HomeMy WebLinkAbout57992_WILLIAMSON, TOM_20110608C CAMA / 11 DREDGE & FILL
GERALPERM1T
Previous permit #
❑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 15A NCAC
i'_' i
9 Rules attached.
Applicant Name !
Project Location: County
Address } �(
Street Address/ State Road/ Lot #(s)
City t State ZIP
Phone # (,) Fax # O
Subdivision
Authorized Agent
City ZIP
Affected ElCW ❑ EW ❑ PTA ❑ ES ❑ PTS
Phone # (`) River Basin
AEC(s): ❑ OEA ElHHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body (nat /man /unkn)
❑ PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab.
yes / no Closest Maj. Wtr. Body
Miami
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_9-1 L-
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit"
Application Fee(s) Check #
Permit Officer's Signature
Issuing Date Expiration Date
Local Planning. Rover File Name
mi
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/ 1-888-4RCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(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:`�1 y� j
Date:
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 (dame
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
ternimpacts)
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 im aeis-
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
.45.24301jul-2 .1. I 'i✓- -ti, ,.�'Co A-3 .. +aru:+r.n cr_
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(Bulkheads and Riprap)
I hereby certify that I own property adjacent to LD.W/l i l(byv�So s
(Name of Property Owner or Applicant)
Phone number you can be reached at Z 8o — 136 2- ,
Mailing address if different from location: I %a/ vvaly InoNe �a�e'* 2 �6pJ
A
Property located at 1 � oo Gdh 6 14,7,y �r y
(Lot, Block, Road, etc.)
on CaI'-Ca k�4 , in 14.,,e ty.4 G;✓ `j , N.C.
(Waterbody) (Town and/or CouA46
He has described to me as shown.below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
prbpoSe'.Q.
iJ+-
--------------------------------------------------- �--------------------- ---------------------------------
Signature
44
Print or Type Name
Telephone Numb r
Date: 0
nccoastalmanagementnet/Permits/ADJACENTRIPARIANPROPERTYOWNERSTATEMENT2. pdf
AAO JA.k:EIN I KIYARIAIN YKVYL+ KI Y V WINEK N ATLIVIUN 1'
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �o dyt Gt9i /liautso _'s
(Name of Property Owner or Applicant)
Mailing address if different from location address q _ 40q4JW _
(town, state and zip)
phone numbers you can be reached at
property located at —ILIC O
.C. Z%6DIK
- 2 g0 - 1 3 G 1-
100-1GN
(Lot, Block, Road, etc.)
on C4t I,t0 6 Nq—, in /YLoCAL� cur,/
(Waterbody) (Town ind/or County)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring pilings/boatlift/boathouse
must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
uuuais
I do wish to waive that setback requirement.
initials
------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A S;N./le „poledQu'r(
.54 B—.F I,; F �
1
-- r------------------------
Signature
11 A-1 -T
Print or Type Name
Telephone Number
Date: & I (r
www.necoastalmanagement.net(Pemuts/ADJACENT RTPARIANPROPERTYO W NERSTATEMENT. pdf
NCDENR
North Carolina Department of Environment and Natural
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director
Date 9- /O- //
Applicant Name
Mailing Address 17 0 l JLl c., 0 a,, tin /,ti
Resources
J2,)t,r,j4 ,e, 2-1d®0
Dee Freeman, Secretary
I certify that I have authorized (agent) �} �� e to-,Iw- /4a, i N to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) wd 40,j-
--- -�
at (location) 1400
This certification is valid thru (date)
$— 31— /
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net
An Equal Opportunity \ Affirmative Action Employer - 50% Recycled \ 10% Post Consumer Paper