waterbody) (Town and/br County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. -------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAN`'lNG OF PROPOSED DEVELOPINIEN'' (To be filled in by individual proposing development) TU . r: `A, D� I � 1----------------------------------------i--------------- -------------------------------------------------------- Sic -nature Print or Type Name Telephone Number