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HomeMy WebLinkAbout58188_YOW, RICHARD_20110726F-1 i ❑ CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification [-]Complete Reissue ❑Partial Reissue 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 Applicant Name Address City State ZIP Phone # ( ) Fax # ( ) Authorized Agent ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Previous permit # Date previous permit issued ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision CityZIP Phone # (- ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body Type of Project/ Activity - ■■■■■■■■■■■■■■■■■■■■f ffTnn�'iiTi■'■■■■+L�h�i�l�l:�l�l�l�a6i�illMA • - ■■■■■■■■■■��','C'■■:■■■■■■■■■■■■■■■:Y ■■■■'i7ll�i�lir11�ii�llisllllf/i■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■ann�';►n■ice■■■■■■■■■■■■■■■■ ■r.■■__■■_■_■■ri■■���■■■�■■■■■■■■■■■■■■■■■■■■■■ ■■■■■i■■■■'�il�■Ili■■■■■■■■■■■■■■■■■■■■■■■■■ - - - ■■■■■■■■■►.s_�;�.■■ems.■:�■■■■■■■■■■■■■■■■■■ No Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Permit Officer's Signature j Issuing Date Expiration bate Application Fee(s) Check # Local Planningjurisdiction 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 LARRY G ARNOLD SR 2169 DBA LG ARNOLD DOCKS & SEAWALLS 66-112/531 PH. 252-241-2636 2779 MILL CREEK RD NEWPORT, NC 28570-6011 Y, BRANCH BANKING AND TRUST COMPANY 1-800-BANK OBT P13T.111 17 14 1:05 3 10 1 1 21 0:0005295798I591,80 2 L99 APA WCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, secretary Date 7 1 n -�� Applicant Name Mailing Address I certify that I have authorized (agent) a�"to act on my behalf, for the purpose of applying for and obtainia all CAMA Permits necessary to install or construct (activity) f do /L� � in&--4aTL 2 U 27A A (f h, at (location) This certification is valid thru (date) C1,4- 1 Signature / RECEIVED JUL 2 5 2011 DCM-MHD CITY 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastaimanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper �iD3:1CL`T RIPARIAN'PROPERTYOWNER STATEMEN T (FOR A WERIMOORIXG FrUlyCrrSJBOA TLIFrIBOA 7HO rJSE) I hereby certify that I own property adjacent to ,�Zt (Name of Properly O+,ner) property located at 4r (Lot, Blocs, Road, etc.) on �,.0 .,� L:iir�, �>, ..., _:�: � � in . , � 4 t , trl _ 4,•.A � N.C. (Waterbady) Er (Town and/or County) He has descriW to nit, as shown below, the deve:opment he is proposing at that location, and, I have no objections to his proposal_ I understand that a pier/niooringpiiings'boatiifL'boathouse must be set back a minimum distance of fifteen feet (iY) from my area of riparian access unless waived by me. l do not wish to waive the setback requirement_ I do «•ish to waive that setback requirement, __.- -u DESMPTION AND/OR DRANVING OF PROPOSED DEVELOPMEJNT (To be fried in b►' fudh4dual proposing development) riCtfy�`' � q ------------- ---- '.-------------------.---_.-......--.-..--.....-----.......... �o n1� y k Printor TyneIxme _ ti ati Telephone Ntrmber -- RECEIVED JUL 2 5 2011 ' , DCM-MHD CITY ADJ-tCL-., 'R �tiFARI 1 PROPERTY Q%ti'1ER*STAT£tiIE\'T .0plicant: C1V � Date: 1194 J Describe below the HABITAT disturbances for the application found in your Habitat code sheet. C All values should match he name, and units of measu HaL;!at Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or to 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 redge ❑ 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 0 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 ❑ .�,,o r,�M,�,�. • •5 .. .y _ 1• ..� �u4• ..... .�I�A.T�%t+ 19 )!!"1't:�.11? 'Gb •:�✓ .�. ,. '�•..=3 ,. CUh1a3i ,. �arsr+r.n�r_-,.��r-.:a!;-a.�;�:. ..:zr. •... .... r,c��t