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HomeMy WebLinkAbout56065_SIMPKINS, ANN_20100818iEl CAMA / Q DREDGE & FILL CENTRAL PERMIT Previous permit # -EA,lew' ❑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` j Applicant Name !° � # 11'\ � ,/�'1►� � � / '1 S Address ! p "1 Jl� ii �/1�r� K 0 , City i �(.' X1 I I ~ 41f'[t✓ �, State i C ZIP Phone # (r�) �r-` /Fax # Authorized Agent i V � C' t r , Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: ORW: yes / no PNA yes / no Crit.Hab. yes / not Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City r�, _ a ZIP Phone # ( -) River Basin Adj. Wtr. Body " ?`/x�1� (nat ./man /unkn) Closest Maj. Wtr. Body{`''l Type of Project Activity (Scale:l ,zO ) Pier (dock) length_ Platform(s) — Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore r Basin, channel`G� ti X cubic yards_- 1 Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length' �� SAV: not sure yes (no Sandbags: not sure yes (no - Moratorium: n/a yes Co �)Tr— Photos: Y es ro Waiver Attached: yes no A buildingpermit may be required b : P Y 9 Y Notes/ Special Conditions — — I I — - - - — —1--I - -- - �- on back regarding River Basin g g — � I -�V `��� See note rules. � �/X �ent,or Applicant Printed Name 1 n ture Please read compliance statement on back of erm�t� Application Fee(s) Check # Permit Officer' Signatur IssuingDat Expi, tion -� to - Z--- 0 Local Planning jurisdiction Rover File qame 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/ 1-888ARCOAST 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 ADJACE-NT RIPARIAN, PROPERTY OWNER STATEMENT (FOP A .PIER17YI00R ING B_ILItVGSiBOATL,IFTIBOATHOUSE) RECEIVED I hereby certify that! own property adjacent to :2 r s (Name of Prope ty Owner) AUG 13 2010 j � MOG��eo� City CCl� property located at ....I.. _._ _.._ __.. _�Zn r'�-A-c (Lot, Block, Road, etc.) o n in , N.C. (Waterbody) (Town and/or County) Applicant's phone #: �2 �7 12 Mailing Address: ��y 8m facet YL*1� 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: —(Toie flied in b,Iy� individual proposing development �ti''� 4 V — 7 -7 ------------------------------------------------------- (Information for Property Owner Applying for Permit) Mailing Address F lC S " - C 2 �-z City/State/Zip Telephone Number Signature Date I--;- u,� -------------------------------------------------------- (Riparian Property Owner I mation) Signature ;.eq vc rri i` or Type Name �3C� �?-g TelNumber ep one 4 D Date . ' ACENT RI-DARIA i PROPERTY OWNER STATEMENT (FOR A PIER131100RING P.ILI!VGSiB0ATLIFTIBOATHO SE) I hereby cerr_ifiJ that 1 own property adjacent to4��(,n�r s RECEIVED (Name of Prope ty Owner) , �} AUG 13 2010 property located at . _ ! _c�-j=-c,L--.-----'---_.-__---, (Lot, Block, Road, etc.) A40reheadcity DCM on iLII�- , in !C5 , N.C. ('Waterbody) (Town and/or County) p Applicant's phone #: ''2 4:.�% 7Z Mailing Address: l�� S3ct� IPA YL---Ij 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 049__,< I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DE17ELOPMENT: � (To -die f Iled in by in ual proposang development � ------------------------------------------------------------------7------------------------------------------------ (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address City/State/Zip -7 7 2 Telephone Number Signature Date Signature Ella, L. �o�arsf7L--,, rrInt or Type Name -- �— / 9n Telephone Number Date NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management RECEIVED Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary AUG 13 2010 Iorehead Clay DCM Date �r Applicant Name --- Mailing Address I / '9 �4 I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) D4'tC1 'S L- k '4% h ic> ' at (location) --b Li This certification is valid thru (date) Signature G�rY� —_q �--�- 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 \ FAX: 252-247-3330 \ Internet: www.nccoastalmanagement.net An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post consumer Paper MUD BUCKET DREDGING INC 4532 507 HEDRICK BLVD MOREHEAD CITY, NC 28557-3045 66-112/531 Date A. �00 c-I $ Pay to the Older of .lq Dollars v Rk 4 BRANCH BANKING AND TRUST COMPANY /1-800;9&WBBT BBT.com Tr FOR—?�C-V— V-Vl :2 - MP 1100000 4 5 3 21s 0:053 10 112 11:0005293 2 1a3l. lit, c NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: Ann Simpkins Date: August 18, 2010 General Permit #: 56065C 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) impact amount) temp impacts) amount OW Dredge ❑ Fill ❑ Both ® Other ❑ 1,200 120 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ •