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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 ■■■■■■■■■■►.�■�i■■■■r�■■■■■��■■■■■■■���■■■� length iumber M MEN Lvg distance offshore ■■■■■■■■■■// OwN o" ■mmamm■■■�/!Edl ■ ■Ksi■■■■■E■a� channel ■rw■■■■■■■� ■■■■■■■■■■N �_■■■■■■■■■■■■■■■■■■■■ ■■■■■■w■■ti■��■■ yards ' ■■■■■■■■■■■Liar■1�■i■■■■■■■ -amp■M.■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■ -1r.■■■■■■■■i ■ ■■■■■■■■■■■■■■■■■■■■■■■■ .. ■/.■'�KINN■N' ICON ■■■■■■■■■■■■■■■■■E■■■ ■■■■■■■IF!■�!'Gr�lt■■ I/■filR■■■■ ■■■■F�lii��■�"1��:1�1■�■I �iiii'i■■■N■■■■M.■■■■■ MEMP ■■■►ALME■ ■��■�� ■■■■err■ -NEAR,..■■ notsure yes no ..i . line Length �ags: not sure yes (no .. ■���■■■■■�iti.f��■■■■■■■■■■■ r,A'car-Wed: yes MIN SME Mlllw tTJ■■■■�li 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: t3 Rai .Shay zR SOS- Z$o8 r