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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 ❑ r ==�5c-:G3::'?.., a: 1 ��;;�:;;'i.Ci.>aiisi ::•,n3�:v...�r_.�._,,..]:..,..:...::i...,.-..nA+ gp,�11 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 oeiaua oa Beck. r