HomeMy WebLinkAbout56919_MILLER, HERBERT_20101020❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT
[]New' ❑Modification ❑Complete Reissue El Partial Reissue
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_
Previous permit #
Date previous permit issued
❑ Rules attached.
Applicant Name _ i Project Location: County
Address ,1 Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
Affected 0 CW DEW PTA
AEC(s): OEA ❑ HHF ❑ IH
❑ PWS: 0 FC:
ORW: yes / no PNA yes / no
-, ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Subdivision
City ZIP
Phone # O `River Basin
Adj. Wtr. Body (nat /man /unkn�
Closest Maj. Wtr. Body
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oil
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
PermitOfficer's Signature
Issuing Date Expiration Date i
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/ I-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
Applicant: �e/�U4
Date: o
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
ternimpacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
h'
redge ❑ Fill Bath ❑ 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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
2 2-3-03-?t. 02 .. ?,,r.� rr .Scr.��5 taj�n a;_ �-ark. a��:::rg�t z 9Vis:-�d: 00 "03 "',1 s
` OCT 2 r�9 201C'
.flH
North Carolina Depa� rnerit of Environment and "!aura! Resources
Dm,j9�7,io.jj ol Coastal Managsirnent
mi&aei F. casley. Governor charies S, Jones, Direntar William G. Ross Jr., Seorei jry
Date %—e6
NILName I
Mailing A Idress
f TL NTH i8 Q- �851
I certify that I have autlboi-ized (agent) 1101—b13 j to act On ln-Y-
behalf, for the purpose eii applying for and obtaining all CAAIA Permits necessary to
install or construct (activity)
at (location) );!> 5 —SL�' 60jo -Z_ iff l-F)w ric— AC-H
--
This certification is valid thru (elate)
�i gAA atunn^e
7
RECEIVE
OCT 2 ® 2010
MOreheadCit. DCM
ALT) 171
(,SOP A_D
-n,, !
f�
pro'2r`y' lccale-d a[ — L)1 -� � � vb.7
(-L-0t, .Mack, Road, etc.) i
on YY 1J G�+rN L in P LA . C.
( 'aterbody) (To---n_and/or!County)
He has desc-Jbe1 to me IS shovvn be'-o'n, the deve!oprhent he is proposing at d at
lccation, and, I have no obj� Lions to his proposal. I understand ghat a pierhncovere boat li
,must be set back a minimum distance or refit (IS') Tom my
waived by me. !area or ripariln access unless
PT�
1 do not wish to waive the setback re ;uirement.
I do xish to waive that setback re.GU rement.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - — - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
' --------------
DESCRIP'ITO�i A-ND/OR DR.Aw-L-i G OF PROPOSED; DEVELOP?fF-NT:
(TG be jWed &Z bV individual proposinJ devel��pment)
C r pi {
�teTivk-
- Lt
ignatli
Prir:t or Ty;,.- i iane
OCT 2 ® 201v
• v-'-Lii_'.;•i-Ltiis�1'i
(FOR APj�/v�;��GYPFD GAT i'�
rc,-cG"r'Giui; u!^i1 nr ;
i t ro i:-eFL-v a'j j' ac ' n C tC
pcczted at
i-1 ot, 31c-ck, Road, etc.)
o n 1 Y1flD � ma c- , in ( -TC. hq '
N.C.
(To=n and/or County)
He has describ-j to me, IS shoWnbelo-, the developrhent he is ro sin? t
location, and, r have no ob motions to his r000s p s a Via`
J p .a[. I unde.srand Ghat a pier/uncovered boat Iir
must be set back a minimum distance or rmLUen-rat (15') .from myj 'a W riparian acczss unless
waived by me.
I do not wish to waive the 'e- back requirement.
I do wish to waive ... -
- that setback rcG!tLremcnt.
D ES CP-IPII(D LN AND/OR DRAW-L-N G OF PROPOSED DEYELOP-N�:'�-I:
(Tc be fdaed in by individual pmposin; development)
C-
I_ t
P---------------�---S--------------------- ------- ----
Print or Typ—�- Nasnr
SAMMIE E. TURNER 4944
ss 1,vss1
MARINE CONSTRUCTION ACCT
252-725-3415 ^�
P.O. BOX 1885 DATE
MOREHEAD CITY, NC 28557
PAY THE �C-DEP VI —�
ORDER OF
ILLARS Fa1uiBc
BRANCH 13ANKING TRUST C.OMPAN � 19
1-800-SAN-BANK BST BBT.com
FOR 1 '
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