HomeMy WebLinkAbout56100_MEYER, KANE_20100730❑ CAMA / O.DREDGE & FILL / I' it
GENERAL PERMITPrevious permit #
[INi w ❑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
Address
City State ZIP
Phone # O Fax # O
Authorized Agent ; V"
Affected CW DEW D PTA ED ES C PTS
AEC(s):
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # (_ ,-' River Basin
Adj. Wtr. Body L )C ..t.` j t . f ? .'c' (nat /man /unkn)
Y �
Closest Maj. Wtr. Body ?,
Type of Project/ Activity
i
(Scale: 1 /1-71_!
)
Pier (dock) length
Platform(s)
Finger
Groin
Bulk
Basin
Boat
Boat
Beach
Other
Shorelineo
SAV:
Sand
Moratorium:
Photos:
Waiver Attached. yes no
A building permit may be required by:
Notes Special Conditions
/
on back regarding River Basin
4:1-
See note
�ri f
rules.
length
number
—
Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
fhe time period requirement for this
' �---4:',_4--'ueVelOprnent is suspended until 12-31-
PermftOfficer's Signature 2010, pursuant to Senate Bill 833. The
effective date of expiration for this
Issuing Date Fermi; i5 j'�
Local Planning Jurisdiction Rover Fife 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
Morehead City Headquarters
Mailing Address:
400 Commerce Ave
1638 Mail Service Center
Morehead City, NC 28557
Raleigh, NC 27699-1638
252-808-2808/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
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)
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
Applicant:
�-1
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft,
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other g----
1--�
Dredge [I Fill Both El Other El
6710
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
• I ADJACE• NCI RIFARIAN PROPERTY OWNER STATEMENT
(FOR A IrILrRJdI00RING PIL17VOSIB OA TUFTIB OA THO USE)
I hereby certify that I own property adjacent to
(dame of Propert% O+-.•ner)
property located at 1 / G -h io L c o ,o x .
on
(Waterbody)
He has describe
and, I have no objection
must be set back a min
wai e y mc.
i o no
t, Bloch, Road, etc.)
in CA C. 0. , N.C.
(Town and/or County)
to me, as shown below, the development he is proposing at that location,
to his proposal. I understand that a pieriniooringpilings 'boatiift.boathottse
ntim distance of fifteen feet (I5') from my area of riparian access unless
rish to waive the setback requirement. RECEIVED
I #q wishto «waive that setback requirement.
Morehead City DCM
........................... J.............................................. ................. ..........................
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To; be filled in kr iudi ddual proposing development)
Tet ephone Number
er
Date: _ .��
ADJACENT WARiA1 PROPERTY OWNER STATEMENT
(FORA IllE"fOORIiVG FILINGSBOA TU MBOA THO USE)
I hereby certify that I own property adjacent to x �4 r b 1M�Y4,(rb
(Marne of Property Owner)
property located at & eo L 4 e Q (L . C&f4 CASt' r+ C O?ECEIVr,D
(Lot, Block, Road, etc.)
'JUL 3 0 2010'
on P� [ ifr C1L , in C /lrc.�4ct' C. o . �N C`�a �tty8c�
(Waterbody) I (Town and/or Count)-)
i
He has describe to me, as shown beloix, the development he is proposing at that location,
and, I have no objection to his proposal. I understand that a pier/rnooringpilings'boatliftiboathouse
must be sit back a minimum distance of fifteen feet (15') from my area of riparian acces3 unless
.Waive me.
i o not wish to waive the setback requirement.
I ds wish to waive that setback requirement.
I
--------------
DESCRIPTIO' AND/OR DRAWIZIG OF PROPOSED DEVELOPMENT:
(To', be filled in kv indbidual proposing development)
'�"0
Signature
Print .6r Type Name
-
Telephone �'untber
Date:
LARRY G. ARNOLD 2190
P O Box 2277 66-21/530
BRANCH 77615
Morehead City, NC 28557
Pay to the
Order of —
i9 t
WIN' WACHOVIA
Wachovia Bank, N.A.
wachovia.co
For
1
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