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HomeMy WebLinkAbout56352_PATE, HERB_20100911.�f ❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued j As authorized by the State of North Carolina, Department of Environment and Natural Resourcesf and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ED Rlifes attached. j Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) CityState ZIP Phone # (�) Fax # Authorized Agent ❑ CW ❑ EW ❑ PTA Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ PWS: ❑FC: ORW: yes / no PNA yes / no ❑ ES ❑ PTS ❑ UBA ❑ N/A Crit.Hab. yes / no Subdivision City ZIP Phone # (_) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body ■■�■�::iEEEi■lEErE■■■■■■■N�aENNNNNNNN■NENNN . M. - • - ■■■■■■■■■■■■■■■■■■■■■Dili■■■■■■■■■■■■■■ NONE ■ 0 IMMENSE ■ `■■■■ E�i�N NEE■N�iN■■■ ■■ ■k MEMO ■■ ® ■■E■I�ii■■N-K1V■-KNEE■■■■■ IS NE■EENNE■■■NEE■■■�l�E�E■�N■■■■■NNNNN■ENNE ..■■■■■.■■■■.■■■......■...EE■■■■ENEEMISMIN ..■ so ■■■■■:isi111n'wii■E■■■Nt''�■t�"�/■■■i1■■t'iifl�i■[�I�i'a■.fii►17111iI1gE ■■■■■ MEENIi■■■■ [ti�C�■■■111-K�:■rEN■■■■■■■N■■r ■■NEN■■■N■-K1Na NNNN■EEEEE■■E■��ErEEENh�lN■E■■■NN■EEE■N N■E� �r����. .. - NaNEIN■ENEEr; ...■f�■■N■��!■NENs+►�EsaNNN!�■Ec�EeME - �■�■■■■ii�■E �,�.I.i■NE-K!�N■■■■NNE■■ENE■■ ■N■■■■■NNMEN ■N �1....i i..E..EEN■■■■■■NE■ENEN "rnEEEEiX■NE■U!E■NENNNNNNN■■■n No MEN NONEr� iiiiN®■■■a■■N■Ep■�� Agent or Applicant Printed Name Permit Acer's Signature Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # Issuing Date 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 landowners). 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. (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 pli Date. ant: Cate: q)il �0 Describe below the HABITAT disturbances for the application 'ound in your Habitat code sheet. P'�)" A�� X S All values should match the name, and units of measurement Habitat Name DISTURB DISTURB TYPE One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tem-D imp is 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) —amount FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other D edge ❑ 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 ❑ A-1 N W4 NtOEHR North Ciamll.na Department of Env(ronmuent and ;`IIutliral Resources o4 Coastal Mann enment RECENED AUG 2 4 2010 Morehead city DLA4 Michae! F. Easie.y: Governor Cihades S• Jones, Director William G. Ross Jr., Secreijry Date �C' -- Applicant �iaaaae _ 1" M.aaling Address _ /� Pa p b�� ��- I certify that I have au liaoa'ized (agent) �et� 1J-��- to act On w'- behalf, for the purpose c,a applying for and obtaining all CAllIA Per necessary to install or construct (acti'�'ity) '-t-- R- --6Oi L'P at(location) This cer'sAfication is valir tlaa n�clI Signature A'Ecw"" UG 2 4 ?Ott) "forehead Ci iTY _ %i=� c[; i' C-=i �- _;,:,t _ f�;;;�! _ � Vim - � � ��� P•I,T� � _ pt•o�('!;' 1Cr._.atcd dC p� I`�D �-i �-r. Tact,, Road, on (`(\.p P MAOE CeL)RC_ , it l 1,1�N 1 C C��1���7- N.C.(' 'aterbody) (To-n and/ori ouutr) He has desc_ibel to me be'ov,, the deve;o�r.�ent he is proPosing at t1;3c a, lc�,on, and, T nave no ob �' dons to his J-proposaI. I unde.stand i;hat a pieriuncovere: boat li trust he set back a minimum distance or n!--Leen rat (15') !rom m jar a or ripariln acc:ss unless waived by me. 1 do r of wish to w'aiv the seEback rcculrerrtent. I do wish to waive that setback reauLrement. -------- ------------------------- - ------------------------------------- DESCR_L O.� ,i —ND/OR DRAII1-2,G OF PROPOSED',DEVELOP?yMN-T: (?o be P � bi:r,c(propasin; deveZ�tipment) t F fel— /\ I �" IS ' �V --------------------------------------------- I ------------- V 4'nrt or Tom.- Nam, RECEIVED AUG 2 4 201U Moreheatl City ®CM 4 �y1�9 .+ (FOFI � ?l f R/L�!a� iC0 YJ F F D . 0/,l T l .'per _0 itCrGG Y` -i-_- .Sl i_ Ir (Itill _!0ui LaQ1,-;�! -t1: r V ,G' (L-0t, Bloc'•-., Road, etc.) on lr( tJ YYt car tJ ft L , s_ C {� cq G��'` (` tv . C (Fate bl�dv) (? o--n and/or + Count l) He has desc_-ib---1 to mc, as sho',vn be' -ow, the developr;�ent he is proposing at dt location, and, I have no objG cons to his proposal. I understand i; at a pieriuncovEre; boat li rust be set back a minimum distance or riin�n rent (l�') 7om myjarea of riparian ac Gss dens waived by me. I do riot wish to waive [he recuiremenc. I do wish to waive that setback 7CCLIUement. DESCR=O.,N AND /0R DRAWT-4 G OF PR0POSED I DE EL0P?I'y "I—f --- --- (?'o be felled iproposing devel�4pnzant) �--� iIN�-NpPA4�`t_� �Y i .nC IS ------------- P-1 --- L ----------------- f? 01 I Stgrzture Print or Tyv- i\iaine SAMMIE E. TURNER MARINE CONSTRUCTION ACCT 252-725-3415 P.O. BOX 1885 MOREHEAD CITY, NC 28557 PA TO THE ORDER OF c7DE-t 4 - Em DATE ` - ;? l l o 4844 66-112/531 t osv°,o� 1-800-BANK BBT BBT.com m BRANCH BANKING AND TRUST COMPANY �a-t 1I 1^II i hp � FOR II.0000484411' i:053 LO L L 2 Ll:0005 2 L058401 6G"m ;8