HomeMy WebLinkAbout57039_WILLIAMS, RAYMOND_20110127/-a?7-lt bfi
❑ C:AMA / ❑ DREDGE & FILL C
GENERAL PERMIT Previous permit#
❑New ❑Modification El 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 I SA NCAC
❑ Rules attached.
Applicant Name
Address
City
Phone # O_
Authorized Agent
Affected ❑ Cw
AEC(s): ❑ OEA
❑ PWS:,
ORW: yes / no
State ZIP
Fax # ( )
❑ EW ❑ PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ FC:
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
CityZIP
Phone # O-- _ River Basin
Adj. Wtr. Body era ! i(;P K t 1i e rnat %man /unkn)
Closest Maj. Wtr. Body
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M.
ME
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Agent or Applicant Printed Name i
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit Officer's Signature f
oh�
Issuing Date I Expiration 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 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/ 1-888ARCOAST
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
NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Raymond Williams
Date: January 27, 2011
General Permit #: 57039C
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
I restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
SB
Dredge ❑ Fill ® Both ❑ Other ❑
100
100
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
Woodall 9196621972 p.2
Audrey ARNOLD 252-726-3018 p.2
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ADJACENT RIPARIAN PROPERTY OWN�R�ST f f EMENT `
I HERBY CERTIFY THAT I OWN PROPERTY ADJACNET TO
(NAME OF OPERTY OWNER)
PROPERTY LOCATED AT � 7
�A
(LOT BLOCK, R AD, ETC.)
ON Q, I ,N a��,NC
(WATERBODY) (T�AND/OR COUNTY)
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT THAT LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS
PROPOSAL..
DESCRIPTION ANUOR DRAWING OF PROPOSED
DEVELOPMENT (TO BE FILLED IN BY INDIVIDUAL PROPOS DEVELOPMENT)
C�
,ry z�
�s
signa re
d
print or type name
Telephone number
DATE%'
0*41p, ?b. 2011 3: 04PM
-v V.7:0uP Pwrvy ARNOLD
252-72(MlB No.1051 P. 1/1
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I117M�uiplh��41=��n�4111,w%aA,vTr11in1niinI I me tine itrit, I n
(NAME OP t)PERTY OWNPA)
Tin ntissmr i it m i _. (fi i. ri I
;A
AND/OR
NC
HE HAS DESCRIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
PROPOSING AT T'Y-lAT LOCATIION AND, I HAVE NO OBJEAMONS TO HIS
PROPOSAL..
DESCRDESCRIPTIONAND'OR DRAWING OF PROPOSED
DEVELOPMENT (To BE FILLLD IN kiY INDIVIDUAL MOMS RD(3
DEYU0rA4ENT)
h
2
Y `
signature
print or type name
Telephone
number
DATE/ /
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�� ct. �����.'��'r'e.�R°'"'°ram" u� - ��•re;,, '� >:";���.�, ..s -n, �7� _ •--Y��a
LARRY G ARNOLD SR
DBA LG ARNOLD DOCKS & SEAWALLS
PH.252-241-2636
2779 MILL CREEK RD
NEWPORT, NC 28570-6011 9Jnta
2086
66-112/531
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7 -800-BANK BBT �B'BT.com )"�jL[/�'/nJ
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Jan.31. 2011 12:15PM No.1068 P. i
Jan za 99 u4:::Vp Hwrey ARNOLD 252-72@VO p.4
•'� ,TATE 1��Y-NT
��J�C�.�x �RxFN p�OPER7Y 0111 EA 5 ,
('ORd PlExivrO&AINOPld:
I
Y hemby certify that r own property adjac t-to 's
'a me oPProp erly Owner)
property located at
i
on , in GZ� , N.C.
(Nat.rbody) Town nAdlor County)
-He his•dewscribad tome, as ahow•n.below, the develop-ment he is proposing arthat )OCcion.
aiid,thoyenoobjectionstobisproposal. run4erstandthat. apierintooriAgpilings�boatiiRboatheuse
must be sat back a mintounr dlstatm of 11 item tcet (W) front my .%reo of riparian access unless
waived by me.
I b noish to waive the setback-requircment:'
✓ I d$ w 4'ta naive- that_setback- requiceme'n
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DESCRJPTIO„1- AND/OR DRA%w* III.G.OF'PROPOSED DEVELOPNXET'T:. .
MY' filleri!(t b,��iiiclltild�iorpropoayir8 dcv�opiue►�tj
�g
I fl
r Signature .
° i J ' I/----may,-,•��_.._.
14,print or:Type Nerite
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