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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 WE 1■'i■!!■r���llnnl!!■!!!!SLR■!!s!: __! :i !■�■ � i�■l��i!■itii■■■�i!ll�����o■iii■!i■ii!■iili��■� ems■■■n!■!■■■oe■®Is■■■■=__■■- .:�-..- ' - ' ' - CD:�liiiii■iliii■�iiii�i ��"�I■■■■■�■��®■■■ - ■■Ili■■■■■■■■■■■■■■■■■■■■■■■■i;�■■.■!f�!1■■■■■ ME !11■1l■■■■■■■■!■■■■■■!■■■■■I■■!i■■1�■III■i■■■■ •!■ll■E1■■■■■■!H■■■■■!■■■■■■t■■■■ir5e■■■■■■ ■■■■■■■■■■■■■!■■■■■■■■■0■I■■■■�!!■■1■■■■■ ■■■l1■■■■■■■■■■■■■■■■■■N■I■.��1■`.Il.-.■I■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■%li00091 u■■■■ .\■IS■■■■■■■■■■■■■■■■■■�■■■■ ■■■■■l■!■■■ 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 ;`" a�j .�,:.,�..� fir"' ., �:• '� �� , � #.n..�.� :? ;� ;w 3 ., „. � as �,..�-, .,_ 7 „�.: �� ��»»�s :i�"''� �„•: ��r'sau... � _o b 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 •�ogh® 28 z41� VprOCM , "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� �, FOR� _ _ . _����.._. .---.-.. _---------.�.— ._ _.----_-___._-�_._..__. 1100000460811' 1:053 LO L L 2 0:0005 293 2 L834 L11'