HomeMy WebLinkAbout57893_STRAID, TOMMY_20110414❑CAMA / ❑ DREDGE & FILL
GENERAL PERMIT%
[]New* ❑Modification El Complete Reissue El 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 15A NO
Previous permit #
Date previous permit issued
❑ Rules attached.
Applicant Name Project Location: County
Address
City
State ZIP
Phone # ( )
Fax # ( )
Authorized Agent
Affected ❑ CW
❑ EW ] PTA ElES ElPTS
AEC(s): ❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Street Address/ State Road/ Lot #(s)
-1
Subdivision
City ZIP
Phone # ( ) `! i —i ) River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
Type of Project/ Activity
Pier (dock) length
(Scale:
--
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
—
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
—
i
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes no
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes no
A building permit may be required by:
Notes/ Special Conditions
- '- -- 1
❑ See note on back regarding River Basin rules.
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
Permit Officer's Signature
Issuing Date
Expiration Date
Application Fee(s)
Check# Local Planning Jurisdiction
Rover File Name
x
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 complywith 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/ 1-888ARCOAST
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
Aoplic.,nt.
(� �q7 I ()'�) Mt6 &yc�v-
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
im act amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
tem im acts)
FINAL Feet
(Anticipated Rn-1l
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 ❑
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North Carohr a. Depar meni of Environment and ?, atGra! Resources
Division foll Coas'Lal Management
Michael F. Easky, Governor Charles S. Jones, Director William G. Ross Jr., Secret,ry
Date 3 -) (
Applicant �iaME �" �`I �V'��I>
Mailing A t dress s'C�
G $�� c
$it Rx�Y,
I certifythat I have a�atliaoB'izetl (agent) U�-' o 63 to a�ci On
behalf, for the purpose 0." appl;ying for and obtainiang all CA MA Per i nits necessary to
install or construct (activity)
at (location) —�S`-�! 51�)t-rN' S ( P(7i LAEYC- 43C-44
This certification is � al:i rl flea ra {date) � �
signatur
i
` tee_
. ct�5-��
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to -bmI XA �> l r" Is
(Name of Property Owner)
property located at 1 V ` ' 4
S-t- - v4
(Lot, Block, Road, etc.)
on M iqA-L , in Pv-frWPtt,l'CLC Rp4, CA 9T! , N.C.
(Waterbody) (Town and or County)
Applicant's phone # 5Z - ��' -" Mailing Address: -� / y CG-- it
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
C 11Pfl �-
(I4formation for Property Owner Applying
for Permit)
Mailing Address
City/State/Zip
Telephone Number
Signature
Date
(Riparian Property Owner Inform
Signature
Print or Type Name
Telephone Number
Date
■■t1/04/2011 F11:49 x7739 P.001/001
mom �ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
■
I limby certify that I awn property adjacent to
(Name of Property Owuerrr�))
property located at � f
(Lot, Block, Road, etc.)
on C1. L in N.C.
(Waterbody) (Town and or Coun
i
Applicant's phone
57'•�Address:.
i!•a. MailinE'
-.I- v sl z--
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
5�
(I10 ation for Property Owner Applying (Riparian Property Owner I»f)rm a
for Permit) ,7 r
Mailing Address
City/State/Zip
Telephone Number
Signature Date
Signat'4K
/
l F c-� i G c.c- Cl !�
Print or Type Name C�
C� `2 72
`r Telephone Number
Date
Received Time Apr, 4, 12:44PM
SAMMIE E. TURNER
MARINE CONSTRUCTION ACCT
252-725-3415
P.O. BOX 1885
MOREHEAD CITY, NC 28557
PAY
TO THE
ORDER OF
l
1 0 BRANCH BANKING AND TRUST COMPANY
1-800-BANK B�BT BBT.Co:n
FOFC
11' 000511011m :O53101121i:0
DATE 5-- 1 a-11
I $ O �u
05 2 1058406G0
5110
66-112/531
❑� Features
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