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HomeMy WebLinkAbout57877_LANIER, HUGH_20110426❑ CAMA / ❑ DREDGE & FILL V V GENE L: PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue t 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 El Rules attached. Applicant Name Project Location: County Address City State ZIP Phone # O Fax # (_ ) Authorized Agent Affected El CW p EW ❑ PTA ❑ ES ❑ PTS AEC(s): El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A 0 PWS: 0FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Street Address/ State Road/ Lot #(s) Subdivision City �``_ ^ . �` i <., ZIP Phone # ( ) River Basin t"V ' n --ii Adj. Wtr. Bodyr - ,.; t U (nat /man /unkn) Closest Maj. Wtr. Body .. , - ■■■■■■■■E■■■■rill]■■r■■Eli■■■.■.■■■■■■ -• � • . • - : M. M. • NN■E■■E�■E INNSONVOWEREN MON =01■�i:I2��E ON■�i■EEENO■Nliai�i►ii�►�iE■iiiiE�EEi ■■ ■■C�iiC ■�� i���■�Ilrr�r��rl :7■C'�lil'iE■■�■■■■ ■ ■1��1�Ir�liie���l1 ME■■EN■ 110MEMKI■N[E NEE ■■■i ■■■f■1�■■! 11■■■■■■■®■{ I IE■t1■�i■■1 E■■■ ■■Mi■Eli■Ii■■ t!■■■■■■■®MIIINEI�.lI■■!�■■■■■■ ■■■i■■■1�■t ■Eli■■■■ ■■®■Ili■■1�■�I■■!1■■■■■ ■■■[.7■■■.■■■� 1■■■■■■■■■Ili■■■■■.■Cl■■■■■ ■OMEN■■■■■■■1#■■■■■■■�■i■■■■■■■■■■■■■■■ _ _ EEEEOiiiiiiE■EiuEEii■�EONOOEEO�i■� i Agent or Applicant Printed Name �._.- Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signature D Issuing Date Expiration Date Local Planningf urisdiction Rover File Name r r ` 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/ 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 No `CAMA / Ci DREDGE & FILL -. GEI'JERAL 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 14y I L.en Address ,1( ►yi r-y �4 b r. City �c t Kbra v, _ State � L ZIP Z55gd Phone # (I+�) 3`�`I Fax # (_) Authorized Agent Affected D CW N1W PTA ❑ ES ❑ PTS AEC(s): IDEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: UFC: ORW: 'Z�no no PNA yes / ' Crit.Hab. yes / no Project Location: County ''-le,e Street Address/ State Road/ Lot #,(s) Subdivision 57877c, CityZIP_`i y Phone # () River Basin Adj. Wtr. Body A7 4" ' : — adman ---.n Closest Maj. Wtr. Body— NEW. ol fit M NM r 1 I R 01101 MEMO MM EMNIMME N iNo r ME 0 HE ME MEMO ME ME M M M ME Mi Agent or plica Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's ature ' ^ �i y, I� IssuingDlte I dExpiratio Date GvhtA;' �«� : 19 Local Planningjurisdiction Rover File Name i NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Hugh Lanier Date: 4/26/11 Permit #: 57877C 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 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 O Fill El Both ❑ Other El —impact 96 96 Open Water Dredge ❑ Fill ❑ Both ❑ Other El 96 96 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.nccoastaimanaaement.net revised:02/03110 ok ro DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to _ 0 �Q Pl.- ou /�-, is (Name of Property Owner) property located at 721�p� �I.rL ��1���_ (Address, Lot, Block, Road, etc.) on &4j&&r> , in E�YYL e—r-t4 l :1�� , N.C. ( aterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. --------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notifted by Certified Mail. (ProperS�w}aer Inforrrjvtion) 'Signbturb +" Prin r Type Name /-0, 2). 0V-::74;, x /,- ' ` —Mailing Address // rat ���r7 fL� Vr/�L' [ ( "'V6 City/State2ip ".1>�-yam (Rip rian Property Owner Inform tion) .1017, Z14 ignature �Fo,✓ �arp� S, /vas /�1 Print or Type Name .29 Mailing Address k:cAla.,c1S , A)2y City/State2ip Telephone Number Telephone Number 2- Date Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN !PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED hereby certify that I own property adjacent to 's property located at F1 d//fe �%►i � �_ r (Address, Lot, Block, Road, etc.) �/ on Ij v cr u �2c r in .� G-�' c+���l-S �C-? N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.neticonfact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. /?69,&,e Mailing Address City/StateMp 17 Telepho Number 7- /7/ Dat (Riparian Property Owner Information) Signat Print or Type Name Mailin Address City/State2i Telephone Number AL � Date PAY TO THE CAMA "NOTHING REPLA)DES HONESTY, SINCERITY, 8, HARDWORK" ORDER OF AIZE DSiGN(ATURE 11003 IF. 20110 1:053000 Ili D: 0008 2 10 2 Is 23110