HomeMy WebLinkAbout58338_ROBBIN, DOUGLAS_20110817❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
❑Nevv ❑Modification ❑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
❑ Rules attached.
Applicant Name
Address
City State ZIP
Phone # ( ) Fax # ( )
Authorized Agent
❑ CW ❑ EW ❑ PTA
Affected
AEC(s):
❑ OEA ❑ HHF ❑ IH
❑ PWs: ❑ FC:
ORW:
yes / no PNA yes / no
❑ ES ❑ PTS
❑ U BA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # ( ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
■■■�■■■■■■■■■■■■■■■■■■■■■■■■■NONE■■■■
■■.............■...■...■.........■■.
-
NOON®11■■■EI■■■■■■■■■■■E':EN'■■■■NICE
REUBEN■■
■■■■■■■■■■■■■■■■■11■■■■■■■■■■■[■ENEM■■■■■
EOOE:EEEEEEEININT'EEENNUMNE
ONONE
■■■■■■■■■
NOON■■■®■■■■■■■NIi■Ir■■■■■■YIN■■■r�■■■■■■■�
■■■■■■■■.71Y■■■■■■11■■■■■■■■!11■[�■■■■■■■■■■
■■■■E......■■■■■■��■■■■.O■■■■E■■■■■■■.■■I
■■■■■�r'ii�■■■.��1■ilwc■■■YIN■■■■■■■■■■■■■■■p■
■■■■■r■■■■■ill■:1®■tl■■■■■■■■■■■■■■■■■■■■■�
■■■■■
■■■■■■■■■■■■■■Dili■■■�■■■■■IY:■�1►_d■�i■■■■®■
- NOON■■■■■■■■■■■■■■�a®■■■■■■Nei®NOON■■■
■
Agent or Applicant Printed Name
Permit Officer's Signature
Signature ** Please read compliance statement on back of permit ** Issuing Date
Expiration Date
Application Fee(s)
Check# Local Plan ningJurisdiction
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, certifythat 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/ 1-888ARCOAST
Location: Fax: 252-247-3330
2728 Capital Blvd.
Raleigh, NC 27604
919-733-2293
Fax:919-733-1495
(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
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date — 4 f1
Applicant Name
Mailing Address ] 'Y-/T
0
6�-- IIf
I certify that I have authorized (agent) NI a L to act on my
Ybehalf, for the purpose of applying for and obtain gall CAMA Permits nece ary to
r-
install or construct (activity)
at (location)
This certification is valid thru (date) 'p, �2 1 -- /
Signature
R 'CF
wU 16 2011
DCM-MHD CITY
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastaimanagement.net
• An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper
i
ADJACENT
I HERBY CERTIF
PROPERTI
ONG
(WA
HE HAS DE
PROPOSING AT T.
PROPOSAL..
----------------
DESCRIF
DEVELOPME]
Xrsr'a4k; AWekf-
RIPARIAN PROPERTY OWNER jTAT M T
'THAT I OWN PROPERTY ADJACNET T� ,
(NAME O PROPERTY OWNER)
LOCATED AT
LOT, BLOCK, ROAD, ETC.)
,NC
(TO AND/OR COUNTY)
RIBED TO ME AS SHOWN BELOW, THE DEVELOPMENT HE IS
T LOCATIION AND, I HAVE NO OBJEACTIONS TO HIS
ON ANUOR DRAWING OF PROPOSED
(TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
•--___-
. 'Ir-
i�isr
C4 c
P
RECEIVED
I� AUG 16 2011
DCM-MHD CITY
B"a""HOC /
IT
signature'//
Mel
pnnt or type name 1SV o4
Telephone number
-,"DATE d/t I �) 6
./
2195
66-112/531
LARRY G ARNOLD SR
DBA LG ARNOLD DOCKS & SEAWALLS
PH.252-241-2636
2779 MILL CREEK RD
NEWPORT, NC 28570-6011
BRANCH BANKING AND TRUST COMPANY `
1-800-BANK BBT BBT.com
wp
v '
` At
1:0531011 2 0:0005 295798 15911.0 195
„UG/16/2011/TUE 10,36 AEI Carboline FAX No,724-593-2803 P,001/001
XLg 1�) 11 W:Odp Audray ARNOW 252-Y2E3-3018 0.2
ADJACENT RTDADT
AN pROPERTY OWNER $TAT
z HERBY CE tTl THAT Z Tj
OWN PROPERTY ADJACNET T
PROPERTY LOCATED AT ” (aME o PI�op �trY owuWx�
LOT, BLOCK, RO Dn, ETC.)
(WA
AND/0 R COUNT
1
HE HAS D 4CMT!-'1 TO ME AS Sgq BELbi7l�, THE 1}EVEX,OPMENNT'
PROPQSI�TCx AT T�iA'I' IraCATIIONAN� , Y HAVE NQ dE�ACTIOZ`tS TO HIS
'�P IS
PROPOSAL..
------ ----------------------- ,. --
DESCRIPTION ANUOR DRA.tiVING OF PROPOSED
�
DEV LOPII�E [�!T (r0 BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPM
I
Xr 7-
�--
r
,.
� � F W i�, 14Aign�
in It ar type nartle
721-)
Telephone nuxnbe� r
_4ZI�L
i
1
i
'it
Describe below the HABITAT disturbances for the application. All values shn_._....___..
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
unt)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other ❑
�redge ❑ Fill Both ❑ Other ❑
bredge ❑ 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 ❑
•> r r
u_,2,.•'?.v •-.ova ;: �•:.':ac;•�r:`d0UA>> :: ..ray:1r.ncr.:-�.<s-:,;.a.�;,:a.,._::.,r.....��.t..r..,•+