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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 ■■■ NEW■■■■■■■■■■!.■■■ MEM�MEM■EMEE EM WIN MEMEMENOMME �'..........■■■■■■■�.�■■............■■■■■ ............... ■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■ ■■■■■■N■■■.■■■■■■■■■■■■■�■■■■ ■■��■■■Lei■■■�■■■■■■■�■■■■■■■■■■■■ti■■■■ 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 ❑ f--'.Gw �.;K ,. '�•a$.3-r,.Gf�A'ai ....nr��,.rr_rr.� r.�•;7:.:,-4,t Jr: :a;.1i7 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} e JA DCM-MHD CITY LARRY G ARNOLD SR 2221 ss-�ivss� DBA LG ARNOLD DOCKS & SEAWALLS PH.252-241-2636 2779 MILL CREEK RD NEWPORT, NC 28570-6011 maw' �Y $�� fb BRANCH BANKING AND TRUST COMPANY 1-800-BANK B8/T BB7.c0m � y �7'g �nr FF-- f`�nauuw is053L0LL2W:0005295798L5911'02221 u } 6%