The URL can be used to link to this page

Home My WebLink About59614_STRUAD, JERRY_20111215•❑CAMA / ❑ DREDGE & FILL GENERAL PERMIT ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue 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 I SA NCAC Previous permit # Date previous permit issued Rules Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # O. Fax # O Authorized Agent Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PITS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn Closest Maj. Wtr. Body ■L■I,IiA�■■■■■■■■■■■■■■i►1■■■■l''' ■■■■■■■ . • ... M ■!�'ilii■!JI\C11�P!'��.i■■■■DEL'�i■Ilis'i!1■■■■■■■■NI■■■I�Tit Ev`�,11■■■�/I�r:�"C� J■■�">�C�.1�►1lllii■■■■■■■■■■■■■�l11�1t.� ■i■i r 0 �N EL.■"itu�l� �■■HIM■■EM\■■■■■■■ M■■WN MOM MEN ■I!■ �■■■■t�'.■�■■■®■■■■■■L'%■■ice■■!!l�.I■L■tl�fl� ....... . ■i■1�■■'/Gi��.�' :�i:lri■C ■Iifr■�!Gmo■ o■■■■' ■■■ ■■■■■■/%■i■■■■■■■■■1i■ice■■■ii�\■\ice■ ■!1■■■ ONE ■IO■� m�mosommoom ..■I�■■■■■■■■■■■�■■■■■■■■■■■■■■■!1■�' Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit Application Fee(s) Check # Permit Officer's Signatur _ Issuing Date Expirati riDate Local PlanningJurisdiction 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 ❑ 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/ 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 BARBARA M. STROUD e6-7489/2531 2384 JERRY A. STROUD 1090000345550 L1C.472634 PH.252-393-6121 310 LEJEUNE RD. DATE=� CAPE CARTERET, NC 28584 PAY TO 0 % / 1 4 $jq THE ORDER OF 1 ' / Q / <-EOL) e, / L / u i,1 �0 T J AoLL.A-a S ` �Gl� DOLLARS a iiari rye Feral Credit Union www.mannaledwW-9 �J Jet.MMk,MCZ5541-IMI MEMO P-,L%i1 P,,�1 i-7'/Z� 1:2531748931:1090000345 011' 2 84 Aaplicant: n 1 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 impact amount) 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 ❑ 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 ❑ .w i.�^i�V�i•..,,'.,.�i'1'± = .-r'i�"}l. �Ja'G91 dP:17:+r.. "71CCi�.53:ii 4':�l:ft7':]:7 ._..:.!l Y. }in.Y._n:?t CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: (Tay u /-I , Address of Property: � 1 6 J,c5:J C-0 C PD (Lot or Street #, Street or Road, City & County) Applicant phone #:.) Q-3c/3-4-/ L i Mailing Address: �� n) ,�4S "brut - I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. ff you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) gnatu Print or Typb Name 316 L C��c �t�lc= 0 () Mailing Address ('40t� 2. Cit /State2ip Telephone Number (Riparian�Prop rty Owner Information) Signa tre rin'P t or Type Name JC Mailing Address ;,If Z- _I 115 City/State2ip Telephone Number Date Date ConnectGIS Page 1 of 1 My request is to place 3 pilings near my existing dock for mooring purposes. Two will be located 4' from the dock and the third will be 15' CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: �/i P t t A . -� Address of Property: (Lot or Street #, Street or Road, City & County) Applicant phone #: r2 S U - &,)- I Mailing Address: .S 4 r) r ,/-4 S I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing the development they are pr osing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. ff you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.netfcontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ri rian Pro er Information) Agnatu4 Signature Print or Tye Name Print or Type Name 1 16 & cl.pi c I-r o Mailing Address CitylStatelZip Telephone Number Mailing Address C� State2ip Telephone Number Date Date ConnectGIS Page I of I My request is to place 3 pilings near my existing dock for mooring purposes. Two will be located 4' from the dock and the third will be 15'