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HomeMy WebLinkAbout43405_MOXLEY, PATIE_20051006L CAMA / 1-1 DREDGE ,?c F(4-L '1 GENERAL PERMIT Previous permit# DNew J'Modification ❑Complete Reissue ❑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 tt E:] Rules attached. Applicant Name'' _ T I f X / ` Project Location: County Address % !, 1 v' :: Street Address/ State Road/ Lot #(s) City ✓ i State ZIP Phone # () Fax # (_) Subdivision Authorized Agent Affected I CW AEC(s): ❑ OEA ❑ PWS: ORW: yes / no -❑ EW .—EtPTA ❑ HHF ❑ IH n FC: PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit. Hab. yes / no City T ZIP Phone # ( ) River Basin ✓� % i� lJ� �7 Adj. Win Body_ I `' �� I/ [nit /man /unkn) Closest Maj. Wtr. Body —' h ` J L' Type of Project/ Activity (Scale: Pier (dock) length 1 ' / P Platform(s) / C. X Finger pier(s) _ Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel i cubic yards Boat ramp _ Boathouse/ Boatlift �� - - f /G.� i ✓ �. c c. '/ /T Beach Bulldozing _ Other_ Shoreline Length SAM not sure yes no Sandbags: not sure yes (no Moratorium: n/a yes o0 Photos: yes ho Waiver Attached: yes no A building permit may be required by: Notes/ Special Conditions Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** ❑ See note on back regarding River Basin rules. Permit Officer's Signature r G `.. Issuing Datd I Ex ratie(n Date Application Fee(s) Check # Local PlanningJurisdiction 1Rover F►e Nani 1 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: ❑ Tar - Pamlico River Basin Buffer Rules E] 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 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: Fax: 252-264-3723 Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 400 Commerce Ave Morehead City, NC 28557 202-808-2808/ 1-888-4RCOAST 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 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 06/29/05 GenBrowse Page 2 of 3 fb OR State Road (e.g. SR%, SR64) or Highway (e.g. H%, Hwy70) Project Site's nearest city or town OR Project Site subdivision name (e.g. Ocean%) Project Site's nearest city or town (e.g. Eliz%, Atlan%B%, Oriental) r ACCEPT Pro ect Site .-address Search Criteria Run Query Reset Prev. Value Clear Queryj 1111) JPermit# Type SourcePNo Issue DatelExpiration DatelExpiredlDistrict IStaff JCountylProject City JProject 1696 GPC39365 Initial 1 109/17/2004 12/17/2004 1 Morehead Citv Rov Brownlow I Carteret IEMERALD ISLE 11 Records Matching Query = 1 ID SELECTED: 1696 Print Permit Edit Initial Reissue Permit EDIT Reissue Modify Permit EDIT Modify QUICK Reissue Applicant Info: Applicant (Owner): PATIE J. MOXLSY Addl: 722 CEDAR POINT BLVD. City: CEDAR POINT State: NC Zip: 28584 Country: USA Permit Info: Permit No.:-GPC393651 DCM District.: Morehead City DCM Representative: Roy Brownlow Issue Date: M/17/20041 Expiration Dat& 12/17/2004,o http://dcm2.enr.state.nc.us/DCMCDAITS/general/view/GenBrowse.aspx 10/6/2005 GenBrowse Page 3 of 3 Fee Collected: 100.00 Fee Description: CAMA Mainframe General Objections Received: N Project Description: P-12 Permitted Rules Permitted Activities Activity: Pier or dock Activity Type: NW Replacement: N Dimensions: length_width Parameterl : 6.000 Parameter2: 140.000 Parameter3: 0 Parameter4:0 Activity: Pier "T" head Activity Type: NW Replacement: N Dimensions: length_width Parameter 1: 10.000 Parameter2: 20.000 Parameter3: 0 Parameter4:0 Activity: Mooring piling Activity Type: NW Replacement: N Dimensions: number Parameterl : 2.000 Parameter2: 0 Parameter3: 0 Parameter4:0 Site Description: AECS: 07H .0205 Coastal Wetlands 07H .0206 Estuarine Waters Public Trust Project Site: Addl: LOT 6 4208 EMERALD DRIVE City: EMERALD ISLE County: Carteret http://dem2.enr.state.nc.us/DCMCDAITS/general/view/GenBrowse.aspx 10/6/2005 GenBrowse Page 1 of 3 Username: LowanaB CDAITS: General Permit Browse MainMenu The purpose of the GenBrowse Page is to search for a General Permit and perform an action on it. These actions include: view, print, edit intital, reissue, edit reissue, modify, edit modify, and delete. (Depending on User access level.) MOXLEY Applicant or Contractor Applicant or -'ull_Name Contractor Last Name Note: Queries using Name Data may result in a recor sett at is greater t an the # of permits. Project Name Select Rep Select District Permit Number Permit Officer District Select County County Project Location (City) Begin/End Issue Date Begin/End Expiration Date Expired F Search by Project Site PROJECT SITE ADDRESS Select County Project Site's County Project Site Address (e.g. %Coquina%, 57 Oyst%, 123 Oak Dr%) Project Site's nearest city or town (e.g. Eliz%, Atl%B%, Oriental) .M 7 http://dcm2. enr. state.nc.us/DCMCDAITS/general/view/GenBrowse. aspx 10/6/2005 APPENDIX K: Telephone Referral Form DCM Telephone Referral Form Date C1, DCM Staff (initials)./ Name of Caller if needed) �44A �ox Area Called From 4J in /a Address(if needed for followup Phone NO. C1 t - l U I 35-J souceWLUn-, 0Qr�C�j Nature of Question or Request PULA" Referral Made to Caller Referral Made to: Small Business Admin Other (Please note) ✓ Yes No _ DEM/FEMA DCM Field Office: Local Utility Red Cross Other General Information Provided to Caller Followu Needed? p N Yes No Followup Assigned to: Appendix K 1 ' APPENDIX K: Telephone Referral Form DCM Telephone Referral Form ph Date ` ( q 0 DCM Staff (initials) / Name of Caller (if needed) Area Called From����Y Address(if needed for followup) Phone NO. _.l � LA Nature of Question or Request Referral Made to Caller ✓ Yes _ No Referral Made to: DEWFEMA DCM Field Office: _ Small Business Admin. —Local Utility Red Cross Other (Please note) Other General Information Provided to Caller Followup Needed? " Yes No Followup Assi.aned to: Appendix K 1 ( lU 6 �y __-___-.___..____-____