HomeMy WebLinkAbout59737_TRIPLE S MARINA_20120207❑ CAMA / ❑ DREDGE & FILL V P-
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
i
❑ Rules attached.
Applicant NameI Project Location• Coun
_
State ZIP
Fax # (` )
❑ EW [IPTA
ElHHF [IIH
ElFC:
PNA yes / no
ElES ElPTS
ElElUBA N/A
Crit.Hab. yes / no
1
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
(Scale: I_ )
Pier (dock) length
Platform(s) j
i
Finger pier(s)
Groin length
number_
Bulkhead/ Ripraplength
avg distance offshore
max distance offshore
Basin, channel
_
JI
I
cubic yards
Boat ramp
Boathouse/ Boatlift
~
Beach Bulldozing
Other
i
—
i
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
�
Moratorium: n/a yes no
Photos: yes noTF
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
I
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❑ See
note
on
back
regarding
River Basin
rules.
Agent or Applicant Printed Name
Signature "Please read compliance statement on back of permit
Application Fee(s) Check #
J
Permn icer's S' nature
't / 1
r f
Issu'i 1 e Expiratio6 Date
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 [)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
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/ 1-888-4RCOAST
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
Applicant:
Date:
Describe below the A ITAT 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
CnpacttqmoVnt)
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
Dredge ❑ Fill ❑ Both ❑ Other
P4
\,j 11,_'I
Dredge ❑ Fill ❑ Both ❑ Other ❑
bredge ❑ 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 ❑
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MUD BUCKET DREDGING INC 5518
507 HEDRICK BLVD
MOREHEAD CITY, NC 28557-3045 66-112/531
Date 1 S a / 2
Pay to the T'-� �--
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Order ofDoffars
BRANCH
BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
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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 / 20 j 2
Applicant Name
Mailing Address A 1s Z'�KJ 1 LL
I certify that I have authorized (agent) 1 k'-�j to act on my
behalf, for the purpose of applying for and obtaining all LAMA Permits necessary to
install or construct (activity)---�
at (location) 15 1�-
This certification iA valid thru (date)
Signature< / A "-)
J��iV 0 0 201?
DC:M IFID CITY
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www,nccoastalmanagement.net
An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper
01/19 o20 2 17 �8 Ra6le igh Road Strorag 2522067009 #901 Page 01/01
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(.FOR A PIERW O&NG P. LIVO"OATUFT/BOATHO E)
` I �mreby cortify that I own property adjacent s
amt of Property Owner)
property located at l Z� �� l�' o-d F.<r '' 044,0
(Lot, Block, Road, eft.)
on r":„ ..Ez� P..,+ .. ? _.u. �, to �� � ac _ N . C-
(Woterhody) (Town andlor County)
Applicant's phone $h Mailing Add rem,
I tc lAas dutscxiLnd to me, as shown bvilow, the d--veloptne-ot he is propW;,nA at that (ocatinn, acid, I
h1wo too l understand that a liierhu61ori11 pt41Y1(5 �iantis9� / lxiatiivusc
must �i(: sel brick a miniulum distance orfitle ti feet, (151) frow my Brea of riparian access unless
waived by rtle. of you wish to wative IL setbaCk, YOU Mast Wciaat the appropriate. blank
below,)
_..Alaot wish to waivc RECEIVED
I do wish to wsivc that so' black requirerreny.
_�.._._.�..._----------- -—._-......... -------- ------------- ------ -----....._..... A. 1112
DESt"RIP' "ION Alden/M DRAWING OF PROPOSED DEV ?3..OPIVENT;
(Tea bcfdled,ln by Irrdividual� rop`ostrag dtvclopme'n►)
....o- .... DCM-MHD C.TY
0-4:4 - cs
----------------------..__......_._._._..._�__..__._._..........�
(information for 11r°operty Owner Applying
for Permit)
TO v ldr0
Mailing Ad&css
City/Statcaip
Telephone N-mber
Data
(Riparian Property 0".ir Wormation)
X�4A/-�/
l; a� oty N.^ Roe J 5ignetuse
Pr S (A C-k)
��'� punt cr Type Na.rt:e�
Telephone Number
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERINIOORIjVG PILI_,IVGSIBOATZIF•TIBOATHOUSE)
I hereby certify that 1 own property adjacent t077aearrl�
� �i��' ��''� __— is
of Property Owner)
property located at T O '&)X _ _ 10) 0 )51 % -F—eq F,4-2—
(Lot, Block, Road, etc.)
on T^' �+�Y
( aterbody) (Town and/or County)
,:,pplicar�t's pl.arte #: �`� �3 3 Mailing Addres5:_T- 0323K 1010 ----
1 lc. has described to ine, as shown below, the development he is proposing at that location, and, i
have no objections to his nrnpc;sal, 1 andersta,td ?i�ai. a pier/rnooriug pilings ; bc;alliit / l;oathouse
must he set back a mit;ilnu:n ;iistauce of fiflec„ fLet (15') front i>>y area of ripari2; access unless
waived by isle. (if you wish to waive the setback, you must initial the appropriate blank
below.)
I do not wash to waive
1 do wish to waive that setback requirement.
--- -----
-- -
DESCRIPTION AND/OR DRAWING; OF PROPOSED DEVELOP YIENT:
b
(To be filled in by individual proposing development)
0
tis�� ll ft-
114Z—
JAIv 3 0 2012
f Arp IE -5 m AE v- g
0.74 1 Gx Ct�! rntID CITY
------------------------------------------------------------
(Information for Property Owner Applying
for Permit)
TO 750`F )Dto
Mailing Address
City/State/zip
(Riparia Property Owner Information)
%J Signature
Print or Type Name.
Telephone Number Telephone Number
Signature Date Date