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HomeMy WebLinkAbout54128_MCDOWELL, JOHN_200906020 CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # DNew ❑Modification ❑Complete Reissue El Partial Reissu? 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, Project Location: County Address Z' k Street Address/ State Road/ Lot #(s) City— State zip Phone # ( - ) .� - - f. --�) J Fax # (—) Authorized Agent Affected ❑ Cw ❑ EW qP-TA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ 1H ❑ UBA ❑ N/A F7 P S: E FC: Agent or Applicant Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Subdivision City ZIP Phone# River Basin Adj. Wtr. Body PermitOfficer's Signature Issuing Date Expiration Datq( 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: ❑ 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 INTRACOASTAL MARINE CONSTRUCTION 3515 WHITE DR. MOREHEAD CITY, NC 28557 Pay to the l Order o 1 Date 0 q 2184 66-T12/531 $,:a0()„0U e e . F,, e, Baas nn Back. BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT,com FOR `rl r'�l NP I'm 0000 2 1 i3tom 1:0531011211:0005191334994311, zyo�rj lUl�c�owell P�o��c�" Ca cre(f 1� I North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F, Easley, Governor Charles S. Jones, Director William G. Ross Jr., Secretary Date S-d Q- - 0q Applicant Name -j o h-, M c-D-a cJ e Mabiling Address V70 3 C C; c..w r� ✓e, _ VA d NC I certify that I have authorized (agent) lr Q i ( wtA.(c,S 1_ !�Cd�S�w l to act on my NG! �L h• v �Ij rti.. behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) joC- at (location) _ This certification is Signature (&Me) 'w -44 - 0 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ADJACENT RIPARIAN PROPERTY PRO RYC1-YVASMENT {FOR APIEWWORING PILES FT11U T 1 cd aacentto ._.__� Ihereby certify that I own prop ' 1 (l�l ,,me of property Owner) !o �Iock, . i"Jot,+.i•. kAdl+t.%ak property located at !_L, —a e Road, '�ADCo A►dL'��. � �" , N.C. °i on .. �-1' ``'a fit°' in ►w k' (T n in d for ounty) (Waterbody) at location, and, I He, has de scribed to Sne, as skaovun below, the deveiopmei�' he is l,iti'c'pelsi�U � lioattzft /boathouse ha�'r�e no of jections to l,is proposal. I understand that apie /tnoori _,}: p t gss ea, of riparian acce nrny,st be set back a minimum distance of seti�a feet (0 �,must in ,lial the appropriate blank wrlived by ine. (If You wish to waive the, Y WOW.) I do not wish to waive ,,� I do wish to waive that setback requirement--- __ ___�___. CO - DESCR-IPT ON AND/OR DRAWING OF P 1" O�ko �;FD DEVELOPMENT* TENT: (To be ftlled in by individual propr�. g A _71 , �1 it P _.40 Signature Print or Type Nar��e Telephone Number ADJACENT RIPARIAN PROPERTY 113WNIFIR STATEMENT (FOR A PIERIMOORING PILINGSBOA' TLIF7X80ATHOUSE) I hereby certify that I own property adjacent to _ b 1�h W z)-/LQ (P lame of Property Owner) property located at (lot to l k r stei- ({' 1N)br--+i,, (Lot, lock, Road, c ec.) it] N.C. (Waterbody) (Tnwn anti/nor Aunty) He laas described to me, as shown below, the development) ke is pi,oposing at that location, and, I have no objections to his proposal. I understand that a piers'inoorir,g pilings / boatlift / boathouse muAt be set back a minimum distance of fifteen feet (IS') f rom my area of riparian access unless waived by me. (H you wish to waive the setback, you most initial the appropriate blank bel6 w.) i i do not wish to waive l do wish to waive that setback requirement. -- ------ ---------------------------------_------------------------ DESCRIPTION AND/OR DRAWING OF PR0)1'OSI± D DEVELOPMENT: (To be filled ill by individual proposevg dev,Pi'opment) W ----------------- Signature A-, 44 Print or Type Name Telephone Number Date MONITORING & COMPLETION REPORT [CAMA Major Development & State Dredge & Fill Permits] PERMITTEE' S NAME: PERMIT # G LOCATION: �a �I PHONE: DATE OF INSPECTION 1) FIELD REP. MONITORED BY , DATE REPORTEDLY COMPLETE: Do the ured dimensions of the development differ from those indicated in the permit and workplat? VF..C/�",I. ni,Pl 2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all disturbed areas? YES/NO [circle one] 3) COMMENT: FUTUR NITORING & ENFORCEMENT ACTION needed COMMENT: : Is further investigation or enforcement action ' ;1►MA / ❑ DREDGE & FILL e; 1 GE ERAL PERMIT Previous permit # PO�Tew ❑Modification ❑Complete Reissue El 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 I SA NCAC Applicant Name ,- es attached. Project Location: County 1 _ Address Street Address/ State Road/ Lqt #(s� t r Cityi State ZIP —l�(�3k—� Phone #--�v�it Fax #).. _...._ _ Subdivision Authorized Agent �� ( 1 � City Y `� ^ ZIP;';) "W'� iT�c ❑ es ❑ PTS Phone # () River Basin.' ( L� ;` ' Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC s : (`, ._ %1, ` Adj. Wtr. Body ; nat an unkn ❑ PW ❑FC: P �CI. �. ORW: yes / no PNA yes } no Crit.Hab. yes / no Closest Maj. Wtr. Body . _ f Type of Project/ Activity Fing( Groi Bulk Bash Boat Boat Beac oth, Shor SAV: Sand Mo Phot Waiv (Scale: ) fit' ��►� I lint " i� INME 10 ME ■■I■i�■IN■■■■_'��Sii■■�■■NES ONE ■ �!■��� 17� ��III■■■■� �+ME10mmilm NMI 641101 No WE ME ENE M. I■' ■i ■Ell �tTa1GlE�cri? . WN it■■!iM■■■■■N■tGIna"s ■■■■■■■■No ■■■■■■ ■!�■■ ��■■rr■i ,i��■■■■■N NO WAl ■■■■■■ M ■1�1■..■■!■■■■t.� ■■■ ENO ■■■■■ ti/1■■w■■rME ■■■i iWi�1�i■'� WNEWW■■■ �i ce MA��■■ �'�■ r< `I' ■■■■■■■■ ■1 11■■■■■ This ..:. within : Primary , No slips are rr , :. .vessels -motorized, and is not for boaLing or other. Anyg or prop wash will be considered. violation of permit,.. f the CANfA and - 7■ ttIl .�i■ ■■ ■■■■ilm I■■ ' ism ■■�■ MEN ■ NMI fP /ME ��■ ■: ■■ ■ �.r �� �iit�■■m■■ ■ NOW ■ 'lEi� kw A building permit may be required by: Notes/ Special Conditions Signature Application Fee(s) t (f_i /1 read compliance statement on back of permit Permit'O cer's Signature lssuingDate Expirati nDat Local Planningjurisdiction Rover File' Name