HomeMy WebLinkAbout53651_NYSTROM, HOWARD_20090429O CAMA / r ; DREDGE & FILLj-C�
GENERAL PERMIT Previous permit #
New ❑Modificat-on ❑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
n ules attached.
Applicant Name I u Project Location: County l c,'"jQ re -{ _
Address S Street Address/ State Road/ Lot #(s) _
City _-_r c r # State ZIP
Phone # (_) Fax # (_) Subdivision
!! i I i "�>` +
Authorized Agent � � V 1 v�' �' �' City-
rc' ZIP
❑I CW aEW N PTA ❑ ES ❑ PTS Phone # ( 25Z 12. 151 2 River Basin
Affected ❑ OEA F- HHF ❑ IH ❑ UBA ❑ N/A
AEC(s}: AA � Wt.,Bod "ILI-� �+� � nat' man unkn
ElPWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hjab. yes / no
Type of Project/ Activity 1 " �° t�`"p>< r-
Pier (d
Platfor
Finger
Groin
n
Bulkhe
a
r
Basin.
Boat r
Boath
Beach
Othei
Shore
SAV:
Sand
Mora
Photo
W
1• Y _
Closest Maj. Wtr. Body k r �h
t�
(Scale:
xk) length I X `3
m(s)(Y. 2L
bags:
torium:
111
pier(s)
engthumber
ad/ Riprap length_
vg distance offshore
iax distance offshore
I
I
r
—
i
channel
ubic yards_
amp
_ --
--
pus oatli 3X 1 3
LK
I
-- --
Bulldozing
i
-IT
^—
i
❑
I
line Length 12
77
not sure yes no
not sure yes no
n/a yes no
s: yes no
Att hed: es no
— -- ---
t
— T __r
-__-.—'
aiver ac y
C"
A building permit may be required by: ri Q to G
I
Notes/ Special Conditions 'j + ' --Lr " Ze
1 +
� '� � i , ! }cif Od' • GJ� _ —�T , C
Signature *- Please read compliance statement on back of permit"
)C',. 1-155
Application Fee(s) Check #
See note on back regardin River Basin rules.
}
►n (%ir,
i
t I I- 11� 6� 't -< ) -2 C,
Issuing Date! ExoiratioA 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: 252-247-3 330
(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
Apr 28 2009 11:35AM JMC TOOL & MACHINE 9193038408
09/111i6H6 79:�4
Michael IF
'Date
A�►iict+u�t
Muting A
252726409? INTRACOASTALMARINECO
North Carolina Department ofhVlrorirnenl and hlli#IuTa� Resources
Division of Cozad MAOMMOn t
I eertiiy thal
beb,alf, fort]
install or
at "oention)
This
Signature
p.1
PAGE 01/06
Governor Charles S. Jones, Dirkctor William G. Ross Jr., Seerelety
1
i have authorized (Mmt) Lih f�'f �� , f to act es MY
e purpose of aFPtying for and obtaining all C'ANIA Perndb Recesaaty to
stmet (activity) T10, e
't L1..6nr ��-. lam• �le
400 Carrwwm Avenue, Mombead City, Nate i aidN 2M
Phone: 252-808-260WAX: 252-247-3330 l intsmel: wy;%I,rKacoastlmanegemerltltet
An Equal Oppoctunlly 1 AtilMI*0 erOw-M% f t t o% Po61 OwlumaPaper
Apr 28 2009 11:35AM JMC TOOL & MACHINE S193038408 p.2
T , a9!11/2006 19-24 2527264092 INTRACOASTALMARIFE30 PAGE 02/06
tent Riparian Property Owner St2tement
A IMFALNAORM 1PnANGSB0ATL1PTWjA71F10USE)
r hereby certify that 1 own PmP adjaotnt to 4 lJar � h O Yr� s
Name of Rw�ez
PTDPWY tUcauad at
I'm MCI*. road, etc.
a+ Taw�t �tw4rar .
He baslde*3ibed to , as s wum below, the developvftt he is pmpsjgj4 at thg location emd f hdvie
no ot>;epmsm to his posal_
I CIO W1 wis to waive the g0d)1 * "At>attstta vM
1 do wish to pvaiive the setback re wiranertt
Dewoftialm aettVir of r e.«a Die d.pt�neot
(To fitted in by th i dividnsi ruposing de~e�t)
")a�
�-
f
/o 04-r Sq o ►- t t_ ;
CV 21W'-'
Signature
Print or'typeltte
telephaaxe number
Date i
Rp;'28 2009 11:35AM JMC TOOL & MACHINE 9193038408 p.3
09/11/2006 19.34 (12527264092 INTRACOASTALMARINFCCI PAGE 83/06
Dent Riparian Property Owner. ,t!gta.is ent
I ha cbr cOWfy dart I owm PnVeM adjweM b D ah ", 'o�70L� D 'a
t'_ N.n. ar Plgichn�e�r
ProPmN lMcaw st ;
r
k
He has dalmibW to on, as *am below, Jbc d ,wk be ip propoirjnf; at thatWcaimand 11rn►t
ono Qb�ti�orn to his
dowish Ito waive Me smtbw* requirmwa
f do w►isb to �e the setback mquina mt^
nmm�"" aardlor a�Pr*lwei Devda�er�t
(To MW in by the individnai pt7opoa4g d1:+vetoparont)
rent or cops hsmc
Tc"Wphone m nber
Date
u<JI—criv,\ P-0 "Ee C, -.Doc
fir f A,
All T5 JCINAII(
wit ` 1 keA V UC-
SOq2aog6
i
Ll�
11�1;
ice- ,
MONITORING &COMPLETION REPO �,
[CAMA Major Development & State Dredge & Fill Permits]
PERMITTEE' S NAME: 10 �Vo' I U PERMIT # 5% I C
LOCATION: 3x tAc L'- rJ FIELD REP.
MONITORED BY RG
PHONE: DATE REPORTEDLY COMPLETE: t�ri
DATE OF INSPECTION
1) Do th easured dimensions of the development differ from those indicated in the permit and workplat?
YES/ [circle one].
COMMENT:
2) SEDIMENTATIO &EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? E /NO [circle one]
COMMENT:
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? YES [circle one].
COMMENT: N
_
main, "Vow
BiLl Alb