HomeMy WebLinkAbout46307_FITZSIMMONS, JEFF_20080128❑CAMA / ❑ DREDGE & FILL
A
7
GENERAL PERMIT
Previous permit#
❑New ❑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
-
--, Rules attached.
Applicant Name .� t C I isIf
Project Location: County
Address -it �'V ,� ; .���
Street Address/ State Road/ Lot #(s)
I
City i �i i I r. i:^ State ZIPLf
-
Phone # ( j) ' ; ; Fax # OJ J
Subdivision
r
Authorized Agent 1 i� �_� I( 1.:1 l: '
city �' Ir ZIP 1' I
❑ CW L.l EW PTA p ES ❑ PTS
Phone # ( ) River Basin
Affected
AEC(s): L" OEA ❑ HHF ❑ IH [I]UBA ❑ N/A
Adj. Wtr. Body (nat
/man /unkn)
C PWS: ❑ FC:
Closest Maj. Wtr. Body
ORW: yes / no PNA yes / no Crit. Hab. yes / no
Type of Project/ Activity
Pier (dock) length
Platf
Fing
Groi
Bulk
Basi
Boat
Boat
Beac
Othf
Shor
SAM
Sand
Mor,
Phot
Waiv
(Scale: ► Y I � )
er pier(s)
n length
r
_
number
,)ead/ Riprap length-
avg distance offshore
max distance offshore-
i, channel
cubic yards--r-
I
�-
--
I
- --
i
�!
-
-
ramp i.
--
,iouse/ Boatlift
h Bulldozing f��_
—-i
_=��-
- -
l`
1
y~
dine Length
not sure yes no
>ags: not sure yes ;no ,
torium: n/a no es
Y
>s: yes. no
I
-- -_
-- ----
DTI
w Attached: yes no
A building permit may be required by:/
Notes/ Special Conditions
Agent or Applicant Frinted Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check#
❑ See note on back regarding River Basin rules.
Permit Officer's Signature'
IssuingDate I �kpiratiort Date
Local PlannmgJurisdiction 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 per officer when the project is inspected for compliance. The
es authorized by this permit, the applicant will
applicant certifies by signing this permit that 1) prior to undertaking any activiti
cal
confer with appropriate local authorities to confirm dhmail rethis turn receiptct is nsistent has beenth the local obtained froand use plan m the adjacent riparianl
ordinances, and 2) a written statement or certified
landowner(s) .
The State of North Carolina and the Division of Coastal
oe taw. h the North Carolina Coastal Management Program.Management, in issuing this permit under the t available
information and belief, certify that this project is consi
River Basin Rules Applicable To Your Project: Other:
Tar - Pamlico River Basin Buffer Rules —
Neuse River Basin Buffer Rules
er Rules for the
If indicated on front of permit, your project is subject to the EnvironmentalBBasiiThese bufferrules ament re enforced by the NC Division of
River Basin checked above due to its location within that River
Water Quality. Contact the Division of Water Quality at the Wo Washington
I withgional heseOffice buffer ruses 946-6481) or the Wilmington
Regional Office (910-796-7215) for more information on howp Y
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
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
400 Commerce Ave
Morehead City, NC 28557
202-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
Washinaq District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmineon District
127 Cardinal Drive Ext.
Wilmington, NC 26405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 06/29/05