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HomeMy WebLinkAbout55340_ST ANTOINE, BRUCE_20100428❑CAMA / ❑ DREDGE & FILL +34n GENERAL PERMIT Previous permit # ❑New [-]Modification ❑Complete Reissue El 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 I SA NCAC Rules attached. Applicant Name;'( (( C e (`� 1 ��• Project Location: County Address - A i3_,r �\►f'� L/ K il V City L�„�y�1cck- 1 State' JCZIP Phone # Fax # Authorized Agent ; .rr`')j ; y Affected ❑ CW b EW ®,PTA ❑ ES ❑ PTS 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) -f'f /0 f Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Bod i A.5 /f 1. t: U I ("natIman /unkn) Closest Maj. Wtr. Body Type of Project/ Activity (Scale: :max Pier (dock) length �••_- V� Platform(s) — i i I ( --i— - - - ----' Finger pier(s) j Groin length numberPlength Bulkhead/ RiPra avg distance offshore max distance offshoret channel Basin, han eI cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other) -- --- -' — — --I- __-- - - - - I a - - —i i � j I - ' I --- — —.--�. — i Shoreline Length! SAV: not sure yesPilo Sandbags: not sure yes no Moratorium: n/a yes no -- Photos: yes no Waiver Attached: yes In A building permit may be required by: Notes/ Special Conditions i �I - -- - i-`" - 7L rules. Q V e o A f'1�`y See note on back regarding River Basin Agent or Applicant Printed Name Signature Please read compliance statement on back of per tom. Application Fee(s) Check # IssJdingDate Expir¢ti nlrlatg 14 Local Planning] u riscliction 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 [)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, certifythat 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 Morehead City Headquarters Mailing Address: 400 Commerce Ave 1638 Mail Service Center Morehead City, NC 28557 Raleigh, NC 27699-1638 252-808-2808/ 1-888ARCOAST Location: Fax: 252-247-3330 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 Fax:919-733-1495 (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: 9 10-395-3964 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) Revised 08/09/06 Q�� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor James H. Gregson, Director William G. Ross Jr., Secretary Date 7 l a Applicant Name 6- Mailing Address I certify that I have authorized (agent, 6 r ^) d . to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) _ A at (location) / A;c�e S6 /�/W'Ch7 Ic- This certification is valid thrn (date) Signature 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nGcoastaImanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper CERTIFIED MAIIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTMCATION/WAIVER FORM /1 Name of individual applying for the permit:.�}1%1 I✓ -Sr A pM-1Alb Address of property: / 1/y /-llaom 1�5/2 . (Lot or street(#, sheet u C m �..annry) 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, should be provided with this letter. en I have no objections to this proposal �2�''r�'�l�4,n" U If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. 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, lift or sandbags 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 Sign, Date (-"Ot'� Print Name (210) 2 t q 17 5 6 (c ,/, ) Telephone number with area code q MISLATS / _ C-L/,ISnN6 P/Ll5S r 2 p/ tEs P� P� �15 1 PC le W,4,rJ�S �o u.P � 4o -, F, e, �O {L� N 0� .P 719 i ■ Complete items 1, 2, and 3. Also complete A. Signature El Agent Item 4 if Restricted Delivery Is desired. ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. ■ Attach this card to the back of the maiipiece, B. p) C. Date of Delivery or on the front if space permits. D. Is 40epy address differen item 1? ❑ Yes Article Addressed to: Ar1. If YES,6ivy s bel w: ❑ No H C j C C � t'(1( tl I J 3. Service Type Vf Gertified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 0080 0001 7020 4631 (Transfer from service aMMT --- PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 CERTIFIED MAH, - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORMJ�,, Name of individual applying for the permit.-i p Mi�57' A0MI5 Q Address of property: (Lot or street##, street of road) GC,, All G cz?- 4-cec,-� I hereby certify that I oven 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, should be provided with this letter_ '✓ I have no objections to this proposal If you have objections to what is being proposed, please write the Division of Coastal Management, 400 Commerce Ave., Morehead City, NC 28557 or call (252) 808-2808 within 10 days of receipt of the notice. 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, lift or sandbags 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 zt11-V-qt-- Signature Date Print Name 01 Telephone number with area code NC Divisiop of Coastal Mgt. Habitat Impact Computer She.. Applicant: Bruce St. Antoine Date: April 28, 2010 General Permit #: 55340C Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) amount) temp impacts amount ow Dredge ❑ Fill ❑ Both ❑ Other 1XI —impact 200 200 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 ❑ 252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised:02/03/10 BOBBY CAHOON MARINE CONSTRUCTION AND LAND DEVELOPMENT DBA BOBBY CAHOON CONSTRUCTION, INC. 6003 NEUSE RD. GRANTSBORO, NC 28529 PH (252) 249-1617 PAY TO THE ORDER OF03 _ N' l4 lie 008 17 6'I' I:0 5 3000 2 191: 20000 L 7 68 2J83 WACHOVIA BANK, NA BAYBORO, NC 28515 66-21/530 8176 DOLLARS 8 READY TO REORDER? 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