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Home My WebLink About57084_HERKO, DAN_20110128CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # El New ❑Modification [-]Complete Reissue El 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 ❑ CW El EW ❑ PTA ❑ ES ❑ PTS AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Type of Project/ Activity Pier Platf Fing Groi Bulkl Basir Boat Boat Beac Othe Shor SAV: Sand Mor: Phot Wain Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP Phone # ( ) River Basin e-- �{ Adj. Wtr. Body Pit .i o id 'knat /man /unkn) Closest Maj. Wtr. Body C� . � (Scale: I = �6) r pier(s) ■■■■�±�■��a■■o■� ■i■[znzi■■■■■■■■■■■■■■■■ length ■ ■■■■■■■■■■■R N [JULIE No ■■�■■■MEN number avg distance offshore ■■■■■■��1■■■■■■■■■■■■■�■■■■■■■■tl11■■ ■■ �� max distance offshore IMMEMEMMEMEMMEM MEN ■■■■■:■■■■■::■:■10 ■■ cubic yards ■■■■■ ■■■■■■o■■■■■�■■■■■■■■■■■■■■■■■■■' ramp ■■■■■■■■■■■■■■■■■I!t■■■■■■�■■■■ ■i■■■■■ i Bulldozing ■■■■■rags: ■::■■::n■■■■� ■■■■■■■■■■■■■■■■■■ hne Length JP not sure yes no not sure yes • IS: yes no ■��_ ■■■■■�i::i::■I■'ii■�l�iiilil�iliiil�liiili��i■■A■!!■■■■� ��ilsi' i. f`.'"■.'t'%^:ri�-+!:�sal�■IITiI�■r�S...�. ...-. .. ■■ ■■■fl■■■■ ■■■. !l11��■■0■■■�■f Yii■i■■■■I A building permit may be required by: .,��.t ❑ See note on back regarding River Basin rules. Notes/ Special Conditions ,,c :All . jzay Se 1) Agent or Applicant Printed Name PermitOfficer's Signature Signature ** Please read compliance statement on back of permit ** 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST 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 { NO Division of Coastal Mgt. Habitat Impact Computer Sheek Applicant: Dan Herko Date: 1 /31 /11 Permit #: 57084C 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 Shallow Bottom Dredge 0Fill ❑ Both [IOther El 1349 1349 Open Water Dredge El Fill D Both ❑ Other O 1349 1349 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.nccoastaimanagement.net revised: 02/03/10 k BLUE WATER MARINE 6725 CONSTRUCTION INC. P O BOX 93 66-112/531 MOREHEAD CITY, NC 28557-0093 DATE PAY TO THE ''/n1 ORDER OF�I L JO C/Y hQ I $ 2 00 , /o No DOLLARS F° oaa,aaa Back. BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com ` :OR clktr- wa t-,sue; S,, NP ill 00006?25ill 1:053L011211:00052L498659211' �� :, A NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Govemor James H. Gregson, Director William G. Ross Jr., Secretary Date 1)—) 6 � Applicant Name _ �1� h 7 C �l 2 Mailing Address - L4�o-2 Kc� 6, z?s 3/ I certify that I have authorized (agent) S-4e.✓t -'oh- c U,e- to act on my behalf, for the purpose of applying for and obtaining all CAMTA Permits necessary to install or construct (activity) A w �oG L , at (location) 4�A Kz i.51,4,'G fv, c 29 s3 33 G--1Lbq_-633J 400 Commence Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoasumanagement.net n.. C--1 t AW,,,, +—., AA— Crwnl—." .. WWI 0.., -1. A % Inc/ 0 -. r+ . ... , o.,..,.. / �4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to l dame of Property Owner) property located at i .i .1� s L !y �. v'� �e� { A,� ��L,�'f .9 k�% & 4 2 bi 3% (Lot,, Block, Road, etc.) on (Waterbodp) (Town and/or County) He has described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. W- A.N. D/OR DRAWING OF PROPOSED-DEVE,LOPM M �e, filled in by individualproposing development) v�G S.t -4-0 bv; ( A' 10 /Z K /* 7- Signature �' /pie-/- ,. r- A, /) Print or Type Name Telephonic Number Date: W Z 0 C. OF PHONE NED DATE CELL TELEPHONED RETURNED YOUR CALL �P:EASE CALL ❑ WILL CALL AGAIN �AME TO SEE YOU WANTS TO SEE YOU �1 ACEIVED .ADJACENT RIPARIAN-PROPERTYOWNER STATEMENT_iAN 2 g 2011 `JI'GileudCINDCM I hereby certifV that I own property adjacent to --- is (Name of Property Owner) propergr located at a r-- (Lot, Block, Road, etc.) on fte!l (Waterbody) (Town and/or County) Ike bas described to me as shown below, the development he is proposing at that location, and, I have no objections to his proposal. (30 4 N 0 I" % r s 64.4'( TON AND/OR DRAWING OF PROPOSED DEVELOPN EN T Mo be filled In by individual proposing dsvdopment) 1,01 u rQ 0 Q r l T.0 12-0 i S o' ! w-4, S a.. � w � 4- i� 2 O ' \i 20 T re- -(- �' Y� ar�-4 (- �`144 sipadu Print or Type Name Telephone Number Date: 1,2