HomeMy WebLinkAbout57961_SCHOONDER, PETE_20110520❑ f.AMA / 1:1 DREDGE & FILL $ �
GENERAL PERMIT Previous permit#
❑New ❑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 Project Location: County
Address Street Address/ State Road/ Lot #(s)
City State ZIP
Phone # O Fax # O
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 # O River Basin
Adj. Wtr. Body (nat /man /unkn�
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name Permit Officer's Signature
Signature "Please read compliance statement on back of permit" Issuing Date
Application Fee(s)
Check# Local Planningfurisdiction
Expiration Date
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, certifythatthis project is consistentwith 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
Applicant: Pete Schoenderwoerd
Date: May 20, 2011
General Permit#: 57961C
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
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
nt)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
HG
Dredge ❑ Fill ® Both ❑ Other ❑
2,400
120
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 ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoastaimanagement.net revised: 02/03/10
f
RECEIVED
MAY 13 Z011
DCM-MHD CITY
North Iaroiira Depa men( of Environment and ]Natural Resources
9 i � to- Coastal �Aanagisment
Michael F. Easley: Governor Charles S. Jones, Director William G. Ross Jr., Secret,ry
Date
Applicant dame Fc 7e SC-r- 0cA C� 0WRID
Mailing Address -5 OIELC 364%
I certify that I have authorized (agent) pbgg1 C � to act on iny
behalf, for the purpose e,a` applying ion- and obtaining all LAMA Permits necessary to
install or construct (aetiVitY) ! � 1L-L-
--
at (locatioan) S+taC - `3fi K 5=�� mS
T'ais vPx'Anfication is �al:ir� filaraa (dale)
SigAn
l--'�-3(-(
RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
MAY 13 2011
I hereby certify that I own property adjacent to?,C—rc
I c f b (Name of Property Owner) uCM-MHDCITY
property located at � 5 +WLL bRIJ 4� �Rb t/-� R 12%�t `2 L-b0 P)
(Lot, Block, Road, etc.)
on � l►��b�'� l J�� , in-�A Q.-bjE�;r`i --fft_MS Cf}Krfr-V-(— , N.C.
(Waterbody) (Town and/or County)
Applicant's phone (.-9F)l Mailing Address: 13� .6 L I 'fJK
� 1bj?�r �J C g S'7a
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
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DE CRIPTION AND/OR DRA G OF PROPOSED DEVELOPMENT:
(To befille_d�in` yproperty wner proposing development) j
s C,V
cc
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(Information for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature
Print or Type Name
Ct C1 - �� K, 1-2,
Telephone Number
Signature Date Date
UNITED STATES P$7AL SERICI=
• Sender: Please print your name, address, and ZIP+4 in this box •
Nc-
` ■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
I c L P- OSSF/LL
613 *1 E
A. Signatur
X` "t� �LO Agent
Addressee
B. a eived by (Pr' ted Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
o'76 67 3. S rvice Type
b Certified Mail
Registered
❑ Insured Mail
❑ Express Mail
❑ Return Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1410 0000 1145 6 216
(F'ransfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
SAMMIE E. TURNER 5157
MARINE CONSTRUCTION ACCT 66-112/531
252-725-3415
P.O. BOX DATE
85
MO(iEHEAO CITY,, NC NC 28557
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