HomeMy WebLinkAbout52693_SIMON, TAMMY_20081016❑CAMA / ❑ DREDGE & FILL
r. GEN. ERsAL PERMIT
❑New ❑Modification -iComplete Reissue rtiaI Reissue
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 15A NCAC_
-, �" � -
Applicant Name rX t i (P.! 1 l'
Address`!C ,itI)!<
City_ 'o `- x-�aa ii I i } State fl zip r -
Phone # (`) ^x ! vl '�`i Fax #
AuthorizedAgent 5T11� ;'
Affected CW b'EW 0 PTA ❑ ES ❑ PTS
A
Affecte El OEA [IHHF ❑ IH ❑ UBA El N/A
CI PWS: ❑FC:
ORW: yes / no PNA yes / no Crit.Hab. yes / no
Previous permit #
Date previous permit issued
�• f
_54Rules attached.
Project Location: County : ,x
Street Address/ State Road/ Lot #(s)
Subdivision
City �~} r �! i Y `'( ZIPS r% r
Phone # (-)'L r River Basin
Adj. Wtr. Body C_ ` '` '?•? tr (nat%/man /unkn)
Closest Maj. Wtr. Body '+ %'�'' �'�%L' i
Type of Project/ Activity
(Scale:
Pier (dock) length i k f
Platform(s) - - - - -
-�
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore�_�
max distance offshore
Basin, channel
cubic yards
Boat ramp _
Boathouse/ Boatlift
Beach Bulldozing
Other V
Shoreline Length - �� +
SAV: not sure yes no
Sandbags: not sure yes nor
o
Moratorium:
Photos: es no n/a yes no
J
Waiver Attached: yes i no
A building permit may e brequired
9
Notes/ Special Conditions
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See note
on back regarding River Basin
rules.
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Agent br Applicant Printed N he
Si**
gnature Please read compliance statement on back of permit
Application Feels) Check #
T6L"
Issuing Date (, y~ ` ( 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:
_I Tar - Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated bn 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 b the NC Division of
Water Quality. Contact the Division of Water Quality at the Washington Regional Office - 46-6481 r the Wilmington
Regional Office (910-796-7215) for more information on how to comply with these buffer
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: 910-395-3964
(Serves: Brunswick, New Hanover,
Onslow -below New River Inlet- and
Pender Counties)
Revised 08/09/06
Q:.te✓r bj"\es (Dq.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE)
I hereby certify that I own property adjacent to S\N,\o'v.\ 's
(Name of Property Owner)
property located at S 3 e`) Cove,
(Lot, Block, Road, etc.)
on '6fo". (.'fC <A' , in O f; eh'1�\ , N.C.
(Waterbody) (Town and/or County)
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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
----------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(Applicant Information)
W V)ox lho
J '1-
City/State/Zip
�ao- �a
Telephone Number
°1 11bla
Print or Type Name
x C::;gsz - (!�? �'K- 3 3 22
Telephon Number
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Date Date
Page 1 of 1
CITY
SOUTHLAKE
STATE
TX
ZIP
76092
PARRECNUM
15564
NAME
SIMON, WILLIAM S
MAPNO
L10-3-MV3-28
11CONTROLNUM
CLSCODE
INSERT
BLOCK
SITEADDR
SITUSROAD
LEGDESCI
TOTACRES
CRNTTOTDEF
CRNTBLDGVA
TOTCRNTVAL
IIHOUSECODE
PIN
D02
DISTTOWN
L10 JIDBLCIR
3
PARCELNO
MV378
53 QUIDLEY COVE
SITUSADDR
53
QUIDLEY COVE
EXEMPT
LOT 28 MARINA VILLAGE SEC 3
LEGDESC2
PCA 149-3
1.11
CRNTTOTUSE
0
CRNTLANDVA
180000
0 IICRNTOBLDGV
180000
FIRECODE
SEWERCODE
SALEAMNT
11425000
JISALEDATE
5/2/2006
SALEDATE2
1175,000
SALECODE
lis
ROADNUM
11317
PCTCOMP
110
WILLBOOK
10
WILLPAGE
0
DB PG
4681792
DEEDBOOK
11468
DEEDPAGE
792
PLAT
11 PCA 149-3
II MOBHOME 110
http://www2.undersys.com/scripts/testadv/usiwebpc.dll/usi?formis=ptmap&MouseX=O&... 9/10/2008
Jun 11 08 08:35a William Simon
479-795-8603 P.1
A
A
HCDEHR
North Carolina Department of Envkxtmeat and Natural Resouroes
Division of Coastal Management
W&ad F. Fanny, Govmw James H. Gregson, Dhecbr Man a Ross Jr., seoeary
Date b 1 10i
Applicant Name Te� tr Vftj 7 ► � c; V\
Mailing Address i �•�hMG'r�1y��
�3ehSah�.��t� A9\ 7),7Q.,
T certify that I have aatbosized (agent) �- e"Ib � n kS to act on my
beh*lti for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)y
at (location)
T'h is certifi
Signature
4M Commerce Awnue, Moretxmd Ctly, Rath Carolina 28557
Phone: 252-808-28M % FAX: 252-247-333011ntemet: wwwsmmoastaimanagement.net
Aft EcW OppWwRy %Mmra a Anion 6npbla- 50%R%-I Me ID% Ptw Gammer Paper
vvnuam �.:Y.css 'Jr., 0ccioLaiy
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Chuck Wakild, Deputy Director
BUFFER AUTHORIZATION CERTIFICATE FOR PIER ACCESS
A riparian buffer authorization is required for an approved access way through the Tar -Pamlico
& Neuse River Riparian buffer per Division of Water Quality (DWQ) regulations 15A NCAC
02B.0233 & .0259.
Activities covered by your Coastal Area Management Act (CAMA) permit are deemed to have
a Buffer Authorization from the DWQ as long as the project can meet ALL of the conditions
listed below. If ALL of the avoidance and minimization guidelines listed below cannot be met, a
separate buffer authorization request must be submitted using a Pre -Construction Notification
(PCN) application to DWQ at the address below.
A PCN application may be obtained on the DWQ site http://h2o.enr.state.nc.us/wetlands.html-
Any questions regarding this process should be directed to the wetland/buffer staff of the DWQ
in the Washington Regional Office at 252-946-6481, or the 401 Oversight Unit in the Raleigh
Central Office at 919-733-6893.
A written authorization from DWQ MUST be received prior to any construction activities in the
riparian buffer, including land clearing. Failure to secure a Buffer Authorization prior to
construction &/or land clearing shall subject the property owner & the party (contractor)
performing the construction &/or land clearing to a civil penalty of up to $25,000 per day per
violation.
❑ Pier access must cross the riparian buffer perpendicularly (which is defined as between
75 and 105 degrees). The alignment should also be located to minimize the removal of
woody vegetation to the greatest extent practicable.
❑ Walkway/access shall be made of pervious materials like open -slatted wood, mulch, or
grass. The use of impervious materials like concrete, pavers, or gravel will require a
PCN review and a separate Buffer Authorization. A request for an impervious walkway
shall include a justification of need.
❑ The width of the access is limited to six (6) feet or less. A width of greater than 6 feet
wide shall require a PCN review and a separate Buffer Authorization. A request for an
access greater than 6 feet shall include a justification of need.
❑ Please submit a project map of your property indicating the location of the pier and any
requested walkway/access.
North Carolina Division of Water Quality Internet: www.ncwaterquality.org One
943 Washington Square Mail Phone: 252-946-6481 NQrthCarolina
Washington, NC 27889 FAX 252-946-9215 Aatmmlly
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
This Buffer Authorization is not considered approved until the DWQ has received both
this signed form AND the project map.
Submit the requested information to:
Division of Water Quality
Attn: Surface Water/Buffer Program
943 Washington Square Mall
Washington, NC 27889
By your signature below you agree to be held responsible for meeting ALL of the above listed
conditions and verify that all information is complete and accurate. Please be aware, violations
of the above -listed conditions are subject to civil penalty assessment of up to twenty-five
thousand dollars ($25,000.00) per violation per day.
Agent's Signature
CAMA General Permit Number:
North Carolina Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
Internet: www.ncwatergualitv.or�
Phone: 252-946-6481
FAX 252-946-9215
An Equal OpportunitylAffirmative Action Employer — 50% Recycledll0% Post Consumer Paper
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P.O. BOX 190 PH# (2521 249-1429 `til
ORIENTAL, NC 28571
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