HomeMy WebLinkAbout56979_MURPHREE, TOM_20101201CAMA ❑DREDGE &FILL � ❑
/a. �.
GENERAL PERMIT WWO Previous permit #
❑New ❑Modification El 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
O Rules attached.
Applicant Name
Address
City.
State ZIP
Phone # () Fax # ()
Authorized Agent
Affected D CW D EW D PTA ❑ ES ❑ PTS
AEC(s): D 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 # O River Basin r ' ,� 1 `
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit
PermitOfficer's Signature
Issuing Date Expiration Date
Application Fee(s) Check # Local Planning Jurisdiction
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/ 1-888-4RCOAST
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
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 game
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
tempimpacts)
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
tempimpacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
n
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Dredge ❑ Filf`r Both ❑ Other ❑
ti
Dredge ❑ Fill E3 Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other
J
/
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 ❑
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
��a g �� RECEIVED
Date NOV 2 9 2010
M010head City DCM
Applicant Name % U r _'y/'PO Y-(=
Mailing Address 1'r /�D I ���
I certify that I have authorized (agent) k'4114 L�t°e ��ti-{vd G� Qhl� o act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 40o07 zl) /�ti eh �`c`' 4 qHU/�
at (location)
This certification is
Signature
thru (date) 11L, 10i ^ %/,)% //
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
ADJACENT RIPARIAN PROPERTY i3WNER S..
,AATEMENT NOV
I hereb,r cerri that I own property adjacent to "l-
j�
('dame of Prop Owner)
property loc€.ted at. �_L
(T,� t, lock, Road,, te.)
v tJ in N ::7 i" t , N.C.
Lj (yl'o terbody) _ . (T', wn and/or Ct unty)
Applicant's phoc a #: z`� �- - —Mailing Add ess: 'a, 0. �� 1 q 6
He has described to ine, as shown below, the development ,.e is proposin€; at that location, and, .I
have no objecriam; a ) his proposal_
'ION AND/OR DR./ WINO OF PRC, ''OSF,D DR V Il it .nPmvN r.
o be filled in by property owner pr
V_
T�l� at -
(Information for F'r ? perry Owner Appl3 i ag (Ripar.
for Permit)
--
Mailing Address 41
City/State/ ip
r — '7�-cry. ---
Telephone Number
Signature Di I(:
Signature
Print or Type Name
Telephone Number
D
Date
,A)I)JAI.'ENT RIPARIAP PROPERTY 13WNER STATEMENT
I hereb,.( cerei y that I own property adjacent to i'y'\ �s
( 'game of Prop 4tyr�er) L5CFjy f,
property loe,-.tedof NOV
`2 2010
(LA I, lock, Road,, tc.)
an _ L)d �_ Jc7 v in .%.
N.C.
(VI'a terbody) (Y wn and/or County)
Applicant's phoCe V: _ Mailing Add ess:d
He has described to ine, as shown below, the development ,.e is proposing; at that location, and, I
have no objec :ions f , his proposal.
'ION AND/OR DRY WING OF Pltc: >OSFD DRV vI .APm N r-
"o be filled in by prof, erty owner pr
(Information for Pr :1perty Owner Appl3 iag (Ripar
for Permit)
6�
Mailing Address
City�/-SlLate/Zip
Telephone Number
Signature
Print or Type Name
Telephone Number
Date
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RECEIVE LA
DEC 3 2010
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INTRACOASTAL MARINE CONSTRUCTION
3515 WHITE DR.
MOREHEAD CITY, NC 28557
Date
!pay to the
order of �
BRANCH BANKING AND TRUST COMPANY
1-goo-8ANK 68T 681T.com
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FOR ,,. ,;p53 LO L L 2 Lt:0005 L9834994311'
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2491
66-112/531