HomeMy WebLinkAbout56861_MORRIS, WILLIAM_20101005❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT / Previous permit #
❑New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued 1
As authorized by the State of North Carolina, Department of Environment and Natural Resources �j b�
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
t ❑ Rules attached. i
Applicant Name Project Location: County -
Address Street Address/ State Road/ Lot #(s)
City
Phone # O_
Authorized Agent
Affected
❑ Cw
AEC(s):
❑ OEA
❑ PWS:
ORW:
yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Subdivision
City ZIP
Phone # (�)� 1 ' River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Bongo- WOMEN
Agent or Applicant Printed
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date
Local Planningf urisdiction
Expiration Date
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/ 1-888ARCOAST
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
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Applicant:
1
Date:
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
Habitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
tem im acts)
impact amount)
temp impacts)
amount
Dredge ❑ Fill ❑ Both ❑ Other
'
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Oth r
r
bAe)de ❑ Fill oth ❑ 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 -ZSZ-_ R,CO 5i ;, ,�rrv_-,s�.� ����a=��? ro�x�_�._�r�A�y::��# �.a�f.��3: 02"'40—,10
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date
q Zt-+ . / CD
Applicant NameMailingAddress
RECEIVED
SEP 2 8 2010
"Olehead City bCM
I certify that I have authorized (agent) ' f-t� PL��-�1 to act an my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) .b
at (location)
This certification is valid thru (date)
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
. An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper
Sea-24-2010 06:37pm From-ZIMMER DEVELOPMENT COMPANY +9107621999 T-728 P.003/003 F-054
ADJACENT MAR.LA.N PROPERTY OWNER STATEMENT
(FORA pIERIM001UNGpILINGSBOAI'LIFTIBOATHOUSE)
prop
I hereh certi that i ownerty adjacent to,liy.,�t ` "•.-_ 's
y` (Name of property Owner)
property located at
Block, Road, etc.)
, N.C.
28
(W.terbody) (town and/or County)
2� � 1 5'�� Malin Address: it=
'`ae
Applicant's phome #. g '�1�0- �-&
lie has described w Lae, as shown below, the development he is proposing ! bo tl ft! t that boathouse
have ran objections to his proposal. T understand that a pier/mocring pilings
mist be setback a mWimurn distance of fifteen feet (15,) frorrt my area of riparian access unless
h to waive the setback, you must iaitiai the appropriate blank
waived by me- (If you eves
below.)
7 i�p pOt IS
wish to waiVJZ�
� 6
F
I do wish to waive that setback requirement.
._�-- DESCRIPTION AND/OR DRANVIr G Of VRt�PO�SED DES LOPMEN I
(7'o be pled in b p'
individual ropy g P )
(Information for Property Owner Applying
for Permit)
Mailing Addrm
City/State/Zip
Telephone Number
Signature
Date
(Riparian Property Owner Information)
Signature
Print or Type Nam
Telephone Number
Dare
A,T)JACEN'x KFARLAY PROPERTY OW"R. STA►TEM IST
("FOR A PlR,�NIOURING.P1lINC:S/8O`Ilrtll�"i/Av,�TXOrrs�c
f hereby certify that T own property adjacent t0
(Name of Property Owner)
('Lot, Block, Road, etc.)
OTlY.
(Wnterbodyl (Vow-n no&or Covaty)
Applicant's phone 4! jj�;2 'L .Malling .Address:,.
He h,4r, descrlhed to me, as ftwn below, Tht: developmcm he is proposiS7k at that location, area l
have no nhjections to his proposal. [ understand that. a pierhnocring pit.ings boat it ! boathouse
must he vtt lack a mirf.invom ,'JbWn,,o of Iflren feet (151 frorn my area of riparian ecce<s unless
wRiv^d hp me. (if you wl.0 to wai.e the setback, you must initial the appropriate blank
Wo+v.)
.1 A�Mj wiAil to w3jvt
T 42vust: to .Naive aial : tbackrequire.ment.
DF,SC JP•TION ANDIOR DRAWLNG OF PROMS ED DMLOPMI NT:
(To be felled 1.7 by Individual proposing derelopmv*9
IN N
(4t hrmation for Property Owner Applying
Pat .Pernntt)
Mailing Addr"s
C:'ity/starel7ip
r cicl+honc Pumt►eir
Signature,
(Riparian Property Owner Information)
Signature
Print or Type Na-nr,
Telephone Number
Daic
St'-p
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, "1-;�' i-t.f.d 5t• (Mov'111` 1Q r7v TtR1'JA10 nee 1 -'• ru 1 -1 .. r ..•r... ... ....
MUD BUCKET DREDGING INC
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557-3045
4608
66-112/531
Date
Pay to the
order of -, / -
`
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT,Com
A� �,
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