HomeMy WebLinkAbout55256_SHILSKY, RANDY_20100330CAMA f ❑ DR -EDGE & FILL
GENERAL PERMIT � Previous permit#
KNew ❑Modification ❑Complete Reissue El Partial Reissu ` 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 V,C, d�i • �s � Project Location: County (' t361-1
Address Pd 6,x Street Address/ State Road/ Lot #(s) L
City 0 f c ! to State C ZIP Z00541
Phone # ( ) Fax # (_) Subdivision_
Authorized Agent pe- er ►)p Q f City let & VAJ• j ZIP 2 SLi l
Affected ❑ CW d'EW ( PTA ❑ ES ❑ PTS Phone # (jjQ-_) * -539 � River Basin
❑OEA ❑HHF ❑IH ❑UBA El N/A ��Qt
AEC(s): ❑ PWS: ❑ FC: Adj. Wtr. Body o v� , Os/man /unkn)
/�
ORW: yes / no PNA yes '% no Crit.Hab. yes / no Closest Maj. Wtr. Body 1 `� ^� � , J4r
Type of Project/ Activity
Pier (dock) length
Platform(s)
Finger pier(s) Ir
Groin length
number -
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards 4
c
Boat ramp
Boathouse oat' t
Beach Bulldozing
Other :_,.
Shoreline Length i
SAV: not sure yes
Sandbags: not sure yes Ono,
Moratorium: n/a yes no
Photos: yes no.
Waiver Attached: yes
A building permit may be required by:
Notes/ Special Conditions �• ti i
(Scale:
F
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t
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E _�-__
3 ,,t 6 -A y,a i ❑ See note on back regarding River Basin rules.
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
l q -70
Application Fee(s) heck #
Issuing l5ate 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 Morehead City Headquarters
Mailing Address: 400 Commerce Ave
1638 Mail Service Center Morehead City, NC 28557
Raleigh, NC 27699-1638 252-808-2808/ 1-888-4RCOAST
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
HR-0G,-200S. 15: 19- From: DCM MHU WL2
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(FOR A ,PIEKWOORL'VG PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to VI%d
�i ,,/(;`fame of Property Owne ,)
pro1 property located at �—b l �"141 yy
(Lot, Block, Road, etc.)
on ��`y ' t/'�-1� -= in C) W 5
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development lie is proposing at tha: location,
and, I have no objections to his proposal. I understand that a pier/mooring pit ings/bc�atlift)L,;,athouse.
must be set back a minimum distance of fifteen feet (IS') from my area of riparian L'.cc,;;s unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
---------------------------------------------------------------------------------------------- ------ ---
DESCRIPTION AND/OR DRANVING OF PROPOSED DEVELOPMENT
(To he filled in by- individual proposing development) _
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(Applicant Information) (Riparian Property Owner Informa:;on)
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Moiling Aldress _---
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Date
Signature T --
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(FOR A PIERI'MOORLVG P1£,1NGSiBOATUMBOATHOUSF.)
I hereby certify that I own property adjacent to �� _ 5� s
(Name of Property Owne,)
property located at D� (A-1 1t1l _64-
(Lot, Block, Road, etc.)
� l
Nf/00
(Waterbody) (`Town and/or County)
He has described to me, as shown below, the development he is proposing at tha: location,
and, I have no objections to his proposal. I understand that a pier/mooring piIings/hoatli ft/�--;,athouse
must be set back a minimum distance of fifteen feet (IS') from my area of riparian 2cc a;s unless
waived by me,
I do not wish to waive the setback requirement.
r `N I do wish to waive that setback requirement,
DESCRIPTION AND/OR DRANVING OF PROPOSED DFVELOFMEN't
(To be filled in bf- u:rlividual proposing developin en 1)
A
(A licant Information) (Riparian Property 0hvner Inforirta:i tn)
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Telephone Number -- ----- -----
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Laguna Bay Llc 1970
P 0 Box 86 66-21/530
Jacksonville, NC 28540
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FEB-19-2010 11:13 F.rom:DCM MHDCTY
To:919103470748 Pa9e:4,4
CDENR
D(,-(menr, of En irrnmeri,. _,oc, `,i,? u.' o i
.)ivisi{�-n of Coastal manna ument
aevery -E3vas Rirdluq: Gw 7rnci .lames H. Grogson, fllreCtor C-f.H '�"'Cr!aiar'y
Date -�- � `\ / b
Applicant Name R,4-A) s
Mailing Adc[ress 3 I � l�U//' �` �/ ��` ✓_�,.,.._
i certify that i have authorized (agent) e--��� � t't''e-� � ��� mm to act on ri-ly
behalf, for the purpose of,tpplying for and obtaining all CAMA Permits necessary to
install or construct (activity) QcK5 /3 b t- i FTS
at (location) --L�', T,i/o►
This certifz7=:t
Signature - _^
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone- 252-808-2.8081 FAX, 252-247-33301 Internet: www.nccoastalmanagemcnt.net
An Equal Opportunity 1 Affirmative Action Employer- 50% Recycled 110% Post Consumer Paper
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tl~o A,pr,e�r0QR_INc prerIvGs✓Bo,4-Ttlt'T*/BOATHOUSE)
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property ad'acentto U,-GI)
I hereby certify that I own prop y J paeftkDC
(-Name of property Owne r
IL
property located at
('Lot, Block, Road, etc.)
pw m in X,1
�n (Watert�ody) (Town andlor County)
He has described to mc, as shown below, the development he is }proposing at iha: loratian,
and, I have no objCctiona to his proposal. I understand that a pier/mooring pilingsAjoutli ft/boathouse
must be set buck a minimum distance of Fifteen feet (15') from my area of riparian P.cc:;:B unless
waived by me.
Y gAIjgwish to waive the setback requirement.
f~�
i do wish to waive that setback require11160t,
...... I)ESCRIP'TION AND/Oft DRAWING Op pROPOSED DEVELOPMENT -
(To be filled in by individual proposlag t11-velapmcn0
YO 11:� [-�
(Akpplicant Information)
�bf u It ii r:g ti�Frtt es
Crty/$tafelzip
re ephonr Ntasber
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Prt"I or Type Name
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(FUR A .PIE"104RINC Flf.lr GS/184ATUF?`IB0AMOM)
I hereby rrcrtify that i own property adjacent to
(Ntumme of Property Owne r)
mronerty located at Z,0 I 1 �� f Il/�^.SGvvL��r t
- '
(Lot, Block, Road, etc.)
Orl U. ✓7�—��/t�(ii�1 N-C.
(Waterlbody) ('down andfor County)
He has described to me, as shown below, the deveioptmerit he is pr posing at tha: location,
and, I have no objections to his proposal. I anderstand that a pier/mooring pilingsA3oatli ft/boathouse
must bu set back a minimum distance of f►fteen feet (15') from my area of riparian acc..;s unless
waived by me.
1 dp_ wish to waive the setback requirement,
I do wish to waive that se.tb}ack requirement,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT::
(To be filled in by irulividual props S1109 (19veloptstent)
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eheo�c� �cM
(Applicant Information) (Riparian Property Owner Inforsnadon)
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To:919103470748
FE8-19-2'�10 11:'1:� From:DCM MHDCTY
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of Environ(1�Ar, a! `J af�;r"
Page:4'4
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Applicant Name
Meiling Address (.,., 0 13Px 8'Y
i certify that I have authorized (agent)
M �A �e . ) t,-e- r- to act oil my
behalf, for the purpose of applying for and obtaining all C:AMA Pernnits
Install or construct (activity)
at (location) �J—CV Son) , 4-f _ ...._
This
Signature
thru (date) is ! 1 �_
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: 252-808.2.808 \ FAX: 252-247-33301 Internet; www.nacoastalmanagemcnt.net
An Equal Opportunity l Affirmative Action Employer- 50%6 Recyd 110% Post Consumer Paper
bd WUTZ:80 OTaz bE 'JPW 2-82Z2-Z20T6: 'ON XUA J,i N3i SGHDNSi88� 0 Ang: WONJ
Applicant:
►� y
Date: 3I3G1 10
5525LC
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
ternimpacts)
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
ternimpacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
❑ Fill ❑ Both ❑ Other']
G �
�Dredge � Z
Dredge ❑ Fill ❑ Both ❑ Other ❑
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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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