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
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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
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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
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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