HomeMy WebLinkAbout57157_SUGG, THOMAS_20110310❑ CAMA / ❑ DREDGE & FILL.' _.
GENERAL PERMIT �// Previous permit #
[]New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of Nprth Carolina, Department of Environment and Natural Resources
and the Coastal Resouves Commission in an area of environmental concern pursuant to 15A NCAC j
❑ Rules attached.
Applicant Name
Address
City
State ZIP
Phone # (�)
Fax # ()
Authorized Agent
Affected CW
❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): OEA
D HHF ❑ IH ❑ USA ❑ N/A
❑ PWS:
O FC:
ORW: yes / no
PNA yes / no Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # O River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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-----------------
Agent or Applicant Printed Name `.... '.
Permit Officer's Signature
i
Signature ** Please read compliance statement on back of permit" Issuing Date
Expiration Date
Application Fee(s)
Check #
Local Planning jurisdiction
Rover File Name
Statement of Compliance and Consistency - P
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/ 1-888-4RCOAST
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
Applicant: 1 V 1 �4LJ \\�J\XAVA11qq
/
Date: I
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
temp impacts)amount
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
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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Marine Construction
Docks, Seawaft, Boat Lifts, & Repairs
YYi-D T"mers DuLv'U Rd.
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Phoot:
FOX: 252--'247--44:�7
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$R er t of Environment and Natural Resourms
Division of Coastal Hlanagament
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lnbtitll nr vtw
ttt (location)
Thim Cor!lf9Catiati !S V ru
UM COMMerce Avomia, mmlirtad City, Ngrth Car0,14 28357
Phone.- 252-80&2808 i FAX252.2471,130 l Interrltt www.ncooagtakn�nagr�m�grrt.r� t
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ADJ.A.CENT RIPAMAN PROPERTY OWNER STATE MEINT
(k'0A A PIE IMOtfiING Pry IYC; 'IBOrl'TUFT180ATHOUSE)
I hereby certify dial I own p4crty adjacent to —TNe • ,,,, 's
(Name o(FrGperty�wner)
propeily located at % tJ,` Gti� V L.-t.�'Z-k'
_._L`+ ..
(Ut, Blnok, Road, em)-
On
�11 ("1'0 ' a and/or 6uncy)�-
Applicant's phone #: Q� Mailing Address.---61) 1
He Ims dmcxibed to no, as shown l�clow, the development ire is proposing at that ]nation, anti, I
I'Ave no objections zo his proposF4I.,I un�'etvaud that a pier/nearing pilings / botahA / boathouse,
mitet be set back a Minimum distal a of fifteen feet (i 5') !i•oth my area ofliparian acress un3ess
waived by mc. (If you wish to v+pgve tine setb2t:lc, you must initial the nppropriate blank
below.) �
_ 140 unt wish to waive
LAP--
r f '_- I an wish to waive that s rbRe:c requirement.
-------------------- ------- ------------'
M, SCRrPTrON ANDI( �t DRAWING Or, PROPOSED DEVELOX°MEN'T.
(To be'filled m by indApida0 proposing develops}rent)
------------------------------- f
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.---------------------------------------(Information for Fropergr OnApplying (Riparian Property Owner InformAtion)
for Permit)1'
Mailing Addy sus
Citx;5tb.4a/Lip
5i�nature
Print ILV Type NaUlt
rrTelt•phone NUMber
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ADJ,ACYNT R P
(IOR rt ,>arEA4
I hereby certify lhaF I OMM
pzumcy located at,.
on
Applicant's phone 0- L)j-
AN ]PROPERTY OWNER S'iA.T.FMENT
DIN6PIL1NGS1.H0A7-Ljr,.T1BOA1VOUSE-)
erty adjacen( to '�;
(1V� -wrer)
(Lot, Slack, Roadt etc—)
in
(`I'oxvra analor Cnuucy)�
f Mailing Address;
...
1-jr, lxas described to me, as shown below, the devetoprrmOxit he i2 proposing ;at that location, and, I
nave no objeelions to his proposal. 1'"derstan€l that a pier/mooring piilin&s I hot►tlift I bMth01LS0=
xnttat the &et back a minitnum distance o4 iiAam, feet (Is,) from my area of riparian access unl4ss
waived by me- (If Yew wish to waive the setback, you must initiat the appropriate WAR
below.)
1 do Lief wish to waive
t^ _A 1 !ft4 wish to vrdivC that
DESCRIPTION AANWO
(To be frllad
tback requtrr m0n: . , __
nRAWING OF pR01>0SED 13 ,VRLOYMENI':
by irrdivufKalpr0p03Jtr9 deve10p1"-*M0
�IZG�
(Infnrmsrtion fn)- Property Owne Applying
for Permit)
Ma iEing Address
C:itylSt.talc:it.ip =
Telepbo n0ct�
itna2urr. 3:�at.�
i
(Riparian Property Owner InformRttfltl)
ptilat Gr TYv— N"Ult
.r .-- Ielet7l'lOfiC �t111iUt:T
Dale
9nofn xya is:Ti xtaaie0/to
Bogue Banks Marine Construction, inc. WACHOVIA BANK, NA 7792
111 D Turner's Dairy Rd 66-21/530
Morehead City, NC 28557
(252) 247-4428 5:
rw PAY TO THE
OR �2- WR 0 F
C)w
41
DOLLARS
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6-
11100 7 79 2,11 1:0 S 3000 2 191: 20000 248 3 140 2,16