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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