HomeMy WebLinkAbout32801_HALES, ROBERT KURT_20020822I CAMA / C] DREDGE & FILL 32801 � C
GENERAL PERMIT Previous permit#
❑New ]Modification LF]Complete Reissue JPartial 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
[:] Rules attached.
Applicant Name J -ffTi )� v o 4(F- f Project Location: County y, 4-1
Address 312 �° Ij "jw°°d P/,%,(
City_,_ °WTI.4 State W ZIP 7f530
Phone # (7 V Fax # ( )
Authorized Agent _
Affected CW O EW R PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA C, HHF ❑ IH ❑ UBA [IN/A
❑ PWS: OFC:
ORW: yes /!nl PNA yes / no Crit. Hab. yes / no
Street Address/ State Road/ Lot #(s)
Subdivision �: 1 rL orr>! Ar7 t i
city t✓k wrf�
zip
Phone # ( ) River Basin a /r
Adj. Wtr. Body �rc, /Fig (nat /man /unkn)
Closest Maj. Wtr. Body _ 71c fix I J� VV d
Type of Project/ Activity k f cS(16 h i c,
(Scale: A)c Of: )
Pier ( t
Platfo
Finge
Groin
Bulkl-
Basin
Boat
Boad
Bead
Othe
Shorf
SAM
Sandi
Mora
Photo
Waive
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A building permit may be required by: t,e-4 Q,
Notes/ Special Conditions t4oa "WI
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
❑ See note on back regarding River Basin rules.
-A1,11 C T6w,
Permit Officer's Signature
F. 12'G1 It 7z-CZ
Issuing Date Expiration Da(t'e
re, ,I,,r; (r�. 1 CF7Z!PA
Local Planningjurisdiction 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, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
E� Tar - Pamlico River Basin Buffer Rules 1 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
DateCF--�1
1214
66-19/530 NC
2002
A-90 C--
ROBERT KURT HALES, SR. 09-00 `3� ��1
DONNA S. HALES
322 ROLLINGWOOD DR. 252-726-3210
NEWPORT-, NC 28570
Bank —of
ACH R/T 053000196
For 42
1:0 S 3000 196i•
ADJACENT RIPARIAN PROPERTY OWNER STATENIENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
hereby certify that I own property adjacent to �2 6"7-r+/4�r L )4n-A-e-5 's
(Name of Property Owner)
Property located at 3 Z z JZn ! 1,1' cn!2-4 w o oc
(Lot, Bloc , Road, etc.)
on r7) 0J— in 1 V O'`�4 , N. C.
(Waterbody) (Town a dlor 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
t/ I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
j
"z
d-,ef � C
-I&k52o
Signature
Print or Type Name
Telephone Number
yr
Date: //
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located Lc,:
(Lot, Bloc
on on �� , in
(Waterbody)
(Name of Property Owner)
Road, etc.) /
o%C2c , N.C.
(Town and/or Coun y)
He has described to me, as shown below, the development he is proposing at that Iocation,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boadiftftathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
✓ I do not wish to waive the setback requirement.
I sa wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:
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