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
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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)
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4980
66-112/531
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