HomeMy WebLinkAbout57931_QUYNN SR, DAVID_20110516❑ CAMA / ❑ DREDGE & FILL
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 15A NCAC
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ Cw ❑ Ew ❑ PTA
Affected
❑ OEA ❑ HHF ❑ IH
AEC(s):
❑ PWS: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
MINE
M.
ON
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MEMEMENOMME
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MIN
Agent or Applicant Printed Name f r
Signature ** Please read compliance statement on back of permit **
Application Fee(s) Check #
Permit Officer's Signature +� }
j
Issuing Date Expiration Date
Local Planning Jurisdiction Rover File Name
i
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
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: 252-247-3330
(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
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 Name
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
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tern im acts
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 ❑
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OCENED
NCDENR pY 16 2011
North Carolina Department of Environment and Natural Resource
Division of Coastal Management cYTY
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, 3t<e909
Date
Applicant Name
Mailing Address
I certify that I have authorized (agent) Ato act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
-J' C'DO " / - / I . ,
install or construct (activity) / —
at (location)3 e-3 Tiu4 :gA, R ID
This certification is valid thru (date)
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
May 11 11 01:29P SELETIVE GL GRR 202 0890 P.1
•" • +U; L 1, tm RY LASEXJEJ' FAX
k' p.qZ
AI 3ACZrN" RI�`AJUANN PROP&RT ' a�1 NER STAB
rFd�r,� f��rinro�i�r�vQ �r,crly. 3EN-e7'
LI �OATWOVS-p
I have y certify that I owtl ro ert ad' , J I •�
P P Y brit t� �� , ' RECEiVED
ti (Name of Property Oweigr)
PmAevy toes $t MAY 16 2011
i.oti S]OCka Roan, etc.) DCM-MHDCrry
on
in
; (Town aad/or Cavaty) Nc
Ike has ItSCCi ! to men us shown below, the cle�'ef
JFUA Ihave no jeetion �o his by Went he ist p�posi at ttsat lora:ion,
must be set ba PnsPo }- 2 uaderstnnd that npisilmoorinsiti s -
a min ,um distance of fittr`*ea fact (i 5'} from my RPM of rpari nta �ess unless
K'aivrne. '
waive tht satback trquirenlegt.
r-•-.-.-� ! u•i �;o isaivr ti�ai set6sck requirement.
f, �D�ORARA1t7�1G.4FPRt?PCiSED D£�ELOt?ZIEitiT; � __..
- -C f os cad o (T �tj7llrriln �} tiidtvldl�a) ptoposfiig d�rt�IopnJrrttj
PA
5tg,taturc. _(
. .. T+efCplior� ii'arub (�
Date;
AD3A CE1T FtIFA ttA:� PROPER? ' 4?�ti'i�ER STATEMENT
(FOR .4 PIERl%IOORIiVG PILliVG 4A TLIFT BaA THO USE)
J'ff 2 4 31 "CEI"D
I hereby certify that I own property adjacent toe) 's �
MAY 16 2011
(dame of Property Owner)
property located at -31 e % C��'
Block, Road, etc.)
on N.C.
(Z terbody) (Town and/or County)
-fie has described to me, as shown below, the development he is proposing at that location,
and, I have no objectionsi to his proposal. I understand that a pieriniooring pilings'boatli fLboathouse
must be set back a minimum distance of fifteen feet (iS') from my area of riparian access unless
waived by me.
I do not visit to waive the setback requirement.
I do wish!to waive that setback requirement.
_._..•- . DESCRIPTION,- ANDIOR DR�ti�-"ING OF PROPOSEDDEVELOPMENT:-_...--__-
(Td; be filled in kf- itiditidual proposing des-elopulelrr}
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DCM-MHD CITY
LARRY G ARNOLD SR 2221
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DBA LG ARNOLD DOCKS & SEAWALLS
PH.252-241-2636
2779 MILL CREEK RD
NEWPORT, NC 28570-6011 maw'
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BRANCH BANKING AND TRUST COMPANY
1-800-BANK B8/T BB7.c0m � y
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