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HomeMy WebLinkAbout56904_SCHMIDT, ROGER_20101116C ❑CAMA / ❑ DREDGE & FILL i GENERAL PERMIT � Previous permit# ❑view []Modification ❑Complete Reissue El Partial Reissue 'Z1 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 s ❑ Rules attached. Applicant Name Project Location: County Address,__. i t Street Address/ State Road/ Lot #(s) City Phone # ( ) _ Authorized Agent ❑ CW Affected AEC(s): ❑ OEA ❑ PWS: ORW: yes / no State -'t ZIP Fax # (__ ) ❑ EW ❑ PTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ FC: PNA yes / no Crit.Hab. yes / no Subdivision City ZIP Phone # ( ) River Basin Adj. Wtr. Body (nat /man /unkn) Closest Maj. Wtr. Body .• . ■■■■■■■■■■■■■■■■■■■■■■■■■■■®■■ ■■ NOON . ... - M. II � _ - �■■■■■.■■...... ■ ■■■■■■■.■■ENNEN ■■■■_■■■■■■■■■■■■��■■.a.■■■■■■■■■■■■■■■ MEMO NNNNENN■■■■■awNN■N■■■■■■■■■■■■■■■■ ■■■ia■EEEE■Eiii�1■■■�l��■■E■■■■■■■■■■■■■■ MEE ■■■■.■■\■BOO■.\■■N/>"u�■■■■■■■■■..■■■■■■■■ ■■.. N■�i�■■:■::■■■n■: is MENNEN■i■mom S�1N';�ElOONf�OO.NE�N►�NEENNO■■■■■■■■■■■NONE NNNIA■■■E■t>,■■N■■NEIGC ■NOON■ NE■■■■■■■{�■■■■■■■■■■■■■i �Y■■NEE■■�mi.w•■� ■■NNE■ _NOON■NN■NIINN�ILt■■N■■■■■■■II■■I■■■NN■P■■■ O�NEN�Ni ��EN�■INi���N�N�%INN■��■■■����■ ■iiiNEiiiiiN■v■■ ■■�■■N� NEaMENNNNNEME • NOON ■■■! ■■■■■■■■■■■■■■�1■■■■■■■■■■■NN� Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit ** Application Fee(s) Check # t Permit Officer's Signature Issuing Date Expiration Date Local Planning Jurisdiction 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 APplicant: Date: 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) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other ;Q �I v— 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 ❑ ADJACENT RIPARIAN PROPERTY OWNER :STATEMEN'T (FORA PrERmo oRiiyG Pai.,vGSiB aA TLI FTIB oA THO usE) I hereby certit, that I own property adjacent to Q �C s (Name of Yroperty Owner) property located at _ S 4i (Lot, Block, Road, etc.) on We_tt�e— R-i VC- — in AEw4tL ve- Pawt i%C0 co , N.C. (Waterbody) (Town and/or County) Applicant's phone #: `ZSL z � - 171 S- Mailing Address: S? ��i*Q� 7-rct 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 indiv�drlal�pro„v9sing development) tt (Information for Property Owner Applying for Permit) S 7 gd,1,cc4 Mailing Address /7TQ Q.Lee PC Z99/0 City/ tate/Zip z5-z-z1�F-17) Telephone Ll ber %- z 6 Signature Date cU bock- 3Z'4 (Riparian Property Owner Information) Signature C�QYy,�.Yt /� UdsvYt� Print or Type Name Telephone Number Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FORA l'IER131f0ORI[NGI'ILI1vGSiBO4TLIFTIEOATHOUSE) 1 hereby certih� that 1 own property adjacent to A c> E r G1/I 's (N e of Property Owner) property located at JT 7 T a r' a Lr .. j _ i_.-cu' (Lot, Block, Road, etc.) on r4p-L �e P��V2.f , in ocko2 PCkhtli to C�, , N.C. (Waterbody) I (Town and/or County) Applicant's phone #: ZSZ -z'Iq -t71;- Mailing Address: 57 141AI't4 M' 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 setback 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.) l 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 for Permit) Mailing Address At-Qp ctL oe W c Z 9 City/tote/Zip ?-�7 2--Z4� -- t 71 S_" Telephone Nu be z -10 If Signature Date (Riparian Property Owner Information) ) - 7 Signature �o�qL.� ✓lCio2 ��+,�,a�5 T�; _ w T Print or T ype Name (gam L/)-2-3 Telephone Number Date NCDENR North Carolina Department of Environment and Natural Resources Division of coastal Management Beverly Eaves Perdue James H. Gregson Dee Freeman Governor Director Secretary BUFFER AUTHORIZATION CERTIFICATE FOR PIER AND DOCKING FACILITIES ACCESS WAY A riparian buffer authorization is required for pier and docking facilities access ways through the Tar -Pamlico & Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC 02B.0233 & .0259. The Division of Coastal Management (DCM), through a Memorandum of Understanding with the Division of Water Quality (DWQ) has reviewed your project proposal, determined that the project as proposed complies with the aforementioned regulations, and made a "no practical alternatives" determination per those regulations. Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization as long as the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply with this Buffer Authorization shall subject the property owner & the party (contractor) performing the construction Wor land clearing to a civil penalty of up to $25,000 per day per violation. 1. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer perpendicularly (which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The alignment shall minimize the removal of woody vegetation to the greatest extent practicable. 2. Pervious Materials: All reasonable measures shall be taken to ensure the access way is made of pervious materials like open -slatted wood or composite, mulch, or grass to meet the intent of the rules to the maximum extent practicable. 3. Access Width: The width of the pier or docking facility access way shall be limited to six (6) feet. 4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property indicating the relative location of the pier or docking facility and any requested access way. This drawing will be used to aid in compliance and monitoring efforts. By your signature below you agree to be held responsible for meeting all of the conditions listed above and verify that all information provided is complete and accurate. A ent or Applicant Printed Name 1 J I I /1. r /% ent or Applicant Signature CAMA GENERAL PERMIT #: S 6 76 Washington Office 943 Washington Square Mall Washington, NC 27889 Phone 252-946-6481 Morehead City Office 400 Commerce Avenue Morehead City, NC 28557 Phone 252-808-2808 Per it Officer's Signature 1I- Issuk Da An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Version 5, 09/2009 ,4 v +ea ROGER S. SCHMIDT 04.90 sssassi C ",O A. SCHMIDT 3768 57 INDIAN TRL. 6 ARAPAHOE, NC 28510 f 1 u PAY TO �--, 20 THE ORDER OF Y{1- FIRST CITIZENS BANK DOL?ARs�"" W lVW. FIRSTCITIZENS.COM �c� god k.., FOR ':0 5 3 100 3001:00 4 7 1.7 SOS 20 7), 03 76B