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HomeMy WebLinkAbout58141_FRYE, JANET_20110718❑ CAMA / El DREDGE &FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑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 Rules attached. Applicant Name _ 4 Proiect Location: County Address City Phone # ( )_ Authorized Agent Affected ElCW AEC(s): [IOEA ❑ PWS: ORW: yes / no State Fax # ( )_ ElEW ❑ PTA ElHHF ElIH ElFC: PNA yes / no ZIP ❑ ES ElPTS ElUBA ElN/A Crit.Hab. yes / no 1 Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ME [I!■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�'ri■�� ■■■■■■r■i■■.■■�■■■■■�■■■■■�■■■■■r■W■■■■■■ Agent or Applicant Printed Name f{ Permit Officer's Signature % f �, Signature "Please read compliance statement on back of permit" Application Fee(s) Check # Issuing Date Local Planning Jurisdiction 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, certifythat this project is consistentwith 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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 i • _ �.i�4i:ail.J�....--.._:w4n i.•.t4+f. Yi'i�.... .. .:-..{.u..i/L.� l: r:.'.� ... SAMMIE L. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. 13OXMOREHEAD CITY, NC 28557 PAY TO THE ORDER OF u + -) 3 e- 4-L\ , ] DATE S-' -" j•-J l 5235 66-112/531 o DOLLARS :; BRANCH BANKING AND TRUST COMPANY 1.800-BANK BST BBT.com FOR n°0000 5 2 Sn' 1:0 S 3 10 11 2 11:000 S 2 10 SB 40661I' _ y :r 1 RECEIVED JUN 21 2011 AIX V. 4 DCM-MHD CITY DIE 4 Noiih C-.alDepa -nent of El-v!ronment and ati�ra! esources D:'Iv pion of Coast -I Managamen-t / Michael F. Easley: Governor Chades S. Tones, Diractor William G. Ross Jr., Secret iry Date (- 8- I l Applicant dame � 1 - Mailing �I l certify `a�Aat � have aBAt�13�B'B��41 �agCElli:) �1`1��� to act ors im behalf, for the purpose e)f applyingr for and obtaining all CAMA Permits necessary to install or construct (acti,vity)--- at (location) 4el- SER 6-FF'F'E lbw (SVa 6-R -LT-- ) -.—.. This cer A 3cation as y al:alrl fi1wu (date) ! '�-� (k l ,Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVED I hereby certify that I own property adjacent to. ::� ANC FR'4 C-7 11'$N 21 2011 (Name of Property Owner) property located at G86 SEA GATIF DR DCM-MHD CITY (Lot, Block, Road, etc.) on C QRJZ c, in CkT 17ER F so ��A►V'1 t�F�r N.C. (Waterbody) (Town and/or County) Applicant's phone Mailing Mailing Address: bg6 He has described to me, as shown below, the development he is proposing at that location, and, 1 have no objections to his proposal. --------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To he filled in by property owner proposing development) 14 I (Irnt rrffation for Property Owner Applying (Riparian Property Owner Informationfi for Permit) Mailing Address City/State/Zip Telephone Number Signature Date I Ice ignature Print or Type Name Telephone Number Date sN ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVED I hereby certify that I own property adjacent to. SPg4F' FIRIF ,10 2 1 2011 (Name of Property Owner) DCM-MHD MY property located at (�.elg SEA GAZE DT (Lot, CON,R�o�a , e_t, on C OP97 CR_E in �A%IF' p1 ,, Cbh—MERF-T— , N.C. (Waterbody) (Tow4 and/or County) Applicant's phone(45�1��8-13 Mailing Address:636 584 qp,� e: (t--e He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. --------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) C ul � for Property Owner Applying (Riparian Property Owner In,�orm for Permit) Mailing Address City/State/Zip Telephone Number Signature Date Signature Print or Type Name Telephone Number Date Applicant: Janet Frye Date: July 18, 2011 General Permit #: 58141 C 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 temp impacts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount SIB Dredge ❑ Fill ® Both ❑ Other ❑ 800 80 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 02/03/10