HomeMy WebLinkAbout57867_SEAGRAVE, RYAN_20110502❑CAMA / ❑ 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
Ammon Address - Street Address/ State Road/ Lot #(s)
City State ZIP f
Phone # ( ) Fax # O Subdivision
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ 0EA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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or Applicant Printed Name
Permit Officer's Signature
Signature Please read compliance statement on back of permit
Application Fee(s) Check #
Issuing Date Expiration Date
Local Planning Jurisdiction 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, 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
❑ Neuse River Basin Buffer Rules
❑ Other:
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 howto 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/ I-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
Aopiicant: �1 of
1
v IIa �
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
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tem im acts
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
I
Dredge ❑ Fill ❑ Both ❑ Other j
— `
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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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MAR-22-2011 13:42 From:DZM MHDCTY To:97286706 page:c
F RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR APIERIMOO.RIXGPILINGS/N0,4TUF7Yh0.4THOUSE) APR 12 2011
I i.,.reby cgtify that I o it property akijacerit to _ a S __.... � CM.MIiDCTfY
(N rue of Pr rty Owner)
property locate at d'sAVe. •
(Lot, Block, Road, etc.)
I
,( �� ��
on _��, �...,. �.�_, in .��' (sawn atad?or May)
)
(8ti'x�IQil } ,
1k0mo /: Mailing :idclress: _ w r
Al �licant`s p + �D 4 L3owd-�_—
j
III Re J-01S 4CSCTib. d W tllC, i?` ShOWTS Mow, the devc'.opracnt :1C is proposing at J)at Iocaticm, f od' i
h.avi. tin llajrc.t ,rls to hip ,n::ilu,s�l. 1 ut,d�;i'siai,rl that £t picrh'ru�oriri� piiirigs / boatlift / U-c athollsc
must be s;;( bac c a minimmn dirt n,c;.. cif fifl.rea1 feet (15') from my area o.f r)p:sz)a"1 ac=ss 3.tinic ss
waived by ine. (if you wish to waive the setback, you must initial the approprime blank
Belo,
t I o s of wish to waive
I do Wisli to waivc that setback requirement.
-----------------
DRS(; 11'TI-ON ANDIOR DRA'4 ING OF PROPOSED DEVELOPMENT:
(To he filled in by individual propoasil:g dLevelopment)
e� 4e 2?CiShhg Do0A
----------------- i----------------------------------------- --•--------..-................ .........................
(Inforniation pr Property Owner Applying (RiparianN
perty Owners Information)
for Permit)
Mailing ,address_ --- Sint ature
CitylStatetZ:p n •Type L
1151Z- 31.2
I Glen u l:er 7elephri7eTdumb:r
�
ry a' ai e 11101 ,D a"t Date
MAR-22-2011 13:42 From:DC-N MHDCTY To:9728570E Fa�e:2
A
ADJACENTRIPARIAN PROPERTY OWNER STATEMENT
FOR rf PIER/M00AL GPIUY GS/BOATLIF 1170.4THOUSE)
RECENED
I hereby c tif_y tii<tt ! awn t;roperty ttdjace.r:t t;s _ at _ '�
(Name of Pr crty Owtwr) —
,��f� APR 122011
Propertylocate
(1' ot, Block, it.o:td, ctc.j DCM-MHDMY
on �—jetE,
Applicant's pl
I(e has describ
have: too objc:6'.
must be sot .'b a(
waivcd by mw.
below.)
. do
Vaterbody) (TOWtt sand or C?)uy,
ns #: SQ - 66-6
to nie:, as shown b.-Iow, the devc 1opincrit he is proposirig at ffi at iocattiort, ard, [
is to his proposal. I undcrs(wid that a. peel. aruoonn}; pilings ! boy tlift l boachoust
i9 Ini:aimum dislitalCF; of fif,.eeai foot (1-T) fiona idly area of riparia.ti access t nhzss
If you wish to waive the setback, you roust Witial the appropriate Hank
wish to waive
t do ish to waive that Whack, rcquimracnt.
D S(: PTION ANWOR DRANK 1NG OF 1'lt()I'()SEI) t)17.Vf;1,UPM'NT.-
(To be filled in by individual proposing develvpmenl)
1 'p pD0 �b. l v,w.ih�•►� �ak �i-h-� in5�a�l�d iYN one �t
/ I
i � V
•---------.___..----------------------------------------------- ----- ----- - - -- .........
(Information f r Property Owner Applying (Riparian Property Owner inforrnati(,n)
for Permit)
inn A.ddre
city,Sta��/r2� ;
— 3�01 -6d - -
_'� ;2-
i�atc:�
������ Signature
Print Or Type ?dame
Telephone Nt:mbcr
Date
10
FIRST CITIZENS SANK 4366
OUTER BANKS MARINE CONSTRUCTION, INC ss-311/1337
1501 FIRST AVE
MOREHEAD CITY, NC 28557
(252) 240-2525 4/12/2011
Y
U
R
Qi
C
PAY TO THE H
ORDER OF n F N R I$* *200.00
0
DOLLARS
d
D.E.N.R.
MEMO `� L
"'00 4 3 6 6ii' I:0 5 3 100 3001:00 13 12 13 2 l'ihil'
1. N
SIGNATURE
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