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HomeMy WebLinkAbout51279_ARTHUR, BART_20080909/S 6 ❑CVLNA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue `F-' ; . 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 Applicant Name i ! j. `T Project Location: County Address } Street Address/ State Road/ Lot #(s) City _ State ZIP - Phone # ()_ Fax # (_ ) Subdivision Authorized Agent I,- t City ZIP Affected ❑ CW ❑ EW &I PTA ❑ ES ❑ PTS Phone # ( ) River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ❑FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ❑ Rules attached. ■®■■■■■■■■■■■■■■■■■■■■ NOON■OMMOMMEMEMEMEME ■■■■■■■■■■■■■■■■■■■■ - _ .. • • � . M. ■NONE■■■■■MEMO■■■■ ...■■■EMOM■MEMEM■MMEN■MM■■MEM■■..MEN .■■■■■■EMEME■MMEM■ INE■■EN•aEME ME MEN EM■■EME■M■■■M■■ONO■■■NOE■■■■■■■ME■M■■NO NEON■■■NE■■■E■M■■■ME■M■■M■■■M■■OEMNON E■O■■■■EM[!■ICMEC�O�i■M■E■ME■■■O■■■■■■M■ENO■ Eo ■■■■■■:::■■■■■■: ■::::HIN■ ■■■■■■■ IN ..............■■..�..�................ M■■EM■M■M■MENOM■N"M ■ E MEMOMMEMM■M■ . ME ME EMEMMMEMEMEME - El MEN E MOMEMEM ■■■■■■■■■■■'■■■MS NOON■■■ ■�■■■� ■■ N :■E:RFAM:M: ENEM 11■■ MMEME MEMMEMENIMON NOON."�■■■■■■■■■�■■■■NO■■■NONE ■■■■■■■■ ■ENO■■■■■■■■■■■■■■■■■■■■■■� ■ ■1�■EM Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Permit Officer's Signature Issuing Date expiration Date Local PlanningJurisdiction Rover File Name I I s r 11 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 consistentwith 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 (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Raleigh Office Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. (Serves: Carteret, Craven, Onslow -above Raleigh, NC 27604 New River Inlet- and Pamlico Counties) 919-733-2293 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) 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 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 BRANDON MANSOUR 66_7704/2531 2256 NCDL 25635492 08629187024 PO BOX 84 MERRM, NC 28556 DATP ( /c, PAY TO -("N n THE ORDER F 3 State Employees' Credit Union® New Bem, North Carolina 156 MEMO — — i:2S31770491:08629L870,240 22S6 L- Sep 02 08 12:05p BCC 252-745-4253 p.2 DBJ29/?OQB Oe:43 2526332577 corm PAGE 93/07 257-445.4246 p.2 Noilkri C"PrNina DepF.,i-implit o- - ," ' nd -ant Minn &T-tiling Address LU I cercir.l., IbAl I bavenutharized (agen kl?�- .. Si CX a&-4� W act: 0 11 . WT' b0b:xlf, for the purpme of aprlyinn for and obtaining a]) C.A&I.-k Pa-mits necc3sary to instntl or construct (nettrity) at (location) TI.Ifs rcrtifimtion is -valid Vim (ditta) 06 Sit 40C,:-' 0 M, M e 7- Z A ve nUe. [4 1 r; r ai 12 ad N- areY-- Caf',n! in a 2 7 F-hor,=: 252-808-283U FAX- 291 im , --4 , asia anar"me:ml- t Ar. EaLed LVXXIWV-,, k-tbr. E-mlo-,rf A-:!C)-dp..c � 4r! P�-,t C"uner P--:m Sep 02 08 12:05p BCC -0812912008 08:43 2526332577 C05M 252-745-4253 p.3 PAGE 05/07 A JACEN`!' .R,.1A u.,y..A N PR4PE.w-ry nt)vANE :R STATEMENT ( POR'A MRIMOORIN€a;PILINW8UA'17.IFrl,,60A7',i:OUSEj T l,P.reby cervfy ti,at I own property, a4jacetit !e � a ✓� ���� is (Name of Fr4perty'Owner) p; o� r '.,w tcd ai i I Block; Rom, ems) (Watery) (Town 2RWQ t n ►� ) ATnhirPnt'g ?h+DA2 ##- 7i �- 113 �j ��MAiI_ 19 . Ii. i,a5 Cris-,Sc,—. �o inc as sho—vri rr_ �.. �i3C� ` � (?e�o�J} t,�iC CaC'YG�U11�14.:41� IncIBC i5 �iG-'"kvbiug ai �+11i. �OCSioi}� S:i(�, have no objcv ions to his.pmposal. i under wnd that -a ,pier/mooring pilings I bomliR I-boa[house --_ . hr� c_: Lar:t n rL'?i^?it cls' <'2�� ^f -itt;� c'ye.-. �n�� r atv_s� .�f -->-.::>-„� �.___33 'ilit c waived by me. (if you wish to waive the setbacic, you must initial the appropx'i me Wank below.) I do not wish to waive 1DE—SCRFPT ON ANDIOR-DRI AWING OR PROPOSED DEVE LOPMT'NT: (To 6e fiVed in ny' indiriduai ,proposing aerriapmmr) (lnformation for Property Owner Anplyiug For Perre it) f V4 -Mai l'efephone N-umber 1�� L g'S 6 ti (Riparian Property Owner Information} Signature rdut of Type Name T.etmhone Number Sep 02 08 12:05p BCC 252-745-4253 p.4 ea/29/2HB 08:43 2526332577 Cosm PAGE 04/07 ADJACENT .RIQARUN PROPERTY PERTY OWN ER gmATEMENT WOR A' FIEEI1MV URING IJPT LI;VGS10UA )TIJJ,'x/IIUA'f HOCSFI) I hereby certify that I --wn property adjacent to-_ (30 Vf r �4y\j 'g (Nairne ttfProperty 6z er) proper- located a: 11 1 V Shy S_- - {,1Vyt - - (Lot, Block, Road, etc.) (Wuterbody) (Town and/or CouRt�) AnsllCaf7�t'g phone #: '2•SZ•� 3 b1 �-�7 Mailing Address: Tle has desc-l:bcd to mc, as shown bcJcrv, the dcvciop„ ic;it he is proposing at that location,, and, I Eta vc no objections to his pruposaL'x twilcrstarld that a picrlmaoring pips lfiaatii11 t boathouse i?3L?3t be set back n t?'d-st-ance o ?;�CCI? It;r (11�3 ,inse? !u;' rs_a of ripwarian �L�CSS unlr.,c vwai.ved by mc. (If you wiisb to waive the setback, you must initial the appropriate blank heltnRr_l i do not wish to waive I do v;, waive that seth.- " c r cquircmcrt. tVIEMSCRiMON ANDIOR DRAWING OF PROPOSED DEVELOPMENT: (1-4 be jWed in by irrdiviauai proposing dem opmem) (information far Property Owner A imlyin►g for Permit) Mailing Address City/SiaWt'7ip Telephone Number (Riparian Property Owner Information). Signature I '( "'4'W 3'�9 r q n Print of Type 14amc Telephone Number 1�>v�r -7.�� Z Sep 02 08 12:05p 13W 29/ 2008 BCC 08:43 2526332577 252-745-4253 COSMF ox-C? - -f -3 3 0 p.5 PAGE 06/07 l—'ll