HomeMy WebLinkAbout54654_KUNCE, GARY_20090924❑ CAMA / ElDREDGE & FILL G / r4
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GENERAL PERMIT Previous permit#
❑New ❑Modification ❑Complete Reissue El Partial Reissue Date 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
0 Rules attached
Applicant Name 1�(
Address
City !, i) 7State + ZIP r
Phone # (il r) o. 1 7 -'Fax #
f //""
Authorized Agent ` �. LtN IV�CLl k r- /y'!2E 1 t0i
Affected CW DEW O PTA ❑ ES ❑ PTS
AEC(s): El OEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab, yes / no
Type of Project/ Activity
Pier (dock) length
Platf
Fingi
Groi
Bulk
Basil
Boat
Boat
Beac
Oth(
Shor
SAV:
Sand
Mori
Phot
Wai%
Project Location: County IN— ;" s
Street Address/ State Road/ Lot # s^
Subdivision
City ZIP 2l(C'
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn�
Closest Maj. Wtr. Body
(Scale:
■
■■■r�■■■■��■■■
■■
■■■■■
r pier(s)
i length
■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■
number
::■■�i■■■■■..■■■■■■■i■■r■i■■■■■■■_■■
iead/
.®...■..■■
..■■■
■■
avg distance■■■■■■■■■■■■■■■...;1i017.1��■■■■■■■■
max distance offshore.`■■■■■■■ME■■■■■■■■■Z91
r....�
�.....
,�.
�i■■■■■■■■■■■
�r■■�L:���I
�
N■■�I■��1■0■■■■MEMO
Room
M
cubic yards■
Id►��■■■o
■■M■■��w■■Ems
ramp
■■■■■■■■■
VVEN
iM
,
1■aww"I
lyvVMEi■■■
■■■!0l■■■■■1■■■■■/
■■■■■■■■■
■■■■■■■■■■■■■■■■
i Bulldozing■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■■
■■E
■■■
■C-
■■■EN■■■■■■■■■■■■■
■■I1
dine LengthifAliiltl■■■■■■ice
not sure yes no
,
►
■■L�■aE!■
ipit■■■■■■■■■■■■■■■■■■
■�■E�'1
■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■■■■
■lt■A7■111�■■■
i
■■■■■■■■■■■■■■■■yes
iags: not sure yes
torium: n/a yes
no
no
NEW
no,
MAE
-
'.1NJ■
■�■■■■■■■i■►1G�■■■■■■■■■3i'G.
A building permit may be regWd by:
;
Notes/ Special Conditions � 4"
Agent or Applicant Printed Namp.
.-
Signature "Please read compliance statement on back of per715� r-1
Application Fee(s) Check #
See note on back regarding River Basin rules.
The time period requirement for this
Authorized development is suspended
until December 31, 2010, pursuant to
the "Permit Extension Act of 2009.
PermitOfficer,s Signature j
� J
Issuing Date' Expi ion Date
Local Planning Jurisdiction 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, certifythat this project is consistent with 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
Mailing Address:
1638 Mail Service Center
Raleigh, NC 27699-1638
Location:
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax: 919-733-1495
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -above
New River Inlet- and Pamlico Counties)
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
09i21i2009 16:01 9106928303 FCIG PAGE 01
4 x*A
40
-*A
b"
North Carolina Departnwl of Environment and Natoral Resources'
DiwiSIan Of Coastal Vanagamant
Michas F. Easley, COwwr ar Clads S. Jwws., Ddreclor MUM o, Ross ,k.. Uaamt
Applicunt Name _
Mailing Address
f certify that X .have authorized (agent) O �t ,� o
a.�rsr e to Rat on my
lsehalf, for tilt purpose of applying for and ebialaing all CANIA Permits aecec5axy to
insiall or constrv.ct (activity}
at (location) _ _ -- 2.651 —L
Tbis certifiestlott is valid that (date)
Signature
400 COwnerce ,avenue, Morehead City, North Carolina 28557
Phone: 252-$0Z3 28(?81 FAX: 252.247-333M Jntemet; www.nccoastalmanagement.net
Aa r-+q al lnnnrbinPh.4 APRn»altve O,Ytnn Omnlesvmr _ Mjw. iYpry JpdI lft% pm, C,�na�inr+r pannr
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �$ F- 4 elCe, s
(Nance of Property Owner or Applicant)
Mailing address if different from location address � d - e w '37 -_ ,
(town, state and zip) Wp ST Fl d 0 lJ-C- 0a _% 'J
phone numbers you can be reached at
property located at _ ��� s `� ( t�`� + i �C d �5 le
(Lot; Block, Road, etc.)
on �(�t,l in N.C.
Qom, ,
(Waterbody) (Town and/or 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.
I do not wish\to waive the setback requirement.
initials
I do wish to waive that setback requirement.
initials
--------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------- --- I - ---------------------------------
Si natuc
B ; (A. U)z> vve Sei
Print or Type me
Telephone Number
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent toLY!d eAkf)
-�-� 's
( ame of Property Owner or Applicant)
Mailing address if different from location address - d &b 3-7-1
,
(town, state and zip) Vl '{" ✓yy(A C a�3�
phone numbers you can be reached at qt o" 05
property located at ICi 1 s�o "-, l
(Lot; Block, Road, etc.) (' ,
on 7t �A h �l yte r , in by , N.C.
(Waterbody) (Town and/or 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/boatliftlboathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
I do not wishNto waive the setback requirement.
initials
I do wish to waive that setback requirement.
initials
----------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be f lled in by individual prop elopment)
pryof os Inat
i,�-i otj
U c-" '
L1�
--- ;yam -------------- ------- ----------
Signal
Print or Type Name
Telephone Number
R
KL
Bogue Banks Marine Construction, Inc. im6 WACHOWA BANK, NA 6902
111-D Turner's Dairy Rd 66-021/530
Morehead City NC 28557
252-267.4629
2 PAY TO THE /� f � /� /
ORDER OF / V 6 4 � / V' k oC
m DOLLARS 8
n
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14 - c 546�5 4
MEMO
11200690 2113 1:0 5 3000 2 191: 20000 248 3 140 Dim
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits] /\
A
PERMITTEE'S NAME:
PERMIT # �5— 1467 5�C
LOCATION: ' !y s I o Koa� FIELD REP. J�> C
MONITORED BY
PHONE: j® n DATE REPORTEDLY COMPLETE:
DATE OF INSPECTION 6VI 0
1) Do the asured dimensions of the development differ from those indicated in the permit and workplat?
YEr[circle one].
COMMENT: !e I 5 C4f)
2) SEDIMENTATION &XJIDSWN CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? Y cle one] / A
COMMENT:
3) FUTURE MO RING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? Y"Ndcircle one].
COMMENT: r.M�,TS --Ni c �—tiC