HomeMy WebLinkAbout57098_LIND, ERIC_20110209/
-. ❑CAI�iA / ❑2V v'Z-Y-// /JzDREDGE &FILL �"-'" /�"'
GENERAL PERMIT Previous permit#
E]New El 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 I SA NCAC
0 Rules attached.
Applicant Name
Address
City State
Phone # O Fax # (
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
ZIP
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
M. .
ME
...............■®.�i.=...�...............
■■■■■■■■■■■■■■■■■■�■■ram■■■■■■■■■■■■■■■■
or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Issuing Date Expiration Date
14
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 complywith 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/ 1-888-4RCOAST
Location:
Fax: 252-247-3330
2728 Capital Blvd.
(Serves: Carteret, Craven, Onslow -above
Raleigh, NC 27604
New River Inlet- and Pamlico Counties)
919-733-2293
Fax: 919-733-1495
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
i
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Eric Lind
Date: February 4, 2011
General Permit #: 57098C
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
ow
Dredge ❑ Fill ❑ Both ❑ Other ®
90
90
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
Amok"A'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date F -. Z4
Name of Property Owner Applying for Permit:
Epic L i ti L?
Mailing Address:
4q) I Sliver knt5 `�d .
mn-61k, NC
I certify that I have authorized (agent) OrtS&MOIM CZIV`fTUc't M to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
This certification is valid thru (date) q�) /
Property Owner Signature
Date
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX 252-247-33301 Intemet: www.nccoastalmancigement.net
An Equal Opportunity \ Affirmative Action Employer — 50%, Recycled \ 10% Post Consumer Paper
I hereby certify that I own IroImtY adjacat fm I.._ r I c . L
d, ., ; , z (Name of Prapertp Owner)
Pwparty locMd at
%' 0604 Raab, etc.)
on �I�Oc�C� l� ec�in rn ec 64, PA, rn I'c c N.c.
(R'y) (Town awler County)
Applicant's phone #: c2?LH -1 I 67
r N L,935-5�
He has descari"bed to me, as shown below, the development he is proposing at that kx2fioan, and, I
have no objecdw®s to his proposal.
SUM + !) 1 i 1 1 >c1,, fti`aCii Y :. 1 rlid
tuft.19r P Owner AppWW
for Permit)
l �! 511 per /4cy-�j R-4
Muffing Address
city, ip qD 7
Telephone Number
Signature ,Bate
l J(.0o
�-- Pro�xs�i
F; P �r
DvYosS
�ropcv-fy
erg)
v ft or Type Name
-4LIT Number
�L Deft
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery Is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
�U Y OS S
51a� �'clips� IJ�
Zolt2
A. Signature
❑Agent
LX❑
4iby
Addressee
B. R( Printed N e)
C. Date of Delivery
D. Is delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
3. Service Type
�3-Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 2680 0002 8365 1346
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 11J / Y Q 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
-FU-4
/�U 5
CvvV
rn
A. Signa`kfre
_ ❑Agent
X ❑ Addressee
B. Receiv P ted Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
&bertified Mail ❑ Express Mail
E] Registered ❑ Return Receipt for Merchandise
❑ insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7007 2680 0002 8365 1506
raansfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt " OD 102595-02-M-1540
---71
B PRESCOTT MARINE CONSTRUCTION
PO BOX 874 252-249-0149
ORIENTAL, NC 28571
2316
66-30/531
DATE r-a 472
L kol od
r
DOLLARS ]�) s°^^
First Citizens
Bank
firsteltizens,com f7 /vn
Lind2ql/} �., %�
FOR cc.•,�, "✓l ll /Vj �I Y744/�t�1 U" / nP
If'0❑ 2 3 16n■ i:❑ S 3 100 3001:004 7 1 20 201, 9 ?o