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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 ■■ENE ■■.■■■■■■■■■■■■■.■■■■■■■■■■■■■.No .■. . ■■■■■ ■■■■■■ ■■■■■■■■R■■■■■■■■ 11lr■■■ ■■■■■■■■■■■■■■M■■■■i[I.■■■■■■■ oil MEN ..............■I�■■■■■rr■■■■■■■■■■■■■■ ....................■...............■■■ JJMMMNM.......................■...... ■■■■■■■■■■■■■■■■■■■■■■■■.■■■■■■■■■■■■ iiilir.liiili■itii�iiil'ii�l■i�iriuul"ili■�ii�ulC�i■■I�■■WOMEN■■ ■eM■■!!M■■■■■■■■■■■■■■■■■■■■■■■■�■■�■■■■ 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 ' ►I'OOOOt,9t,t,IIl i:053 10 L L 2 ji:0005 2 105S406611' C_,