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