HomeMy WebLinkAbout56996_SANITARY RST & GERNER, JEFF_20101207❑ CAMA / ❑ DREDGE & FILL/Y\\✓
GENERAL PERMIT �j Previous permit# j
❑New ❑Modification ❑Complete Reissue ❑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. 9
Applicant Name
Address
CityState ZIP l�.
Phone # ( ) Fax # ( )
Authorized Agent
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ HHF ❑ IH
❑ PWS: ❑ FC:
ORW: yes / no PNA yes / no
❑ ES ❑ PTS
❑ UBA ❑ N/A
Crit.Hab. yes / no
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
City ZIP
Phone # () - River Basin
Adj. Wtr. Body (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Permit Of cer's Signature
Signature ** Please read compliance statement on back of permit
Issuing Date
ApplicationFee(s) Check# Local PlanningJurisdiction
Expiration Date
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/ 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
WA
Applicant: loj�CJ�""
Date:
1
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
ternim acts
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 ❑
,. I •t"rS3,-1;;'>w COAST .. (*!"7''Wl;'-in
_.A_j�
- NEE WIR
HCD
North Carolina Department of Environment and Natural Resource,,;
Division of Coastal Management
Michael F. EasieY, Cx)vernor Charles S. Jones, Director
W11Gam G. Ross ,Ir,, Secretary
Rate �� - l i ��✓
'20
Applicant Name
Mauling Address
I certif�, that Dave authorised (al;(qat)'Z�``�,�"'Y�
io act ran my
behall; for the Pux'posc o!' apl►lyirlg fur and obtaining .vli C'AMA Perriiits ace ary to
ess
install or construct (netivity)
CA —
at (I(11,:11t1oil)
�n_1---�--
This certiticatiou is valid hi (late
Signature
400 Commerce Manue, Morehead City, North Cam411e 28557
Phone: 252-808-28081 FAX 252-247-33301 Intemet: WWticcoastalmanagement.let
An t-ru .,1 i Inn„rluniiv 1 AffiminNvn ArNnn rmnlnvrr IA pw;f (:nnc,,,T,Q, pannr
1: /6b/2a1d L.2:40 _ 2522.492259 CAMP SEAFARER FADE a /Cli
j'"a1l»G10 i1;17 7T224/511E �C3Y
NI-WZr F-I_9-i MA+Rk�LT PAGF e,J
I
AA-AJAC4'Et-�", RIPARIAN PROPERTY OWNER STATEMENT
(,rf R A PjA'R./Y001;PjNG pItjjV(; .B'OA, "l ��TIBt?A �"f�CIl/SE;
J hercb Y
certii tk"at , Y I Own p; opp-rty a,cijacert to - ,S
i (Name of properry Own;r - --
Property i>3a, �_ c5 d'A.+..pS
(Lot, tick, Road, etc.)
( atprbod�!) (TOWVrh an /or County)
Applicant'$ phoa a ��$17ing AdrlreRs: .. ' &K
vile
'3e Ytas dascribed. it.) me, a.s shown be)mkr, :he deveioptnent he is proposjng at that location; ai}d, .1
:nave no objectiocif to his proposal. I understand that'a pier/moornag pa ling; /'boantlif. / boathouse
rlugi be, set crack feet ,; S') fro:tm try area ofriparian access unless
wftivec by ,ne. (I you wish to wzkive the setbAck, you must initial the appuopriatte blank
below.)
I d.PAW wish to waive
n f
.-;=-a-,----.1 -4 vli�g to wAiVe that setiaack requ;,rernent,
- ---IDE$C11� TXtgJti A;VS)ltDR Dit WiT�IG-OI? pROPOS D T,DEVE'LC>k`,---- .-- -'` �+�:J"EL
(Tu br filled ih by ird.4vjdrtal proposing :ieuelopm "r) ,
e 7 Zulu
i
i
_ ,.-......... _r..................... __.----_--_- ....... _ _..-----_---------------- -
(lnforutation for; Property Chvaer Applying
1
- u.,
N120iltg
CL iy/5 Wtc/ .mp
e' ep Nu b' r
1_97 ^rb
Dare:
(RIparian property Owner Information)
Signature
Print us '1"ype Nettie �r�a.
w 7'-lepliotae Num�cr
1?a.e
BLUE PETEgS
g
• CAFE •
509 EVANS STREET
MOREHEAD CITY • NORTH CAROLINA • 28557
TELEPHONE (919) 808-2904
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to7Te-(r CGi✓,n Q ✓ is
(Name of Property Owner)
51)
property located at �! �l �`� S �� / iyaM 5 `� r� .
D f (Lot, Block, Road, etc.) L
Oil �1k4b✓11-o^0 ' in CX�GV�°xc4� Cc� �Girf ��! .� N.C.
(W erbody) (Town add/or County)
Applicant's phone #: 2S2-2fl L1$S Mailing Address: P. U ox 39
jljor �u
He has described to me, as shown below, the development he is proposing at that location, and, I
have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse
must be set back a minimum distance of fifteen feet (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 not wish to waive
I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-----------------------------------------------------------------------------------
(Information for Property Owner Applying (Riparian Proper
for Pe it)
G
7 2010
�yarc°;rya�,�
-------------------------------
Owner Informa ' n)
i --
Signature
OL
City/State/Zirf Print or Type Naiiie
Te ephone ?WVb Telephone Number
Signaturete Date
�esf Teo 6arpe,
(e—�tnil� 4 exl'S64' rr, P"Il `
Joel
lS' ���nfra�o.v
l2
vp//5 Pa, C onneG7.
M f-I 1A%
Dec
Bogue Banks Marine Construction, Inc. WACHOVIA BANK, NA
111 D Turner's Dairy Rd 66-21/530
Morehead City, NC 28557
(252)247-4428
PAY TO THE
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