HomeMy WebLinkAbout61096_GOMES, MICHAEL_20121018CAMA / DREDGE & FILL
GENERAL PERMIT
—'New [J]Modification -]Complete Reissue '71Partial Reissue
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 I SA NCAC
Applicant Name,
Address
City
Phone # O_
Authorized Agent _
Affected L CW
-
AEC(s): 7'' iOEA
PWS:
ORW: yes / no
State
Fax # ( )
.AEW MpPTA
❑ HHF ❑ IH
FC:
PNA yes / no
Type of Project/ Activity
Pier(dock)length
Platform(s) �(, i
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp f
Boathouse/ Boatlift
Beach Bulldozing
Other'C''i
n
`
Shoreline Length
SAV: not sure
yes
no�
Sandbags: not sure
yes
no
Moratorium: n/a
yes
no
Photos:
yes
no
Waiver Attached:
yes
ZIP
❑ ES C PTS
LJ UBA E. N/A
Crit.Hab. yes / no
No. 61096
Previous permit #
Date previous permit issued
❑ Rules attached.
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision (.C't" G l�' (,.,,. tia >
City f ZIP
Phone # (_) _ River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
(Scale: e r )
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A building permit may be required by: / " �' ( ' ' ® See note on back regarding River Basin rules.
f. 'r/
Notes/ Special Conditions , ~
Agent or Applicant Printed Name
a
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
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/ 1-888ARCOAST
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)
FIRST CITIZENS BANK
OUTER BANKS MARINE CONSTRUCTION, INC
1501 FIRST AVE
MOREHEAD CITY, NC 28557
5038
66-30/531
137
(252) 240-2525 10/18/2012
U
m
G
U
'AY TO THE M
)RDER OF D.E.N.R. **200.00 0
Two Hundred and 00/100************************************************************** DOLLARS
lz
D.E.N.R.
a
4EPAO (-,� V-) 4
II■00 50 38u'
1:0 5 3 100 3001:00 13 1 2 L8
SIGNATURE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis Dee Freeman
Governor Director Secretar,,/
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico &
Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259. The
Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water
Quality (DWQ) has reviewed your project proposal and has determined that the project as proposed complies with
the aforementioned regulations.
Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization
as long as the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner & the party (contractor) performing the
construction Wor land clearing to a civil penalty by DWQ of up to $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way. This
drawing will be used to aid in compliance and monitoring efforts.
Pre -project site conditions:
By your signature below you agree to be held responsible for meeting all of the conditions 11isted above and v r'
that all i-nfforrmmation provided is complete and accurate.
Agent r 711iic /rinted Name Permit O icer's Signature
ge o pp ' ant Signature Issue Oate
�I
v / 0%
CAMA GENERAL PERMIT #:
Washington Office Morehead City Office Wilmington Office
943 Washington Square Mall 400 Commerce Avenue 127 Cardinal Drive Ext. One
Washington, NC 27889 Morehead City, NC 28557 Wilmington, NC 28405-3845 NorthCarolina
Phone 252-946-6481 Phone 252-808-2808 Phone 910-796-7215 An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Naturally
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date /C;, // '.
Name of P/Xoperty Owner Applying for Permit:
;�[C Gt� L � 0k?e 5
Mailing Address: /
o/
I certify that I have authorized (agent) C C� r,i(P e(F(�� to act on my
behalf, for the purpose of applying for and obtaining all CA/+MA Permits necessary to
install or construct (activity)
at (my property located at) c
This certification is valid thru C
(date)
40
2roperty Owner Sign
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to � ('Cl 6-`/r-7 L22 YJ P S s
�((Name of Property Owner)
property located at q 5 ,30--c T� -(
,� r (Address, Lot, B
on %V r? cJ�� 1�- , in
(Waterbody)
(City/Town and/or County)
N.C.
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF' PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
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WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Informa io
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Si natu7
Print or Type Name
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(Adjacent Property. Information
Signatur
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Print �Type sac1
Ma ing Ad ess
City/State2ip
Tel pIr Numb r
1 -7 z'
Date
(Revised 6/18/2012)
s 't,
■
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Dock Configuration - 953 Becton Road
Lift TBD: Topless or Overhead Gear.
Lower Level - Appropriate?
TBD: Length and Side -by -Side based on Water Depth.
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PIPE AS c l 7S �3i \ N 3 % .39'26'e, N[ rAL VgiER 124 WAS
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to & WIL �le S I
Na of P�a )
property located at 3 p ���r
on _ E � �,1r UZI/'
(Address, Lot, Block, Read, tc.)
, in _�%w� �Qc� , N.C.
( aterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DCSCRIPTION AND/OR DRAWING 01: PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
4m2 (a)) OSe-d cl(o e [L
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner I
Print or Type Name
�70 i io:5r
M 7ing Addres
r? h to U /
city/�e e/Zi ip �� D--
-�i� 7!l 3�oy
Telephone Number
577
K-xe
(Adjacent Property
L
S3nature
e1i914 _�O a A -
Print or T-VDe Name
Teleph ne fVumber
/c Zz
Date
Information)
(Revised 611812012)