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HomeMy WebLinkAbout57068_HUNT, JOHN_20110114LAMA / ❑ DREDGE & FILL 5 GENERAL PERMIT Previous permit # ❑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 ❑ Rules attached. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # () Fax # ( ) Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Subdivision City ZIP Phone # O River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body M. MEMO ■■I■■■■■■:1_■�1■■■■1�■■■lei■■■■■■■■■ ■■ ■ ■��■■■■ f1M ■il■M■■ ■ ■1 ■1IMMI ® ■�■■■■■■■■■■■■■M■■RREME ■■■�I■■■■■ f■■1■■■■■�■■■■■■■■■■■■■■■��■■■■■ ■■■■■■■■tq■■I■■■■■f\■■■■■■■■■■■■■■■■■■■■■■ ■■■■■�■■ems �a ����■■■��■■■■■■■■■■■■■■■■■■■■■■� Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # PermitOfrcer's Signature Issuing Date Expiration Date Local Planningf urisdiction 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, certifythatthis 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/ I-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 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) (Anticipated finalr. FINAL Sq. Ft.7anticipated disturbance. Excludes any restoration and/or temp impact amount) eet ce es ted or temp im acts FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ' .S2-8C8 220 ; 1-;5,'3"', n?C'OAST r,;r,!r.nrr_"--jT..<a!:.,._.. <_..r;.,.+a..'.n'-;sf RECEIVED r 7 2011 AF� Morehel2d Cif; DCM .............. North rCarollina Department of Environment and nlaturai Resources Division of Coastal Management Michael F. Easley: Governor Charles S. Tones, D9ractor William G, Ross Jr., Secrei,ry Dale /2 ` v2 Applicant 'lame Mailing Address !/ 1,4 S67:7-0l �jD tj Pr-4 L-D I L (Y\ P c h'�L3-�b ) 33 I certify that I have authorized (agernt) R eyr5 I�1�.I�U� to act on xx�Y, behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct (actiVity)--- at (location) 101 This c Signature is valid I,--r-1 Sty' (d ADJACENT RIPARIAN PROPERTY OWNER STATEMEN.'iAN 7 2011 I hereby certify that I own property adjacent to,:S-7sf {'14 4 i V Tl?' is (Name of Property Owner) property located at 54)LT� =Ct-1WeE; bV—, , (Lot, Block, Road, etc.) on SDQT Z- - , in J'-3 f:1-. C-PtJ27Mf!V—t , N.C. (Waterbody) (Town(and/or County) Applicant's phone Mailing Address: l6 5z5Ftr'1z1),)0 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 developm�e6nt ` � S PS �f� 6 0 - - ------------------------------------------ ------ I ------------------------=----------------------DD--------- (Information for Property Owner Applying (Riparian mpti for Permi l 0 16 t Mailing Address City/State/Zip Telephone Number Signature Date atql:�C69 Signature Print or Type Name Telephone Number Date Jan 13 11 04:42p East Carolina Truck Acces 2528230464 � ��, � • 613 mIt STATF-MENT AD,�ACENT RIPARIANPROPF.R'�� I iiezeby certify that I own Property adjacent to � � f Property Qpvtier) RECEIVEP, property located at 1 t Slack, Road, etc.) 7 1 c. \.N 13 2011 �in , on (Town and/or County) ... t� dC1fyDCM �Vyaterbody) Applicant's phone Mailing Address.' He has described to me, as shown below, the development he is proposing at that location, a-16, t have no abjection to his proposal. _ _— ----- ------------ ----- ---- ---- It,�V1rIlYG OF pROPQSED DEVELOP1v DESCIEN I' -------- RIPTION �/OR D {To he (riled in b}� property owner proposing developmen}� a l (Xr noatioa for FlroplltY Owner ApplYin� for Per M -I Mailing Address City/state/zip TCJCp onh a Number ,,7 (Riparian Property/,1Owner In. -format n) Signature Pri1t or Typ Z. '3r� Telephone Number Dace Daie Signature SAIV MIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 TO THE �C��N ORDER OF e DATE ! t L - �' BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT SOT.com/ FOR �` � Z) 11°00004913011A 1:0S31011211:000S210SIB 4066III _ ^^ 4980 66-112/531 pa 12 S-'itz0 o e.�x. NP