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HomeMy WebLinkAbout57087_MCCARY, TOM_20110201maz ❑LAMA / ❑ DREDGE & FILL GENERAL PERMITW10 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 Phone # O Fax # (_ Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES AEC(s): ❑ OEA ❑ HHF ❑ IN ❑ UBA ❑ PWS: ❑FC: ORW: yes / no PNA yes / no ZIP ❑ PTS ❑ N/A Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: ) Pier (dock) length Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other --- - i N 1 - 1 / I -1 s . I Shoreline Length SAV: not sure yes no - Sandbags: not sure yes no Moratorium: n/a yes no Photos: yes no; Waiver Attached: yes no A building permit may be required by: _ ❑ See note on back regarding River Basin rules. Notes/ Special Conditions r Agent or Applicant Printed Name`( rt' ,.A4, ! r Signature ** Please read compliance statement on back of permit Permit Officer's Signature Issuing Date Expiration Date Rover File Name Application Fee(s) Check# Local Planning Jurisdiction 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 thatthis 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 Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax: 919-733-1495 Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888ARCOAST Fax: 252-247-3330 (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 ` NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Tom McCary Date: January 27, 2011 General Permit #: 57087C 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 SB Dredge ❑ Fill N Both ❑ Other ❑ 50 50 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.nccoastalmanagement.net revised: 02/03/10 Jan.31. 2011 9.53AM No.7433 P. 1/1 n 31 11 08:26a Audrey ARNOLD 252-726-V 8 p.1 .�.�VAA .r..ws NCDENR north Carolina Department of Environment and (natural Resources D'IvISion of Coastal Management Beverly Eaves Perdue, Govemor James H. Gregson, Director Dec Fr;eman, Secretary Applicant Nan v�-�"r'�' �f� ��Jr �=- Mailing Address 417 I certify that I have authorized (agent) to act on My behalf, for the purpose of applying for and obtaining all CANIA. Permits necessary to install or coc at (locution) This certification is valiC tbru f(date) Signature �� 400 Commerce Avenue, Morehead City, North. Carolina 28557 Phone; 252-808-2808-\ FAX: 252-247-3330 \ Internet: www,necoastalmanagementilet An Equal CppoRuntY l Aftmative Action Employer - 50% Re YCW 110% Post cmurrwr Paper eb oFeb; 1. 2011 10:40AM r....y ARNOLD 252_726-3018 No. 7451 P. 1/1 r•- ADJACESTPUARIAN PROPERTY OWNER S".l AXENIMENT (FORA PCB Rlr%l, DOR1)VG ,PIZGVCS/BOA TLIPT180,4 TIJ() CSC) I hereby cc"* L!Mt I Own props -ay a.d4acent to_ (Name of Property Owner) Property loca:cd at �OBIock. Rozd, etc.) on n ��iliVw i (W. Y) aterbod - 'v.C. (Town anrUo ount-e) Applicant's phone #: t r 0 f 1,13iling A ddress.�—e )'-le hhs desCrihc:J to me, ",� shown below, tb.e dCvC lopinent lie is proposing a:'that JOL;ali;tll, 1nd,1 h4lvc• 110 oUJC•Ctlo11S '.c his p1o,m ;a). 1 1.1:16e1'siarld that a 1)icr/,t ooci iP pi.Itn�s i boat..'ift ! h:illlto�t�u mnst bu si;t.ltar% a :)tigirnj1yi dista.lcc of Firtcen !:soft ( ') ( frcl.rrt my arca of riparian access unlos: waived by TUC!, (If wish to rv,tive the setback, you must initial the appropriate blank below.) ..r 4.MEP I do not txriizh :o waive I du wish. to waive that Setback requircment. I)ESC (UPTI'ON' A.ND/C (To be filled 1)RA,NNING OF VIZOPOSI,Ij) DE, VEL0p,.N,114-_ by itidr.'viduul proposing deyeIgpfrntnt) (Informatio'n for Proporty Owner Applying for Permit) Mailing Audr Ci /5 ee/7ip ���1 Telephone Numbc-r Signuturc Datc �?�Jtl �✓t �� tP-3[-,Pf( (Riparian Property Owner Information) Si�zaturc Print or Typc Name Telcphonc Nuznbcr Datc j,,,,Jan, 31. 2011 12:15PM ARNCXp 252-720-3018 No.1068 p,;P. 2 ADJACE,, RIPAR,TAN PROP'ERT X OWNER STAT,ENIE1T (FOR A..�,��'a0XI ro AMINcs� oA rc MAas robIUSP , i herteby csrti�.Ihatl own property adjacent to .s ('Arno of Propert;• O+mntr) property located at LU nIi Lot, Block, Roatl,•em) N.C. •(IYaterbody) (Town 3ndloe COutlty) 'Ile hls dmcri tonic, as ahovm balm~', the development he is -proposing at that )ote:ion. told, t have no abjectivn� ro his.propo,sl. I un4mtand that a pierftoodnS pilin��boattif�'boathorlse must be set back a miniinum distance of fiftt'en feet (0')- from my area of riparian access unless waived by ma �{ I 421.0t rish to -waive the setback -rcgturement: � r�4 w;, ;td naYpc that setback requ;nemenc. • is �.ri✓� MI........• M. wa vim.... I..1I.Y.�wrt�M���:�. DESCRIPTiO'N AN61OR DR7i+►NON.d- O' f7 � 6a "filled i{r by Fudividual p SE6T�.al.rrw. •.�. Ywr. ��YY r.; •.l�� ��. EYE>~pPA1Ei\'T:. . < v �9 � � Ak. L, ; < 9 LARRY G ARNOLD SR 2122 DBA LG ARNOLD DOCKS & SEAWALLS 66-112/531 PH.252-241-2636 2779 MILL CREEK RD / 3 I ..... d �j NEWPORT, NC 28570-6011 �G j BRANCH BANKING AND TRUST COMPANY 1400-/BANK IBErr BBT.com i.053101L20:0005295798L591102 22 xiR