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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 111111111111111MMINEWINME MEMO in BE M. ME®■MEMO■■■W■■■■■■E■■■N:■■ M■■® MMENOMM: MMUMEM ■ ■■■■a®■■■■■!■■■■lei■■■■Vi■■■■■■f!■■■■■ ■fil ■■�!!!r:' ■■■■■■■■■■■■■ :.:ii�r■■■���■■■■■■■■■BIB■■■■ ■■■■■ ■■■■■■■■■■■ 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. ------------------------------------------------------------------------------------------------------------------- DE CRIPTION AND/OR DRA G OF PROPOSED DEVELOPMENT: (To befille_d�in` yproperty wner proposing development) j s C,V cc �f � L --------------------------------------------------------------------------- (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 T6 THE PAY ORDER OF l DOLLARS 8 b ' p p • BRANCH BANKING AND TRUST COMPANY 1-800-BANK BBT BBT.com F S ' . l- R 11400" 051570 1:053 10 11 211:0005 21055l,0661"